title: Patients' bowel symptom experiences and self-care strategies following sphincter-saving surgery for rectal cancer.
abstract: OBJECTIVE
  To investigate patients' bowel symptom experiences and self-care strategies following sphincter-saving surgery for rectal cancer and the relationship between bowel symptom experiences and the self-care strategies used.
  
  
  BACKGROUND
  Earlier diagnosis of rectal cancer allows for less invasive surgical treatments such as sphincter-saving procedures to be performed. Although a permanent stoma is generally not required, patients experience changes in bowel function following this surgery. However, limited research exists on patients' bowel symptom experiences and the self-care strategies used to manage symptoms following sphincter-saving surgery of rectal cancer.
  
  
  METHODS
  Quantitative descriptive correlational.
  
  
  METHODS
  A convenience sample of 143 patients aged 30 to over 70 years was used. Data were collected (April 2010-December 2010) using the Illness Perception Questionnaires, the Difficulties of Life Scale and a researcher developed Self-care Strategy Measure. The research was underpinned by the Symptom Management Theory.
  
  
  RESULTS
  Relating to the four most effective self-care strategies used respondents reporting more bowel symptom were more likely to use the self-care strategy proximity/knowing the location of a toilet at all times. Females, respondents with high timeline cyclical scores and respondents with high physiological responses scores were more likely to use protective clothing. Respondents reporting more bowel symptom and with high social responses scores were more likely to use bowel medication. Females were more likely to wear incontinence pads.
  
  
  CONCLUSIONS
  This research provides insights into the daily bowel symptom experiences of patients following sphincter-saving surgery for rectal cancer. It demonstrates the range of self-care strategies that individuals use to manage their bowel symptoms and the self-care-strategies that were most effective for them.
  
  
  CONCLUSIONS
  Patients should be encouraged to report on-going bowel problems following sphincter-saving surgery for rectal cancer. Supportive care for patients should be comprehensive and tailored to meet individual needs.
authors.affiliation: Catherine McAuley School of Nursing and Midwifery, University College Cork, Cork, Ireland.
authors.forename: Margaret
authors.initials: M
authors.lastname: Landers
authors.forename: Geraldine
authors.initials: G
authors.lastname: McCarthy
authors.forename: Vicki
authors.initials: V
authors.lastname: Livingstone
authors.forename: Eileen
authors.initials: E
authors.lastname: Savage
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003248:Constipation / Q000451:nursing / Q000523:psychology*; D005242:Fecal Incontinence / Q000451:nursing / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012004:Rectal Neoplasms / Q000451:nursing / Q000601:surgery*; D012648:Self Care; D011795:Surveys and Questionnaires
keywords: Symptom Management Theory; bowel symptoms; colo-rectal cancer; self-care strategies; sphincter-saving surgery