Asian Oncol Nurs.
2022 Dec;22(4):225-234. 10.5388/aon.2022.22.4.225.
Characteristics of Defecation Function Related Quality of Life According to Cancer Location in Colorectal Cancer Survivors
- Affiliations
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- 1BS, Department of Sports Industry, Yonsei University, Seoul, Korea
- 2MS, Department of Sports Industry, Yonsei University, Seoul, Korea
- 3Ph.D, Department of Sports Industry, Yonsei University · Frontier Research Institute of Convergence Sports Science, Yonsei University, Seoul, Korea
- 4Ph.D., Department of Sports Industry, Yonsei University, Seoul, Korea
- 5MS, Department of Sports Industry, Yonsei University, Seoul, Korea
- 6MS, Department of Nursing, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea
- 7Prof., Cancer Prevention Center, Yonsei Cancer Center, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea
- 8Prof., Department of Epidemiology and Health Promotion, Institute for Health Promotion, Graduate School of Public Health, Yonsei University, Seoul, Korea
- 9Prof., Division of Colorectal Surgery, Department of Surgery, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea
- 10Prof., Department of Sports Industry, Yonsei University · Exercise Medicine Center for Diabetes and Cancer Patients, ICONS, Seoul, Korea
- KMID: 2537760
- DOI: http://doi.org/10.5388/aon.2022.22.4.225
Abstract
- Purpose
The purpose of this study is to explore defecation functions related quality of life (QoL) according to the location of cancer in colorectal cancer survivors.
Methods
A total of 120 colorectal cancer survivors (67 colon vs. 53 rectum, mean age: 55.3±10.3 years, 46.7% male) who completed treatment were recruited from a tertiary hospital. QoL and defecation function related QoL were surveyed using the European Organization for Research and Treatment of Cancer (EORTC QLQ-C30) and EORTC QLQ- colorectal cancer specific core (CR29) questionnaire. Physical activity (PA) levels of participants were surveyed using a global PA questionnaire.
Results
There was no statistical difference in general QoL according to the location of cancer, but significant differences were observed in defecation function related QoL. When cancer location is closer to the anus, survivors experience more defecation dysfunction, negatively associated with QoL (Hemicolectomy: 67.71±14.07, anterior resection: 92.22±15.18, lower anterior resection: 151.85±17.20, and ultra-low anterior resection: 263.73±42.69).
Conclusion
When location of cancer is closer to the anus, colorectal survivors experience significantly more defecation dysfunction and poorer QoL. Strategies to reduce defecation dysfunction according to the location of cancer among colorectal cancer patients should be developed.
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