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Kwoun and Shin: Impact of Bowel Function, Anxiety and Depression on Quality of Life in Patients with Sphincter-preserving Resection for Rectal Cancer
Original Article

Journal of Korean Academy of Nursing 2015; 45(5): 733-741.

Published online: 30 October 2015

DOI: https://doi.org/10.4040/jkan.2015.45.5.733

Impact of Bowel Function, Anxiety and Depression on Quality of Life in Patients with Sphincter-preserving Resection for Rectal Cancer

Hyun Jun Kwoun1, Yun Hee Shin2

1Wonju Severance Christian Hospital, Wonju, Korea.

2Department of Nursing, Wonju College of Medicine, Yonsei University, Wonju, Korea.

Address reprint requests to: Shin, Yun Hee. Department of Nursing, Wonju College of Medicine, Yonsei University, 20 Ilsan-ro, Wonju 26426, Korea. Tel: +82-33-741-0387, Fax: +82-33-743-9490, yhshin@yonsei.ac.kr

Received 25 February 2015       Revised 5 March 2015       Accepted 6 July 2015

© 2015 Korean Society of Nursing Science

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution NoDerivs License. (http://creativecommons.org/licenses/by-nd/4.0/) If the original work is properly cited and retained without any modification or reproduction, it can be used and re-distributed in any format and medium.

Abstract

Purpose

This study was a descriptive survey research to identify the impact of bowel function, anxiety and depression on quality of life in patients with rectal cancer who had a sphincter-preserving resection.

Methods

articipants were 100 patients who had rectal cancer surgery at W hospital in Korea. Bowel function, anxiety & depression, and quality of life were measured using the BFI (Bowel Function Instrument), HADS (Hospital Anxiety-Depression Scale) and the FACT-C (Functional Assessment of Cancer Therapy-Colorectal).

Results

The mean scores were 39.81±5.16 for bowel function, 6.15±3.25 for anxiety, 7.24±3.13 for depression, and 72.50±13.27 for quality of life. There were significant negative correlations between quality of life and anxiety (r= -.59, p <.001) and between quality of life and depression (r= -.53, p <.001). But the correlation between quality of life and bowel function was significantly positive (r=.22, p =.025). The influence of the independent variables on the total quality of life was examined using multiple regression analysis. Anxiety (β= -.38, p =.002), bowel function (β= -.25, p =.028) and occupation (β=.16, p =.048) were identified as factors affecting quality of life. The explanation power of this regression model was 44% and it was statistically significant (F=16.53, p <.001).

Conclusion

The results of this study indicate that in order to improve the bowel function of patients after sphincter-preserving resection for rectal cancer, effective nursing interventions should be developed. As psychological problem such as anxiety and depression can relate to quality of life for these patients, nurses should work on improving the situation by providing continuous emotional nursing.

Keywords: Rectal cancer, Defecation, Anxiety, Depression, Quality of life

Figures and Tables

Table 1

Bowel Function, Anxiety, Depression, and Quality of Life (N=100)

jkan-45-733-i001

BWM=Basis weight mean.

Table 2

Quality of Life according to General Characteristics (N=100)

jkan-45-733-i002

CC=Colorectal cancer.

Table 3

Quality of Life according to Characteristics related to Disease and Treatment (N=100)

jkan-45-733-i003

*Laparoscopic surgery; †Open surgery; CC=Colorectal cancer.

Table 4

Correlations between Bowel Function, Anxiety, Depression and Quality of Life (N=100)

jkan-45-733-i004
Table 5

Factors Affecting Quality of Life (N=100)

jkan-45-733-i005

Notes

This manuscript is a condensed form of the first author's master's thesis from Yonsei University.

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