{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T14:19:33Z","timestamp":1791296373179,"version":"4.1.0"},"reference-count":42,"publisher":"PeerJ","license":[{"start":{"date-parts":[[2023,3,24]],"date-time":"2023-03-24T00:00:00Z","timestamp":1679616000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>Due to the changes of bowel physiological structure and functional disorders after rectal cancer surgery, patients will face many bowel dysfunction for a long time, which will greatly affect their quality of life. The purpose of this review is to integrate the qualitative research on the experience of bowel dysfunction and coping strategies in postoperative patients with rectal cancer.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Systematic retrieval of PubMed, EMbase, Cochrane Library, CINAHL, Web of Sciences, PsycINFO, Willey and other databases was carried out by using the method of subject words and keywords. The Critical Appraisal Skill Programme (CASP) Qualitative Studies Checklist was used for Qualitative assessment. The findings were extracted from the included study and synthesized into the final themes, which was evaluated strictly in accordance with the ConQual process.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Nine studies involving 345 participants were included and two main themes were extracted: \u201cExperience a series of changes caused by bowel dysfunction\u201d and \u201cnmet needs and coping strategies facing bowel dysfunction\u201d. The changes of rectal cancer patients who experience bowel dysfunction after operation mainly include three parts: bowel dysfunction is more than just a bowel reaction, which covers the bowel symptoms themselves and the subsequent body-related symptoms. The interruption of a normal life, mainly reflected in personal, family, and social life. Complex psychological reactions to bowel dysfunction, psychological changes have a dual nature, showing a positive and negative intertwined. There are two main aspects of unmet needs and coping strategies: the demand is mainly manifested in the need for information and support from medical professionals, while the coping strategy mainly includes diet, activity and drug management.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Rectal cancer patient often experience persistent bowel dysfunction after operation, which has a certain physical and mental effects. A series of new needs of postoperative patients are often not fully met, and patients often rely on their own empirical attempts to seek balance, less can get professional support. Future studies need to focus on how to provide continuous information support for postoperative rectal cancer patients, especially professional care from health care staff.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.7717\/peerj.15037","type":"journal-article","created":{"date-parts":[[2023,3,24]],"date-time":"2023-03-24T04:20:14Z","timestamp":1679631614000},"page":"e15037","source":"Crossref","is-referenced-by-count":9,"title":["Experience and coping strategies of bowel dysfunction in postoperative patients with rectal cancer: a systematic review of qualitative evidence"],"prefix":"10.7717","volume":"11","author":[{"given":"Zhang","family":"Yanting","sequence":"first","affiliation":[{"name":"Department of Nursing, Wuhan University Zhongnan Hospital, Wuhan, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dandan","family":"Xv","sequence":"additional","affiliation":[{"name":"Department of Nursing, Wuhan University Zhongnan Hospital, Wuhan, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wenjia","family":"Long","sequence":"additional","affiliation":[{"name":"Department of Gastrointestinal Surgery, Zhongnan Hospital of Wuhan University, Wuhan, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jingyi","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Gastrointestinal Surgery, Zhongnan Hospital of Wuhan University, Wuhan, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chen","family":"Tang","sequence":"additional","affiliation":[{"name":"Department of Gastrointestinal Surgery, Zhongnan Hospital of Wuhan