{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T03:54:54Z","timestamp":1781668494588,"version":"3.54.5"},"reference-count":24,"publisher":"Wiley","issue":"9-10","license":[{"start":{"date-parts":[[2019,1,17]],"date-time":"2019-01-17T00:00:00Z","timestamp":1547683200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2019,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims and objectives<\/jats:title><jats:p>To examine changes in patients\u2019 bowel function and to compare patients\u2019 outcome among different operation and treatment after rectal resection.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>Anal\u2010preserving surgery is the trend of treatment of colorectal cancer and bowel function after surgery needs to be concerned.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Prospective cohort study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A total of 38 patients with convenience sampling were recruited from a teaching hospital. The low anterior resection syndrome (LARS) score was used to assess bowel function disturbances before discharge and at 1\u00a0week, 1\u00a0month and 3\u00a0months after discharge. We followed the STROBE checklist to ensure rigour in our study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Approximately half of the patients experienced major LARS, including daily stool frequency of more than seven times and stool clustering at least once a week. The LARS scores observed at 1\u00a0month after discharge were significantly higher than those observed before discharge. Patients who received intersphincteric resection had higher LARS scores compared with those who received other surgeries. Furthermore, patients who underwent concurrent chemoradiotherapy, operation (OP) and chemotherapy had the highest LARS scores compared with those who underwent only an OP.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The patients experienced varied intestinal dysfunction after surgery based on their treatment plan and surgical method. Nurses should provide individualised health education for these patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Relevance to clinical practice<\/jats:title><jats:p>A health education booklet is recommended to educate patients about LARS symptoms and the techniques to adapt in their daily lives after surgery.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocn.14757","type":"journal-article","created":{"date-parts":[[2018,12,27]],"date-time":"2018-12-27T18:32:56Z","timestamp":1545935576000},"page":"1577-1584","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Exploring bowel dysfunction of patients following colorectal surgery: A cohort study"],"prefix":"10.1111","volume":"28","author":[{"given":"Shu\u2010Hwa","family":"Tan","sequence":"first","affiliation":[{"name":"Department of Nursing Taipei Medical University Hospital Taipei Taiwan, ROC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuan\u2010Mei","family":"Liao","sequence":"additional","affiliation":[{"name":"Institute of Clinical Nursing School of Nursing, National Yang\u2010Ming University  Taipei Taiwan, ROC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kwo\u2010Chen","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Nursing, School of Nursing, China Medical University Hospital China Medical University Taichung Taiwan, ROC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yi\u2010Li","family":"Ko","sequence":"additional","affiliation":[{"name":"Department of Nursing, College of Medicine Fu Jen Catholic University  New Taipei City Taiwan, ROC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2044-6141","authenticated-orcid":false,"given":"Pi\u2010Chu","family":"Lin","sequence":"additional","affiliation":[{"name":"Master Program in Long-term Care College of Nursing, Taipei Medical University  Taipei Taiwan, ROC"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,1,17]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1463-1318.2010.02244.x"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/codi.12244"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijrobp.2009.03.010"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(12)70236-X"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcol.2016.05.001"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00384-009-0807-y"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1155\/2012\/581258"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1080\/00015458.2015.1136482"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1080\/02841860802195251"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e31824f1c21"},{"key":"e_1_2_12_12_1","first-page":"186","article-title":"Actual conditions of postoperative dyschezia recognized by rectal cancer patients and self care","volume":"62","author":"Fujita A.","year":"2011","journal-title":"Hirosaki Medical Journal"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejon.2015.02.009"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/codi.14228"},{"key":"e_1_2_12_15_1","first-page":"1577","article-title":"Normative data for the low anterior resection syndrome score (LARS score)","author":"Juul T.","year":"2018","journal-title":"Annals of Surgery"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e31828fac0b"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/codi.12952"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jss.2011.05.018"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-017-5499-8"},{"issue":"2","key":"e_1_2_12_20_1","first-page":"31","article-title":"Regaining dignity: The experience and process of reconstructing normal defecation functions through an anal sphincter\u2010saving operation","volume":"58","author":"Liou C. 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