Effect of multidimensional nursing on low anterior resection syndrome after sphincter preservation surgery for low rectal cancer.

BACKGROUND: According to the Global Cancer Statistics Report, the incidence of colorectal cancer ranks third and the mortality rate ranks second worldwide among malignant tumors. AIM: To explore the effects of Nursing Outcomes Classification (NOC)-based multidimensional nursing on self-efficacy and symptom relief in patients with low anterior resection syndrome (LARS) following sphincter-preserving surgery. METHODS: This observational study enrolled 120 patients with LARS after sphincter-preserving surgery for low rectal cancer admitted to our hospital between January 2022 and December 2024. The patients were randomly divided into a control group (n = 60) that received routine nursing intervention or an observation group (n = 60) that received multidimensional nursing intervention. Before and after the intervention, the Chinese version of the Self-Management Efficacy Scale for Cancer Patients (SUPPH), the LARS scoring scale, and the European Organization for Research and Treatment of Cancer Quality of Life Core Scale (EORTC QLQ-C30) were used to evaluate the self-efficacy, symptom relief, and quality of life of the two patient groups, and the nursing satisfaction was compared between the groups. RESULTS: After the intervention, both groups showed increased scores for each item on the SUPPH and EORTC QLQ-C30 scales compared with those before the intervention, whereas the LARS score showed a decreasing trend. Compared with the control group, the scores for each item of the SUPPH and EORTC QLQ-C30 scales in the observation group were significantly higher after the intervention, while the LARS score was significantly lower (all P < 0.05). Nursing satisfaction was significantly higher in the observation group than in the control group (83.33% vs 95.00%, P < 0.05). CONCLUSION: Multidimensional NOC-based nursing improves self-efficacy, symptoms, quality of life, and satisfaction in patients with LARS. However, further research is needed to assess its long-term and comparative effectiveness.