Effect of Sphincter-Sacrificing Surgery for Rectal Carcinoma on Quality of Life in Muslim Patients
Tóm tắt
PURPOSE: Living with a permanent colostomy significantly diminishes a patient’s quality of life. However, little is known about its influence on worship patterns in Muslims. Therefore, the aim of this study was to assess the quality of life in Muslim patients after surgery for rectal carcinoma, especially with respect to religious worship.
METHODS: We studied 178 patients who had undergone curative surgery for colorectal carcinoma. The patients fell into three groups based on the type of surgery they underwent: abdominoperineal resection (n = 75), sphincter-saving resection (n = 51), and anterior resection including sigmoid colectomy (n = 52). Quality of life was measured with the Medical Outcomes Study Short Form 36 Health Survey and a questionnaire that asked participants about their work responsibilities, sexual life, and religious worship.
RESULTS: The scores for all eight subscales of the Short Form 36 in the abdominoperineal resection group were significantly poorer than those in the sphincter-saving resection and anterior resection groups (P < 0.001). In addition, social life and work responsibilities were significantly more affected in the abdominoperineal resection group than in the other two groups (P < 0.001). A significantly (P < 0.001) greater number of patients in the abdominoperineal resection group stopped praying daily (either alone or in a mosque) and fasting during Ramadan.
CONCLUSION: Two aspects of religious worship (praying and fasting) were significantly impaired in the Muslim patients who had a stoma as a result of sphincter-sacrificing surgery. To improve quality of life in these patients, religious issues as they relate to the presence of a stoma should be discussed during preoperative counseling, the informed consent process, and counseling with local religious authorities.
Tài liệu tham khảo
HB Devlin JA Plant M Griffin (1971) ArticleTitleAftermath of surgery for anorectal cancer Br Med J 3 413–418 Occurrence Handle1:STN:280:CS6B2sfpvVM%3D Occurrence Handle5566622
GP Rubin HB Devlin (1987) ArticleTitleThe quality of life with a stoma Br J Hosp Med 38 300–306 Occurrence Handle1:STN:280:BieD2M7ksFE%3D Occurrence Handle3315080
NS Williams D Johnston (1983) ArticleTitleThe quality of life after rectal excision for low rectal cancer Br J Surg 70 460–462 Occurrence Handle1:STN:280:BiyB2Mfis1A%3D Occurrence Handle6871635
MA Sprangers BG Taal NK Aaronson A te Velde (1995) ArticleTitleQuality of life in colorectal cancer: stoma vs. nonstoma patients Dis Colon Rectum 38 361–369 Occurrence Handle1:STN:280:ByqB3snos1U%3D Occurrence Handle7720441
J Camilleri-Brennan RJ Steele (1998) ArticleTitleQuality of life after treatment for rectal cancer Br J Surg 85 1036–1043 Occurrence Handle1:STN:280:DyaK1czot1SqsQ%3D%3D Occurrence Handle9717993
JE Ware D Sherbourne (1992) ArticleTitleThe MOS 36-item short-form health survey Med Care 30 473–483 Occurrence Handle1593914
JE Brazier R Harper NM Jones et al. (1992) ArticleTitleValidating the SF-36 health survey questionnaire BMJ 305 160–164 Occurrence Handle1:STN:280:By2A1cnhtlw%3D Occurrence Handle1285753
GH Guyatt DJ Cook (1994) ArticleTitleHealth status, quality of life, and the individual JAMA 272 630–631 Occurrence Handle1:STN:280:ByuA3srhs1M%3D Occurrence Handle8057520
