The Constipation Risk in Patients Undergoing Colorectal Cancer Surgery

Year 2023, , 1159 - 1168, 17.03.2023

Hatice Yüceler Kaçmaz , İlker Yılmaz , Yeliz Sürme , Özlem Ceyhan , Hızır Yakup Akyıldız

https://doi.org/10.33715/inonusaglik.1164829

Abstract

Colorectal cancer is one of the important health problems affecting all the world. The primary treatment method for colorectal cancer is surgery. Constipation, which is frequently experienced after surgical procedures, is an important problem that affects patients' quality of life, comfort, respiratory and circulatory systems, and postoperative recovery. This study was conducted to determine the preoperative constipation risks of patients will undergo colorectal cancer surgery. This cross-sectional study was conducted with 91 patients followed for colorectal cancer in a university hospital between March 2017 and 2018. Data were collected one day before colorectal surgery by applying an introductory information form and a constipation risk assessment scale to the patients. In the study, the mean constipation risk scale score of the patients was 11.52±3.40, and 42.4% had low, 29.3% moderate, and 28.3% high constipation risk. There is a statistically significant difference between chronic disease (p=0.027) and regular drug use (p=0.031) and risk of constipation. Patients were at moderate risk for the development of constipation after colorectal cancer surgery. It may be recommended to evaluate the patients in terms of the risk of developing constipation before colorectal cancer surgery and to intervene in these patients for constipation in the early postoperative period.

Keywords

Colorectal surgery, Constipation, Risk management.

KOLOREKTAL KANSER CERRAHİSİ GEÇİRECEK HASTALARIN AMELİYAT ÖNCESİ KONSTİPASYON RİSKİ

Abstract

Kolorektal kanser, tüm dünyayı etkileyen önemli sağlık sorunlarından biridir. Kolorektal kanserin öncelikli tedavi yöntemi cerrahidir. Cerrahi işlemler sonrası sıklıkla yaşanan konstipasyon, postoperatif dönemde hastaların yaşam kalitesini, konforunu, solunum ve dolaşım sistemlerini ve iyileşmeyi etkileyen önemli bir problemdir. Bu çalışma kolorektal kanser cerrahisi geçirecek olan hastaların ameliyat öncesi konstipasyon risklerini belirlemek amacıyla yapılmıştır. Bu kesitsel araştırma, Mart 2017-Mart 2018 tarihleri arasında bir üniversite hastanesinde kolorektal kanser nedeniyle takip edilen 91 hastayla yürütülmüştür. Veriler kolorektal cerrahiden bir gün önce hastalara tanıtıcı bilgi formu ve konstipasyon risk değerlendirme ölçeği uygulanarak toplanmıştır. Çalışmada hastaların konstipasyon risk ölçeği puan ortalaması 11.52±3.40 olup, %42.4’ü düşük, %29.3’ü orta, %28.3’ü yüksek konstipasyon riski taşımaktadır. Kronik hastalık (p=0.027) ve düzenli ilaç kullanımı (p=0.031) ile konstipasyon riski arasında istatistiksel olarak anlamlı farklılık bulunmaktadır. Kolorektal kanser cerrahisi sonrası hastalar konstipasyon gelişimi açısından orta derecede risk altındadır. Kolorektal kanser cerrahisi öncesi hastaların konstipasyon gelişme riski açısından değerlendirilmesi ve postoperatif erken dönemde bu hastalara kontipasyona ilişkin müdahale yapılması önerilebilir.

Keywords

Kolorektal cerrahi, Konstipasyon, Risk yönetimi.

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