吻合术和造口术直肠癌幸存者肠道功能检测仪

IF 3.5 2区医学 Q2 PSYCHIATRY

Journal of Psychosomatic Research Pub Date : 2024-09-14 DOI:10.1016/j.jpsychores.2024.111931

Salene M.W. Jones, Katherine A. Guthrie, Kathryn Arnold, Robert Krouse

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引用次数: 0

摘要

目的：直肠癌通常采用手术治疗，如造口术或吻合术。肠道功能量表（Bowel Function Instrument，BFI）是一种有效可靠的 18 项肠道症状量表。BFI 的某些项目不适用于造口患者。我们重新分析了之前一项验证研究的数据，以确定为造口术和吻合术患者进行 BFI 评分的最佳方法。方法接受造口术（181 人，31%）或吻合术（394 人，69%）治疗的直肠癌患者（575 人）通过邮寄调查完成 BFI 和简表 12 (SF12) 测量。完整的 BFI 有三个分量表和基于 14 个项目的总分：排便不畅/急迫（4 个项目）；排便频率（6 个项目）；饮食改变（4 个项目）。我们使用确证因子分析 (CFA) 对 BFI 的两个版本（8 个条目和 11 个条目）进行了检查，这两个版本同时适用于造口术和吻合术。我们还检查了 CFA 支持的版本的信度和效度。结果CFA 结果支持 8 个项目的 BFI，该 BFI 仅包括土壤/紧急程度项目和饮食变化项目，但不包括频率项目。8 个项目的 BFI 是可靠的（Cronbach's alpha 为 0.788）。8个项目的BFI得分与SF12的所有分量表都有明显的相关性，Pearson相关性从0.115（活力）到0.318（社会功能）不等。8 项 BFI 可能有助于在直肠癌治疗期间和治疗后监测肠道功能。

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The bowel function instrument for rectal cancer survivors with anastomosis and ostomy

Objective

Rectal cancer is often treated with surgery such as ostomy or anastomosis. The Bowel Function Instrument (BFI) is a valid and reliable 18-item measure of physical bowel symptoms. Some items on the BFI do not apply to those with ostomies. We reanalyzed data from a previous validation study to inform the best method for scoring the BFI for both people with ostomies and anastomosis.

Methods

People (n = 575) with rectal cancer treated with ostomy (n = 181, 31 %) or anastomosis (n = 394, 69 %) completed the BFI and Short Form 12 (SF12) measure on a mailed survey. The full BFI has three subscales and a total score based on 14 items: soilage/urgency (4 items); frequency of bowel movements (6 items); and dietary changes (4 items). We used confirmatory factor analysis (CFA) to examine two versions (8-item, 11-item) of the BFI adapted for use with both ostomy and anastomosis. We also examined reliability and validity of the version supported by the CFA.

Results

CFA results supported the 8-item BFI that included only the soilage/urgency items and dietary changes items but not the frequency items. The 8-item BFI was reliable (Cronbach's alpha of 0.788). The 8-item BFI score significantly correlated with all SF12 subscales with Pearson correlations ranging from 0.115 (Vitality) to 0.318 (social function).

Conclusions

The 8-item version of the BFI was valid and reliable as a total score for people with ostomy or anastomosis. The 8-item BFI may be useful for monitoring bowel function during and after treatment for rectal cancer.

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来源期刊

Journal of Psychosomatic Research 医学-精神病学

CiteScore

7.40

自引率

6.40%

发文量

314

审稿时长

6.2 weeks

期刊介绍： The Journal of Psychosomatic Research is a multidisciplinary research journal covering all aspects of the relationships between psychology and medicine. The scope is broad and ranges from basic human biological and psychological research to evaluations of treatment and services. Papers will normally be concerned with illness or patients rather than studies of healthy populations. Studies concerning special populations, such as the elderly and children and adolescents, are welcome. In addition to peer-reviewed original papers, the journal publishes editorials, reviews, and other papers related to the journal''s aims.