GH Guyatt DH Feeny DL Patrick (1993) ArticleTitleMeasuring health-related quality of life Ann Intern Med 118 622–629 Occurrence Handle1:STN:280:ByyC1Mbht1E%3D Occurrence Handle8452328
TM Gill AR Feinstein (1994) ArticleTitleA critical appraisal of the quality of quality of life measurements JAMA 272 619–626 Occurrence Handle1:STN:280:ByuA3srhs1E%3D Occurrence Handle7726894
P van Duijvendijk JF Slors CW Taat et al. (2000) ArticleTitleQuality of life after total colectomy with ileorectal anastomoses or proctocolectomy and ileal pouch-anal anastomoses for familial adenomatous polyposis Br J Surg 87 590–596 Occurrence Handle1:STN:280:DC%2BD3c3lt1yguw%3D%3D Occurrence Handle10792315
SN Rogers G Humpris D Lowe JS Brown ED Vaughan (1998) ArticleTitleThe impact of surgery for oral cancer on quality of life as measured by the Medical Outcomes Short Form 36 Oral Oncol 34 171–179 Occurrence Handle10.1016/S1368-8375(97)00069-9 Occurrence Handle1:STN:280:DyaK1czlslSkuw%3D%3D Occurrence Handle9692050
G Apolone A Filiberti S Cifani R Ruggiata P Mosconi (1998) ArticleTitleEvaluation of the EORTC QLQ-C30 questionnaire Ann Oncol 9 549–557 Occurrence Handle1:STN:280:DyaK1czhslekuw%3D%3D Occurrence Handle9653497
CY Ko LC Rusin DJ Schoetz et al. (2000) ArticleTitleDoes better functional result equate with better quality of life? Implications for surgical treatment in familial adenomatous polyposis Dis Colon Rectum 43 829–837 Occurrence Handle1:STN:280:DC%2BD3czhsFKitQ%3D%3D Occurrence Handle10859085
SD Ramsey MB Andersen R Etzioni et al. (2000) ArticleTitleQuality of life in survivors of colorectal carcinoma Cancer 88 1294–1303 Occurrence Handle10.1002/(SICI)1097-0142(20000315)88:6<1294::AID-CNCR4>3.3.CO;2-D Occurrence Handle1:STN:280:DC%2BD3c7otlGjuw%3D%3D Occurrence Handle10717609
MM Grumann EM Noack IA Hoffmann PM Schlag (2001) ArticleTitleComparison of quality of life in patients undergoing abdomino-perineal extirpation or anterior resection for rectal cancer Ann Surg 233 149–156 Occurrence Handle10.1097/00000658-200102000-00001 Occurrence Handle1:STN:280:DC%2BD3M7ls1SnsA%3D%3D Occurrence Handle11176118
RS McLeod DN Churchill AM Lock S Vanderburgh Z Cohen (1991) ArticleTitleQuality of life of patients with ulcerative colitis preoperatively and postoperatively Gastroenterology 101 1307–1313 Occurrence Handle1:STN:280:By2D3sfnt10%3D Occurrence Handle1936801
NS Williams R Price D Johnston (1980) ArticleTitleThe long-term effect of sphincter-preserving operations for rectal carcinoma on the function of the anal sphincters in man Br J Surg 67 203–208 Occurrence Handle1:STN:280:Bi%2BC2MvktFQ%3D Occurrence Handle7362963
WG Lewis PJ Holdsworth BM Stephenson PJ Finan D Johnston (1992) ArticleTitleRole of the rectum in the physiological and clinical results of coloanal and colorectal anastomoses after anterior resection for rectal carcinoma Br J Surg 79 1082–1086 Occurrence Handle1:STN:280:ByyD2crjs1M%3D Occurrence Handle1422728
JM Blazeby MH Williams D Alderson JR Farndon (1995) ArticleTitleObserver variation in assessment of quality of life in patients with oesophageal cancer Br J Surg 82 1200–1203 Occurrence Handle1:STN:280:BymD3s%2FktF0%3D Occurrence Handle7551995
ML Slevin H Plant D Lynch J Drinkwater WM Gregory (1988) ArticleTitleWho should measure quality of life, the doctor or the patient? Br J Cancer 57 109–112 Occurrence Handle1:STN:280:BieC28zjtFY%3D Occurrence Handle3348942