Quality of Life of Outpatients Treated with Low Anterior Resection or Anterior Resection for Colorectal Cancer orrelation Between Dyschezia and Self-completed QOL Questionnaire- Nami Imai *1, Yoshihiro Kido * 2 * 1 Doctor Co urse, Course of Health Sciences, Graduate School of Medicine, Osaka University * 2 Department of Nursing, School of Allied Health Sciences, Faculty of Medicine, Osaka University Key words : colon cancer, dyschezia, quality of life Abstract This study examines the correlation between dyschezia and quality of life in an outpatient population that received either low anterior resection (LAR) or an anterior resection (AR) as treatment for colorectal cancer. The outpatients answered a questionnaire examining the severity of their dyschezia and it's impact on their quality of life. One hundred ninety two outpatients, with a mean age of 64.6 years (SD=10.4 years) and from 1 to 36 months after surgical resection responded to the questionnaire. Two assessment scales were included in the questionnaire: The Defecative Dysfunction Assessment Scale (DDAS) and a self-completed questionnaire for QOL revised (QUIK-R). Data were analyzed using a Mann-Whitney test, Kruskal-Wallis test and Spearman rank correlation coefficient, and step-wise multiple regression was also performed. DDAS scores were significantly higher for patients receiving low anterior resection (LAR) than for those receiving anterior resection (AR). A significant relationship was also observed between DDAS and QUIK-R scores, in particular, between " soiling" on the DDAS. Multiple regression analysis revealed that DDAS and resection technique used for treatment accounted for 22.3% of the variance in QUIK-R. In conclusion, the findings suggest that the severity of dyschezia is related to the resection technique used to treat colorectal cancer. Furthermore the severity of dyschezia was found to exert a significant influence on quality of life.
Frigell, A., Ottander, year follow-up of patients treated for colorectal and gastric cancer, European Journal of Cancer Care, 5, 209-216. Forsberg, C., BjOrvell, H., Cedermark, B. (1996b) : Well-being and Its Relation to Coping Ability in Patients with Colo-rectal and Gastric Cancer Before and After Surgery, Scand J Caring Sci, 10, 35-44. Forsberg, C., BjOrvell, H., Cedermark, B. (1997) : Well-beling in Patients with Gastro-intestinal Cancer Before Surgery, European Nurse 2 (3), 158-170. M., Stenbeck, H. et al. (1990): Quality of Life of Patients Treated with Abdominoperineal Resection or Anterior Resection for Rectal Carcinoma, Annales Chirurgiae et Gynaecologiae 79, 26-30. Forsberg, C., Cedermark, B. (1996a) : Wellbeing, general health and coping ability: 1- Galloway, Susan C., Graydon, Jane E. (1996) : Uncertainty, symptom distress, and information needs after surgery for cancer of the colon, Cancer Nursing, 1 9 (2), 112-117. Iida. N, Koyama. W, Kohashi. N (2000) : Significance of Measuring the Quality of Life (QOL) in Health Evaluation, Methods for Information in Medicine for a special Inter-
Klopp, Audrey L. (1990) : Body image and selfconcept among individuals with stomas, Journal of Enterostomal Therapy, 17 (3), 98-105. Mitchell Beddar, Sandra A. (1997) : Development and Evaluation of a Protocol To Manage Fecal Incontinence in the Patient with Cancer, Journal of Palliative Care, 13 (2), 27-38. Sprangers, M.A.G., Taal, B.G., Aaronson, N.K. et al. (1995) : Quality of life in Colorectal Cancer Stoma vs. Nonstoma Patients, Dis Colon Rectum, 38 (4), 361-369.