University, Wuhan, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maohui","family":"Feng","sequence":"additional","affiliation":[{"name":"Department of Gastrointestinal Surgery, Zhongnan Hospital of Wuhan University, Wuhan, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xuanfei","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Gastrointestinal Surgery, Zhongnan Hospital of Wuhan University, Wuhan, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bei","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Nursing, Wuhan University Zhongnan Hospital, Wuhan, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jun","family":"Zhong","sequence":"additional","affiliation":[{"name":"Department of Gastrointestinal Surgery, Zhongnan Hospital of Wuhan University, Wuhan, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"4443","published-online":{"date-parts":[[2023,3,24]]},"reference":[{"key":"10.7717\/peerj.15037\/ref-1","doi-asserted-by":"crossref","first-page":"2535","DOI":"10.1007\/s00384-021-04008-3","article-title":"Low anterior resection syndrome: can it be prevented?","volume":"36","author":"Annicchiarico","year":"2021","journal-title":"International Journal of Colorectal Disease"},{"issue":"6","key":"10.7717\/peerj.15037\/ref-2","doi-asserted-by":"publisher","first-page":"394","DOI":"10.3322\/caac.21492","article-title":"Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries","volume":"68","author":"Bray","year":"2018","journal-title":"CA: A Cancer Journal for Clinicians"},{"key":"10.7717\/peerj.15037\/ref-3","doi-asserted-by":"publisher","first-page":"101934","DOI":"10.1016\/j.ejon.2021.101934","article-title":"Symptoms affecting quality of life after sphincter-saving rectal cancer surgery: a systematic review","volume":"52","author":"Burch","year":"2021","journal-title":"European Journal of Oncology Nursing"},{"issue":"2","key":"10.7717\/peerj.15037\/ref-4","doi-asserted-by":"publisher","first-page":"517","DOI":"10.11124\/JBISRIR-2016003282","article-title":"The short-term impact of colorectal cancer treatment on physical activity, functional status and quality of life: a systematic review","volume":"15","author":"Cabilan","year":"2017","journal-title":"JBI Database of Systematic Reviews and Implementation Reports"},{"issue":"1","key":"10.7717\/peerj.15037\/ref-5","doi-asserted-by":"crossref","first-page":"e3374","DOI":"10.1136\/bmjopen-2013-003374","article-title":"Bowel dysfunction after rectal cancer treatment: a study comparing the specialist\u2019s versus patient\u2019s perspective","volume":"4","author":"Chen","year":"2014","journal-title":"BMJ Open"},{"issue":"1","key":"10.7717\/peerj.15037\/ref-6","doi-asserted-by":"publisher","first-page":"37","DOI":"10.1007\/s11888-014-0217-6","article-title":"What are the best questionnaires to capture anorectal function after surgery in rectal cancer?","volume":"11","author":"Chen","year":"2015","journal-title":"Current Colorectal Cancer Reports"},{"key":"10.7717\/peerj.15037\/ref-7","article-title":"CASP Checklists","author":"Critical Appraisal Skills Programme (CASP)","year":"2017"},{"issue":"10207","key":"10.7717\/peerj.15037\/ref-8","doi-asserted-by":"publisher","first-page":"1467","DOI":"10.1016\/S0140-6736(19)32319-0","article-title":"Colorectal cancer","volume":"394","author":"Dekker","year":"2019","journal-title":"The Lancet"},{"issue":"3","key":"10.7717\/peerj.15037\/ref-9","doi-asserted-by":"publisher","first-page":"244","DOI":"10.1111\/j.1365-2354.2005.00647.x","article-title":"Faithfull SA qualitative study of anterior resection syndrome: the experiences of cancer survivors who have undergone resection surgery","volume":"15","author":"Desnoo","year":"2006","journal-title":"European Journal of Cancer Care"},{"issue":"5","key":"10.7717\/peerj.15037\/ref-10","doi-asserted-by":"publisher","first-page":"922","DOI":"10.1097\/SLA.0b013e31824f1c21","article-title":"Low anterior resection syndrome score: development and validation of a symptom-based scoring system for bowel dysfunction after low anterior resection for rectal cancer","volume":"255","author":"Emmertsen","year":"2012","journal-title":"Annals of Surgery"},{"issue":"4","key":"10.7717\/peerj.15037\/ref-11","doi-asserted-by":"publisher","first-page":"504","DOI":"10.1007\/s11764-020-00869-9","article-title":"Quality