title: Effects of pelvic floor muscle exercise on faecal incontinence in rectal cancer patients after stoma closure.
abstract: The purpose of this study was to examine the effects of pelvic floor muscle exercise (PFME) on the faecal incontinence (FI) of rectal cancer patients following stoma closure. Participants were randomly distributed into an exercise group (n = 27) and non-exercise group (n = 26). An experimental design and longitudinal approach were implemented for data collection. Baseline data were collected at 1 day before discharge, and then PFME was taught before the patients were discharged from the hospital. We collected data and followed up with the patients at their pre-discharge visit and at 1, 2, 3, 6 and 9 months after discharge. The Cleveland Clinic Faecal Incontinence (CCI) score was used to measure patient outcome. PFME proved to effectively decrease the degree of FI in stoma closure recipients. The FI score of the exercise group significantly decreased from 8.37 to 2.27 after PFME compared with that of the non-exercise group (from 8.54 to 2.58). The generalised estimation equation tests showed that both group and time were significantly different. The tests also indicated that although PFME appeared to hasten the decline of incontinence, this effect was no longer detectable at 9 months; thus, it may be an effective intervention for FI when implemented up to half a year after discharge.
authors: Department of Nursing, I-Shou University, Kaohsiung, Taiwan.
authors: Y-H
authors: YH
authors: Lin
authors: Department of Nursing, Mackay Medical College, Taipei, Taiwan.
authors: H-Y
authors: HY
authors: Yang
authors: Department of Nursing, National Tainan Junior College of Nursing, Tainan, Taiwan.
authors: S-L
authors: SL
authors: Hung
authors: Division of Colon and Rectal Surgery, Department of Surgery, E-DA Hospital, Kaohsiung, Taiwan.
authors: H-P
authors: HP
authors: Chen
authors: Division of Colon and Rectal Surgery, Department of Surgery, E-DA Hospital, Kaohsiung, Taiwan.
authors: K-W
authors: KW
authors: Liu
authors: Department of Medical Imaging and Radiological Science, I-Shou University, Kaohsiung, Taiwan.
authors: T-B
authors: TB
authors: Chen
authors: Nursing Department, E-DA Hospital, Kaohsiung, Taiwan.
authors: S-C
authors: SC
authors: Chi
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005081:Exercise Therapy / Q000379:methods*; D005242:Fecal Incontinence / Q000209:etiology / Q000628:therapy*; D005260:Female; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D017773:Pelvic Floor; D011183:Postoperative Complications / Q000209:etiology / Q000628:therapy; D012004:Rectal Neoplasms / Q000601:surgery*; D054047:Surgical Stomas / Q000009:adverse effects*; D016896:Treatment Outcome
keywords: faecal incontinence; pelvic floor muscle exercise; rectal cancer; stoma closure