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Pelvic floor symptoms, physical, and psychological outcomes of patients following surgery for colorectal cancer

机译：面部直肠癌手术后患者的骨盆楼层症状，身体和心理结果

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Background: Little has been published regarding general and pelvic floor-related health status in patients who have undergone surgery for colorectal cancer (CRC). Objective: The objective of the study was to assess changes in pelvic floor symptoms, physical activity levels, psychological status, and health-related quality of life (HRQoL) in patients with CRC from pre- to 6months postoperatively. Methods: Pelvic floor symptoms, physical activity levels, anxiety and depression, and HRQoL of 30 participants who were undergoing surgery for stages I-III CRC were evaluated pre- and 6months postoperatively. Results: Sixmonths postoperatively, there were no significant changes in severity of pelvic floor symptoms, or other secondary outcomes (physical activity levels, depression, global HRQoL) compared to preoperative levels (p>0.05). However, fecal incontinence (p=0.03) and hair loss (p=0.003) measured with the HRQoL instrument were significantly worse. Participants were engaged in low levels of physical activity before (42.3%) and after surgery (47.4%). Conclusion: The findings of a high percentage of participants with persistent low physical activity levels and worse bowel symptoms after CRC surgery compared to preoperative levels suggest the need for health-care professionals to provide information about the benefits of physical activity and bowel management at postoperative follow-ups. Further investigation in larger studies is warranted.
机译：背景：在对结直肠癌（CRC）接受手术的患者中，一直发表了一般和盆腔楼面相关的健康状况。目的：该研究的目的是评估CRC术后前6个月的患者骨盆楼症状，身体活动水平，心理状态和健康相关生活质量（HRQOL）的变化。方法：术后6个月评估盆底症状，身体活性水平，身体活动水平，焦虑和抑郁症，以及正在进行阶段I-III CRC手术的参与者的HRQOL。结果：术后六个月，与术前水平相比，骨盆楼症状的严重程度或其他二次结果（物理活性水平，抑郁，全球HRQOL）没有显着变化（P> 0.05）。然而，用HRQOL仪器测量的粪便失禁（P = 0.03）和脱发（P = 0.003）显着差。参与者在手术（47.4％）之前（42.3％）和经过42.3％）的低水平的身体活动。结论：与术前水平相比，CRC手术后，持续低体育患者和肠症状更差异的高百分比参与者的结果表明，卫生保健专业人员需要提供有关术后术后体育活动和肠道管理的益处的信息-UPS。有必要进一步调查较大研究。

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