Influence of CCM on postoperative function training effect of anal sphincter in patients with anus preserving surgery for low rectal cancer

Abstract

Objective To discuss influence of continuous collaboration care model (CCM) on postoperative function training effect of anal sphincter in patients with anus preserving surgery for low rectal cancer. Methods 86 cases with low rectal cancer treated by anus preserving surgery from July to December in 2013 were selected as control group, to whom routine nursing care was carried out. 88 patients with low rectal cancer treated by anus preserving surgery from July to December in 2014 were selected as observation group, to whom continuous CCM was implemented on the basis of routine nursing care in the control group. Defecation function and quality of life of patients in the two groups were compared 3 months and 6 months after the surgery. Results After 3 months of nursing intervention, 81.8% of patients in the observation group had fine anal function, higher than the number in the control group, 47.7%; after 6 months, the proportions of the two groups were 90.9% and 67.4% (χ2=8.632, 7.523; P<0.05). Physiological function, psychological function, social function, self-awareness of health and score of quality of life of patients in the observation group were all higher than those of the control group (t=5.264, 4.635, 4.265, 4.145, 3.958; P<0.01). Conclusions Implementation of continuous collaborative family care management can promote recovery of patients′ defecation function and improve their quality of life. Key words: Collaboration care model; Low rectal cancer; Anal sphincter; Function training