Purpose

To investigate the effect of perioperative nurse-led counselling intervention on unmet needs, sexual function and quality of life in colorectal cancer patients.

Method

This quasi-experimental study included 82 patients who underwent colorectal cancer surgery (control n = 45, intervention n = 37). The telephone-based perioperative nurse-led counselling intervention, which contained implementation, follow-up, and assessment, was applied to start from pre-surgery to post-surgery 3rd month. Data were collected with the Unmet Needs of Cancer Survivors Scale, European Organisation for Treatment and Research of Cancer Quality of Life Scale-30, Colorectal-29, Female Sexual Function Index, and International Index of Erectile Function pre- and post-surgery 3rd-6th months. The control data was collected before the pandemic, and the intervention group throughout the pandemic. The Mann-Whitney-U, Wilcoxon rank test was used.

Results

Compared to the control group, intervention group patients reported lower unmet and total needs scores (p = 0.000); higher quality of life (p = 0.000), physical, emotional (p = 0.000), role (p = 0.001), and social functioning scores (p = 0.002); lower fatigue (p = 0.000), constipation (p = 0.034), pain (p = 0.018), nausea-vomiting (p = 0.004), and insomnia scores (p = 0.003); and higher body image, anxiety (p = 0.000) and weight scores (p = 0.003), lower urinary frequency buttock pain (p = 0.000), dysuria (p = 0.001), abdominal pain (p = 0.001), fluctuance (p = 0.000), stool frequency (p = 0.002), and faecal incontinence (p = 0.006) scores at the sixth month (p < 0.05). There were no statistically significant differences between male and female sexual function scores (p > 0.05).

Conclusions

Perioperative nurse-led counselling reduced unmet needs and increased the overall quality of life by decreasing symptom levels but did not affect sexual health outcomes in patients with colorectal cancer surgery.

中文翻译：

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基于电话的围手术期护士主导咨询计划对结直肠癌患者未满足的需求、生活质量和性功能的影响：一项非随机准实验研究

目的

探讨围手术期护士主导的咨询干预对结直肠癌患者未满足的需求、性功能和生活质量的影响。

方法

这项准实验研究包括 82 名接受结直肠癌手术的患者（对照 n = 45，干预 n = 37）。从术前至术后第3个月，采用由护士主导的电话围手术期咨询干预，包括实施、随访和评估。数据通过癌症幸存者未满足需求量表、欧洲癌症治疗和研究组织生活质量量表-30、结肠直肠-29、女性性功能指数和国际手术前和术后勃起功能指数收集。第 6 个月。对照数据是在大流行之前收集的，干预组数据是在大流行期间收集的。使用Mann-Whitney-U、Wilcoxon 等级检验。

结果

与对照组相比，干预组患者报告的未满足需求和总需求评分较低 (p = 0.000)；更高的生活质量（p = 0.000）、身体、情感（p = 0.000）、角色（p = 0.001）和社会功能得分（p = 0.002）；疲劳（p = 0.000）、便秘（p = 0.034）、疼痛（p = 0.018）、恶心呕吐（p = 0.004）和失眠评分（p = 0.003）降低；更高的身体形象、焦虑（p = 0.000）和体重评分（p = 0.003）、排尿频率降低、臀部疼痛（p = 0.000）、排尿困难（p = 0.001）、腹痛（p = 0.001）、波动（p =第六个月时的评分（p < 0.000）、大便频率（p = 0.002）和大便失禁（p = 0.006）评分（p < 0.05）。男性和女性性功能评分之间无统计学差异（p > 0.05）。

结论

围手术期护士主导的咨询通过降低症状水平减少了未满足的需求并提高了整体生活质量，但不影响结直肠癌手术患者的性健康结果。