of life in chronic cancer survivors: a meta-analysis","volume":"14","author":"Firkins","year":"2020","journal-title":"Journal of Cancer Survivorship"},{"issue":"6","key":"10.7717\/peerj.15037\/ref-12","doi-asserted-by":"publisher","first-page":"501","DOI":"10.1007\/s00595-009-4153-z","article-title":"Resection of rectal cancer: a historical review","volume":"40","author":"Inoue","year":"2010","journal-title":"Surgery Today"},{"issue":"5","key":"10.7717\/peerj.15037\/ref-13","doi-asserted-by":"publisher","first-page":"585","DOI":"10.1097\/DCR.0000000000000116","article-title":"Low anterior resection syndrome and quality of life: an international multicenter study","volume":"57","author":"Juul","year":"2014","journal-title":"Diseases of the Colon & Rectum"},{"issue":"3","key":"10.7717\/peerj.15037\/ref-14","doi-asserted-by":"publisher","first-page":"822","DOI":"10.1093\/ajcn\/nqab360","article-title":"Longitudinal associations of fiber, vegetable, and fruit intake with quality of life and fatigue in colorectal cancer survivors up to 24 months post-treatment","volume":"115","author":"Kenkhuis","year":"2021","journal-title":"The American Journal of Clinical Nutrition"},{"issue":"8","key":"10.7717\/peerj.15037\/ref-15","doi-asserted-by":"publisher","first-page":"1442","DOI":"10.1016\/j.apmr.2015.03.013","article-title":"Improvement of fecal incontinence and quality of life by electrical stimulation and biofeedback for patients with low rectal cancer after intersphincteric resection","volume":"96","author":"Kuo","year":"2015","journal-title":"Archives of Physical Medicine and Rehabilitation"},{"issue":"15\u201316","key":"10.7717\/peerj.15037\/ref-16","doi-asserted-by":"publisher","first-page":"2343","DOI":"10.1111\/jocn.12516","article-title":"Patients\u2019 bowel symptom experiences and self-care strategies following sphincter-saving surgery for rectal cancer","volume":"23","author":"Landers","year":"2014","journal-title":"Journal of Clinical Nursing"},{"issue":"3","key":"10.7717\/peerj.15037\/ref-17","doi-asserted-by":"crossref","first-page":"293","DOI":"10.1016\/j.ejon.2011.07.002","article-title":"Bowel symptom experiences and management following sphincter saving surgery for rectal cancer: a qualitative perspective","volume":"16","author":"Landers","year":"2012","journal-title":"European Journal of Oncology Nursing"},{"issue":"21","key":"10.7717\/peerj.15037\/ref-18","doi-asserted-by":"crossref","DOI":"10.21037\/atm.2019.09.62","article-title":"The effect of biofeedback training on intestinal function among patients with middle and low rectal cancer: a randomized controlled study","volume":"7","author":"Liu","year":"2019","journal-title":"Annals of Translational Medicine"},{"issue":"3","key":"10.7717\/peerj.15037\/ref-19","doi-asserted-by":"publisher","first-page":"1501","DOI":"10.1002\/nop2.768","article-title":"The experience of dealing with defecation dysfunction by changing the eating behaviours of people with rectal cancer following sphincter-saving surgery: a qualitative study","volume":"8","author":"Liu","year":"2021","journal-title":"Nursing Open"},{"key":"10.7717\/peerj.15037\/ref-20","doi-asserted-by":"publisher","first-page":"642574","DOI":"10.3389\/fmed.2021.642574","article-title":"The relationship between food consumption and bowel symptoms among patients with rectal cancer after sphincter-saving surgery","volume":"8","author":"Liu","year":"2021","journal-title":"Frontiers in Medicine"},{"issue":"S3","key":"10.7717\/peerj.15037\/ref-21","doi-asserted-by":"publisher","first-page":"622","DOI":"10.1002\/pon.4878","article-title":"Distress of anterior resection syndrome in rectal cancer patients: a qualitative study","volume":"27","author":"Lu","year":"2018","journal-title":"Psycho-oncology"},{"key":"10.7717\/peerj.15037\/ref-22","doi-asserted-by":"publisher","first-page":"69","DOI":"10.1016\/j.ejon.2017.10.004","article-title":"The lived experiences of patients with post-operative rectal cancer who suffer from altered bowel function: a phenomenological study","volume":"31","author":"Lu","year":"2017","journal-title":"European Journal of Oncology