This study aimed to investigate the impact of bowel dysfunction and lower urinary tract symptoms on the quality of patients with rectal cancer who underwent sphincter-preserving surgery. This cross-sectional study included patients who were followed up after sphincter-preserving surgery in Korea. Data were collected from May 2022 to February 2023. The participants (n = 110) responded to self-reported questionnaires assessing the Low Anterior Resection Syndrome (LARS) score, International Prostate Symptom Score (IPSS), European Organization for Research and Treatment of Cancer QLQ-C30 and QLQ-C29 questionnaires. Among the participants, 66.4% had major low anterior resection syndrome, and 39.1% had moderate-to-severe lower urinary tract symptoms. Patients with higher severity of low anterior resection syndrome and lower urinary tract symptoms had a lower quality of life. The IPSS, performance status, duration since the end of the surgery, comorbidities, LARS scores, and tumor location on the anal verge negatively affected the quality of life. Patients with more severe bowel dysfunction or lower urinary tract symptoms have a poorer quality of life. Nurses should be made aware of the factors that can reduce the quality of life of patients who have undergone sphincter-preserving surgery. Accordingly, they should plan to address the various nursing problems.

中文翻译：

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肠功能障碍和下尿路症状对直肠癌保肛手术后生活质量的影响：一项横断面研究

本研究旨在探讨肠道功能障碍和下尿路症状对接受括约肌保留手术的直肠癌患者的质量影响。这项横断面研究纳入了在韩国接受括约肌保留手术后进行随访的患者。数据收集时间为 2022 年 5 月至 2023 年 2 月。参与者 (n = 110) 填写了自我报告的问卷，评估低位前切除综合征 (LARS) 评分、国际前列腺症状评分 (IPSS)、欧洲癌症研究与治疗组织QLQ-C30 和 QLQ-C29 调查问卷。在参与者中，66.4%患有严重的低位前切除综合征，39.1%有中度至重度下尿路症状。低位前切除综合征和下尿路症状严重程度较高的患者生活质量较低。 IPSS、体能状态、手术结束后的持续时间、合并症、LARS 评分和肛门边缘肿瘤位置对生活质量产生负面影响。肠道功能障碍或下尿路症状较严重的患者生活质量较差。护士应了解可能降低接受括约肌保留手术的患者生活质量的因素。因此，他们应该计划解决各种护理问题。