Abstract：
OBJECTIVE: To investigate the effect of perioperative nurse-led counselling intervention on unmet needs, sexual function and quality of life in colorectal cancer patients.
METHODS: 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.
METHODS: 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.
摘要：
目的：探讨围手术期护士主导的咨询干预对未满足需求的影响。结直肠癌患者的性功能和生活质量。
方法：这项准实验研究包括82例接受结直肠癌手术的患者（对照n=45，干预n=37）。基于电话的围手术期护士主导的咨询干预,其中包含实施，后续行动,和评估，从手术前开始到手术后第3个月。数据是用癌症幸存者未满足需求量表收集的，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，和国际勃起功能指数术前和术后第3-6个月。控制数据是在大流行之前收集的，以及整个大流行期间的干预组。Mann-Whitney-U,使用Wilcoxon秩检验。
结果：与对照组相比，干预组患者报告较低的未满足和总需求得分(p=0.000)；较高的生活质量(p=0.000)，物理，情绪(p=0.000)，角色(p=0.001)，和社会功能得分（p=0.002）；较低的疲劳（p=0.000），便秘（p=0.034），疼痛（p=0.018），恶心呕吐（p=0.004），失眠得分（p=0.003）；和更高的身体形象，焦虑(p=0.000)和体重评分(p=0.003)，下尿频臀部疼痛（p=0.000），排尿困难（p=0.001），腹痛（p=0.001），波动(p=0.000)，大便频率（p=0.002），6个月时大便失禁(p=0.006)评分(p<0.05)。男女性功能评分差异无统计学意义(p>0.05)。
结论：围手术期护士主导的咨询减少了未满足的需求，并通过降低症状水平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局。
方法：这项准实验研究包括82例接受结直肠癌手术的患者（对照n=45，干预n=37）。基于电话的围手术期护士主导的咨询干预,其中包含实施，后续行动,和评估，从手术前开始到手术后第3个月。数据是用癌症幸存者未满足需求量表收集的，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，和国际勃起功能指数术前和术后第3-6个月。控制数据是在大流行之前收集的，以及整个大流行期间的干预组。Mann-Whitney-U,使用Wilcoxon秩检验。
结果：与对照组相比，干预组患者报告较低的未满足和总需求得分(p=0.000)；较高的生活质量(p=0.000)，物理，情绪(p=0.000)，角色(p=0.001)，和社会功能得分（p=0.002）；较低的疲劳（p=0.000），便秘（p=0.034），疼痛（p=0.018），恶心呕吐（p=0.004），失眠得分（p=0.003）；和更高的身体形象，焦虑(p=0.000)和体重评分(p=0.003)，下尿频臀部疼痛（p=0.000），排尿困难（p=0.001），腹痛（p=0.001），波动(p=0.000)，大便频率（p=0.002），6个月时大便失禁(p=0.006)评分(p<0.05)。男女性功能评分差异无统计学意义(p>0.05)。
结论：围手术期护士主导的咨询减少了未满足的需求，并通过降低症状水平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局。
