2018 Volume 68 Issue 2-4 Pages 112-122
We examined the factors influencing subjective quality of life (QOL) at different postoperative stages in
62 patients with rectal cancer who had undergone intersphincteric resection (ISR) or low anterior resection (LAR). I
also examined nursing interventions aimed at improving the patients' subjective QOL. Subjective QOL was analyzed
by using the Schedule for the Evaluation of the Individual Quality of Life – Direct Weighting (SEIQoL-DW).
In all patients (ISR and LAR groups combined), the mean SEIQoL-DW index values were 57.7 (patients less than
1 year after surgery), 66.6 (patients 1 to less than 2 years after surgery), and 68.7 (patients 2 or more years after
surgery); the SEIQoL-DW index was significantly lower in patients in the first postoperative year than in those 2 or
more years after surgery. These results suggest that subjective QOL is lowest during the first postoperative year
and improves with time.
Analysis of components of QOL and their indices, as measured by SEIQoL-DW, revealed that family, hobbies
(outdoor), health, friends, and hobbies (indoor) were the primary determinants of subjective QOL. Analysis of
cues with low levels of satisfaction despite high importance in the SEIQoL-DW revealed that, to provide nursing
interventions to improve subjective QOL, it is important to focus on interventions that 1) manage the dyschezia
affecting the postoperative health of patients who have undergone LAR; and 2) provide lifestyle counseling to
increase fulfillment in work or hobbies among patients who have undergone LAR.