Nursing"},{"issue":"5","key":"10.7717\/peerj.15037\/ref-23","doi-asserted-by":"publisher","first-page":"363","DOI":"10.3322\/caac.21565","article-title":"Cancer treatment and survivorship statistics, 2019","volume":"69","author":"Miller","year":"2019","journal-title":"CA: A Cancer Journal for Clinicians"},{"key":"10.7717\/peerj.15037\/ref-24","doi-asserted-by":"publisher","first-page":"108","DOI":"10.1186\/1471-2288-14-108","article-title":"Establishing confidence in the output of qualitative research synthesis: the ConQual approach","volume":"14","author":"Munn","year":"2014","journal-title":"BMC Medical Research Methodology"},{"issue":"5","key":"10.7717\/peerj.15037\/ref-25","doi-asserted-by":"publisher","first-page":"389","DOI":"10.1097\/01.NCC.0000305759.04357.1b","article-title":"Bowel problems, self-care practices, and information needs of colorectal cancer survivors at 6 to 24 months after sphincter-saving surgery","volume":"31","author":"Nikoletti","year":"2008","journal-title":"Cancer Nursing"},{"key":"10.7717\/peerj.15037\/ref-26","doi-asserted-by":"publisher","first-page":"102018","DOI":"10.1016\/j.ejon.2021.102018","article-title":"Experiences and needs of patients with rectal cancer confronted with bowel problems after stoma reversal: a systematic review and thematic-synthesis","volume":"54","author":"Pape","year":"2021","journal-title":"European Journal of Oncology Nursing"},{"key":"10.7717\/peerj.15037\/ref-27","doi-asserted-by":"publisher","first-page":"144","DOI":"10.1016\/j.ejca.2021.08.050","article-title":"Trajectories of health-related quality of life and psychological distress in patients with colorectal cancer: a population-based study","volume":"158","author":"Qaderi","year":"2021","journal-title":"European Journal of Cancer"},{"issue":"12","key":"10.7717\/peerj.15037\/ref-28","first-page":"29","article-title":"A descriptive, qualitative study to assess patient experiences following stoma reversal after rectal cancer surgery","volume":"63","author":"Reinwalds","year":"2017","journal-title":"Ostomy Wound Management"},{"issue":"12","key":"10.7717\/peerj.15037\/ref-29","first-page":"29","article-title":"A descriptive, qualitative study to assess patient experiences following stoma reversal after rectal cancer surgery","volume":"63","author":"Reinwalds","year":"2017","journal-title":"Ostomy Wound Management"},{"issue":"3-4","key":"10.7717\/peerj.15037\/ref-30","doi-asserted-by":"crossref","first-page":"e623\u2013e634","DOI":"10.1111\/jocn.14112","article-title":"Living with a resected rectum after rectal cancer surgery\u2014Struggling not to let bowel function control life","volume":"27","author":"Reinwalds","year":"2018","journal-title":"Journal of Clinical Nursing"},{"issue":"1","key":"10.7717\/peerj.15037\/ref-31","doi-asserted-by":"publisher","first-page":"299","DOI":"10.1002\/jso.26249","article-title":"Sphincter-saving surgery for ultra-low rectal carcinoma initially indicated for abdominoperineal resection: is it safe on a long-term follow-up?","volume":"123","author":"Rouanet","year":"2021","journal-title":"Journal of Surgical Oncology"},{"issue":"1","key":"10.7717\/peerj.15037\/ref-32","doi-asserted-by":"publisher","first-page":"27","DOI":"10.1186\/s41687-020-00195-9","article-title":"Patient-reported outcomes and experiences from the perspective of colorectal cancer survivors: meta-synthesis of qualitative studies","volume":"4","author":"Rutherford","year":"2020","journal-title":"Journal of Patient-Reported Outcomes"},{"issue":"1","key":"10.7717\/peerj.15037\/ref-33","doi-asserted-by":"publisher","first-page":"448","DOI":"10.1186\/s13063-021-05396-1","article-title":"A randomized clinical trial to assess the effectiveness of pre- and post-surgical pelvic floor physiotherapy for bowel symptoms, pelvic floor function, and quality of life of patients with rectal cancer: CARRET protocol","volume":"22","author":"Sacomori","year":"2021","journal-title":"Trials"},{"issue":"3","key":"10.7717\/peerj.15037\/ref-34","first-page":"179","article-title":"Handbook for synthesizing qualitative research","volume":"29","author":"Sidani","year":"2008","journal-title":"Nursing Education