J Korean Biol Nurs Sci.  2015 Nov;17(4):306-314. 10.7586/jkbns.2015.17.4.306.

Influences of Symptom Experience and Depression on Quality of Life in Colorectal Cancer Patients with Stoma Reversal

• Kim JH
• Kim H

• KMID: 2173200
• DOI: http://doi.org/10.7586/jkbns.2015.17.4.306

Abstract

PURPOSE
The purpose of this study was to evaluate symptoms, depression and quality of life in colorectal cancer patients who underwent stoma reversal, and to assess the factors related to their quality of life.
METHODS
A descriptive study was conducted on 125 colorectal cancer patients who underwent stoma reversal in a tertiary hospital in Korea. Data were collected using the Korean versions of the European Organization for Research and Treatment of Cancer-Quality of Life Core 30 and Colorectal Cancer Specific Questionnaire 38 (EORTC QLQ-C30 and CR38), and the Hospital Anxiety-Depression Scale. Data were analyzed using descriptive statistics, t-test, one-way ANOVA, Pearson's correlation, and multiple regression analyses.
RESULTS
Participants experienced sexual problems, difficulties in defecation, and nausea/vomiting. About twenty-two percent of the patients were depressed and the mean score for global quality of life was 64.40+/-19.43. The multiple regression showed that social and cognitive functioning, depression, and the location of the anastomosis were the important factors that made contributions to the quality of life in colorectal patients with stoma reversal.
CONCLUSION
Our results suggest that symptom management and emotional support should be incorporated into nursing interventions to improve the quality of life in colorectal patients with stoma reversal.

Keyword

Depression; Quality of life; Stoma reversal; Symptom

MeSH Terms

Colorectal Neoplasms*
Defecation
Depression*
Humans
Korea
Nursing
Quality of Life*
Tertiary Care Centers