İki Farklı Bağırsak Disfonksiyonu Anketinin Rektal Kanser Hastalarının Psikolojik Durumu Üzerindeki Korelasyonu

Sami BENLİ, Deniz TAZEOĞLU, Alper ZIBLAK, Tahsin ÇOLAK
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 Material and Methods: Between June 2019 and June 2022, 127 patients operated on for rectal cancer with TME and SPS were examined regarding bowel dysfunction in the sixth postoperative month. The LARS score and MSK-BFI assessed bowel function. Beck anxiety inventory (BAI), Beck depression inventory (BDI), and Beck hopelessness inventory (BHI) were also applied to the patients. The correlation of LARS-Q and MSK-BFI questionnaire scores was examined with each other and the other three questionnaire scores.
 Results: Major LARS was seen in 29.9% of the patients. MSK-BFI scores were found to be 60. The median MSK-BFI scores for no LARS, minor LARS, and major LARS were 77, 68, and 52, respectively. Strong correlations were found between MSK-BFI and LARS-Q (rs -0.63). When the correlation between LARS-Q and BAI, BDI, and BHI was evaluated, rs 0.38, rs 0.49, and rs 0.56 were found, respectively. When the correlation between MSK-BFI and BAI, BDI, and BHI was evaluated, rs -0.67, -0.71, and -0.74 were found, respectively.
 Conclusion: Bowel dysfunction is a prevalent condition after sphincter-sparing rectal cancer surgery. Impaired sphincter functions significantly affect patients' social and emotional aspects and negatively affect their quality of life.","PeriodicalId":120468,"journal":{"name":"Turkish Journal of Clinics and Laboratory","volume":"56 6","pages":"0"},"PeriodicalIF":0.0000,"publicationDate":"2023-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Turkish Journal of Clinics and Laboratory","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.18663/tjcl.1317421","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
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Abstract

Aim: Most patients have impaired bowel function after sphincter-sparing surgery (SPS) combined with total mesorectal excision (TME). This study evaluated bowel dysfunction's effect on a patient's psychological state using the LARS Questionnaire (LARS-Q) and the Memorial Sloan Kettering Bowel Function Instrument (MSK-BFI). Material and Methods: Between June 2019 and June 2022, 127 patients operated on for rectal cancer with TME and SPS were examined regarding bowel dysfunction in the sixth postoperative month. The LARS score and MSK-BFI assessed bowel function. Beck anxiety inventory (BAI), Beck depression inventory (BDI), and Beck hopelessness inventory (BHI) were also applied to the patients. The correlation of LARS-Q and MSK-BFI questionnaire scores was examined with each other and the other three questionnaire scores. Results: Major LARS was seen in 29.9% of the patients. MSK-BFI scores were found to be 60. The median MSK-BFI scores for no LARS, minor LARS, and major LARS were 77, 68, and 52, respectively. Strong correlations were found between MSK-BFI and LARS-Q (rs -0.63). When the correlation between LARS-Q and BAI, BDI, and BHI was evaluated, rs 0.38, rs 0.49, and rs 0.56 were found, respectively. When the correlation between MSK-BFI and BAI, BDI, and BHI was evaluated, rs -0.67, -0.71, and -0.74 were found, respectively. Conclusion: Bowel dysfunction is a prevalent condition after sphincter-sparing rectal cancer surgery. Impaired sphincter functions significantly affect patients' social and emotional aspects and negatively affect their quality of life.
两种不同的肠道功能障碍问卷对直肠癌患者心理状态的相关性
目的:大多数患者在保留括约肌手术(SPS)联合全肠系膜切除术(TME)后肠功能受损。本研究使用LARS问卷(LARS- q)和纪念斯隆-凯特琳肠功能仪(MSK-BFI)评估肠功能障碍对患者心理状态的影响。材料与方法:在2019年6月至2022年6月期间,对127例直肠癌TME和SPS手术患者在术后第六个月进行肠功能障碍检查。LARS评分和MSK-BFI评估肠功能。同时应用贝克焦虑量表(BAI)、贝克抑郁量表(BDI)和贝克绝望量表(BHI)。LARS-Q和MSK-BFI问卷得分相互之间以及其他三份问卷得分的相关性进行检验。 结果:重度LARS发生率为29.9%。MSK-BFI评分为60分。无LARS、轻微LARS和严重LARS的中位MSK-BFI评分分别为77、68和52。MSK-BFI与LARS-Q呈正相关(rs -0.63)。测定LARS-Q与BAI、BDI、BHI的相关性,分别为rs 0.38、rs 0.49、rs 0.56。评估MSK-BFI与BAI、BDI、BHI的相关性时,rs分别为-0.67、-0.71、-0.74。 结论:保留括约肌的直肠癌手术后,肠功能障碍是一种常见的疾病。括约肌功能受损显著影响患者的社交和情感方面,并对其生活质量产生负面影响。
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