Perspectives"},{"issue":"13","key":"10.7717\/peerj.15037\/ref-35","doi-asserted-by":"publisher","first-page":"4317","DOI":"10.1245\/s10434-015-4731-9","article-title":"Dietary and behavioral adjustments to manage bowel dysfunction after surgery in long-term colorectal cancer survivors","volume":"22","author":"Sun","year":"2015","journal-title":"Annals of Surgical Oncology"},{"issue":"7","key":"10.7717\/peerj.15037\/ref-36","doi-asserted-by":"publisher","first-page":"1071","DOI":"10.1016\/j.jsxm.2016.05.005","article-title":"Sexual function and health-related quality of life in long-term rectal cancer survivors","volume":"13","author":"Sun","year":"2016","journal-title":"The Journal of Sexual Medicine"},{"issue":"3","key":"10.7717\/peerj.15037\/ref-37","doi-asserted-by":"publisher","first-page":"209","DOI":"10.3322\/caac.21660","article-title":"Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries","volume":"71","author":"Sung","year":"2021","journal-title":"CA: A Cancer Journal for Clinicians"},{"issue":"4","key":"10.7717\/peerj.15037\/ref-38","doi-asserted-by":"publisher","first-page":"415","DOI":"10.1097\/WON.0b013e318296b5a4","article-title":"Tied to the toilet: lived experiences of altered bowel function (anterior resection syndrome) after temporary stoma reversal","volume":"40","author":"Taylor","year":"2013","journal-title":"Journal of Wound, Ostomy & Continence Nursing"},{"issue":"1","key":"10.7717\/peerj.15037\/ref-39","doi-asserted-by":"publisher","first-page":"59","DOI":"10.1016\/j.ejon.2010.06.002","article-title":"Quality of life following reversal of temporary stoma after rectal cancer treatment","volume":"15","author":"Taylor","year":"2011","journal-title":"European Journal of Oncology Nursing"},{"key":"10.7717\/peerj.15037\/ref-40","doi-asserted-by":"publisher","first-page":"181","DOI":"10.1186\/1471-2288-12-181","article-title":"Enhancing transparency in reporting the synthesis of qualitative research: ENTREQ","volume":"12","author":"Tong","year":"2012","journal-title":"BMC Medical Research Methodology"},{"issue":"9","key":"10.7717\/peerj.15037\/ref-41","doi-asserted-by":"publisher","first-page":"1331","DOI":"10.1016\/j.ejso.2018.05.010","article-title":"What you should know about the low anterior resection syndrome - clinical recommendations from a patient perspective","volume":"44","author":"van der Heijden","year":"2018","journal-title":"European Journal of Surgical Oncology"},{"issue":"2","key":"10.7717\/peerj.15037\/ref-42","doi-asserted-by":"publisher","first-page":"151","DOI":"10.1007\/s10151-012-0909-3","article-title":"Low anterior resection syndrome (LARS): cause and effect and reconstructive considerations","volume":"17","author":"Ziv","year":"2013","journal-title":"Techniques in Coloproctology"}],"container-title":["PeerJ"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/peerj.com\/articles\/15037.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/peerj.com\/articles\/15037.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/peerj.com\/articles\/15037.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/peerj.com\/articles\/15037.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,3,24]],"date-time":"2023-03-24T04:20:25Z","timestamp":1679631625000},"score":1,"resource":{"primary":{"URL":"https:\/\/peerj.com\/articles\/15037"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,3,24]]},"references-count":42,"alternative-id":["10.7717\/peerj.15037"],"URL":"https:\/\/doi.org\/10.7717\/peerj.15037","archive":["CLOCKSS","LOCKSS","Portico"],"relation":{"has-review":[{"id-type":"doi","id":"10.7287\/peerj.15037v0.2\/reviews\/1","asserted-by":"object"},{"id-type":"doi","id":"10.7287\/peerj.15037v0.2\/reviews\/2","asserted-by":"object"},{"id-type":"doi","id":"10.7287\/peerj.15037v0.2\/reviews\/3","asserted-by":"object"},{"id-type":"doi","id":"10.7287\/peerj.15037v0.1\/reviews\/1","asserted-by":"object"},{"id-type":"doi","id":"10.7287\/peerj.15037v0.1\/reviews\/3","asserted-by":"object"},{"id-type":"doi","id":"10.7287\/peerj.15037v0.1\/reviews\/2","asserted-by":"object"}]},"ISSN":["2167-8359"],"issn-type":[{"value":"2167-8359","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,3,24]]},"article-number":"e15037"}}