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Effect of Brisk Walking on Self-Care Agency or Care Dependency among Colorectal Cancer Patients with permanent stoma

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Journal of Clinical and Nursing Research 2024年第5期8卷 68-82页

作者： Zhen Zhang Anabella G.Javier Institute of Health Sciences and Nursing Far Eastern UniversityNicanor Reyes StreetSampalocManila 1015Philippines

Objective:The purpose of this study was to determine the effectiveness of brisk walking as an intervention for self-care agency and care dependency in patients with permanent colorectal cancer ***:This study adopted a quasi-experimental research design,specifically a non-equivalent control group pre-test and post-test *** the Exercise of Self-Care Agency Scale(ESCA)and Care Dependency Scale(CDS),a survey was administered to 64 patients from a hospital in Shandong *** statistical methods used for analyzing data included frequency,mean,standard deviation(SD),independent t-test,P-value calculation,and dependent ***:After two months of a brisk walking exercise program,participants in the experimental group had a higher level of self-care agency than before the experiment(P<0.05),and their level of care dependency was significantly reduced(P<0.05).Participants in the control group also showed higher levels of self-care agency(P<0.05)and lower levels of care dependency(P<0.05)after two months compared to their levels before the two ***:The brisk walking program had a positive impact on patients’self-care agency and reduced their care dependency.

关键词： permanent stoma Colorectal cancer Brisk walking Self-care agency Care dependency

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Nomogram to predict permanent stoma in rectal cancer patients after sphincter-saving surgery

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World Journal of Gastrointestinal Surgery 2022年第8期14卷 765-777页

作者： Chih-Yu Kuo Po-Li Wei Chia-Che Chen Yen-Kuang Lin Li-Jen Kuo Department of Surgery Taipei Medical University HospitalTaipei 11031Taiwan Division of Colorectal Surgery Department of SurgeryTaipei Medical University HospitalTaipei 11031Taiwan Department of Surgery School of MedicineCollege of MedicineTaipei Medical UniversityTaipei 11031Taiwan Graduate Institute of Athletics and Coaching Science National Taiwan Sport UniversityTaoyuan 33301Taiwan Taipei Cancer Center Taipei Medical UniversityTaipei 11031Taiwan

BACKGROUND Approximately 20 percent of patients with a tumour localized in the low rectum still encounter the possibility of requiring permanent stoma(PS), which can cause drastic changes in lifestyle and physical *** To determine the risk factors for PS and to develop a prediction model to predict the probability of PS in rectal cancer patients after sphincter-saving *** A retrospective cohort of 421 rectal cancer patients who underwent radical surgery at Taipei Medical University Hospital between January 2012 and December 2020 was included in this study. Univariate and multivariate analyses were performed to identify the independent risk factors for PS. A nomogram was developed according to the independent risk factors obtained in the multivariate analysis. The performance of the nomogram was assessed using a receiver operating characteristic curve and a calibration *** The PS rate after sphincter-saving surgery was 15.1%(59/391) in our study after a median follow-up of 47.3 mo(range 7–114 mo). Multivariate logistic regression analysis demonstrated that local recurrence, perirectal abscess, anastomosis site stenosis, perineural invasion, tumor size and operative time were independent risk factors for PS. These identified risk factors were incorporated into the nomogram, and the concordance index of this model was 0.903(95%CI: 0.851-0.955). According to the calibration curves, the nomogram represents a perfect prediction *** Several risk factors for PS after sphincter-saving surgery were identified. Our nomogram exhibited perfect predictive ability and will improve a physician’s ability to communicate the benefits and risks of various treatment options in shared decision making.

关键词： Nomogram permanent stoma Risk factor Shared decision making Sphincter-saving operation Rectal cancer

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