Development And Application Of Questionnaire Of Pelvic Floor Rehabilitation Training For Patients With Rectal Cancer After Anus Preservation Surgery

Objective:A questionnaire for pelvic floor rehabilitation training was designed and its reliability and validity was verified;To investigate the knowledge,attitude and practice of pelvic floor rehabilitation training in patients with rectal cancer surgery in Jilin Province and analyze its influencing factors.Methods:Guided by the theory of knowledge,attitude and practice,the questionnaire on Knowledge,attitude and practice of Pelvic Floor Rehabilitation Training for Patients after anus preservation surgery for rectal cancer was preliminarily formulated by literature analysis,interview and expert letter consultation.404 cases of patients with rectal cancer after anus preservation surgery were cross-sectional investigated,and the questionnaire items were screened and evaluated to form a formal questionnaire;Convenience sampling was used to select 364 patients after anus preservation surgery for rectal cancer in 2 grade III,Grade A hospitals in Jilin Province.Formal questionnaire was used to investigate and the influencing factors were analyzed.Results:1.Results of questionnaire compilation of rehabilitation training for patients with rectal cancer after anus-preserving surgery1.1.Expert letter consultation results:A total of 19 experts were invited in this study,and the effective recovery rates of the two rounds of letter consultation were 86.36%and 100%;Experts are highly active.After two rounds of expert correspondence consultation,there were 37 items in the questionnaire,and then critical ratio analysis and total correlation analysis were carried out,leaving 34 items.1.2.Questionnaire reliability and validity analysis results:After two rounds of exploratory factor analysis,4 common factors and 28 items were extracted,and the cumulative explanatory variable of the questionnaire was 72.373%.The results of confirmatory factor analysis were The results of confirmatory factor analysis werex~2/df value 2.231,RMSEA value 0.079,IFI value 0.916,CFI value 0.916,TLI value 0.907.The content validity index was 0.952,Cronbach’sαcoefficient was 0.959,and the retest reliability of the total questionnaire was0.863.2.Knowledge,attitude and practice status of rehabilitation training for patients with rectal cancer after anus preservation surgery and its influencing factors analysis2.1.The average score of knowledge was 38.65±10.87,attitude was 24.49±4.37,and practice was 17.77±7.05;2.2.Correlation analysis results showed that the r values of positive correlation between knowledge and attitude,knowledge and practice,and attitude and practice were 0.511,0.605,0.515,respectively.2.3.Pelvic floor rehabilitation training instruction,family monthly income,educational level,number of check-up and other diseases related to pelvic floor were the influencing factors of knowledge dimension score;Pelvic floor rehabilitation training guidance,times of review,postoperative time,education level,other diseases related to pelvic floor,and whether the current stoma were the influencing factors of attitude dimension score.Pelvic floor rehabilitation training instruction,current stoma or not,number of review and treatment plan were the influencing factors of practice dimension score.Conclusion:1.The questionnaire of knowledge,attitude and practice of pelvic floor rehabilitation training for patients with rectal cancer after anus preservation surgery compiled in this study has reasonable,reliable entries and good reliability and validity,which can be used to evaluate the status of rehabilitation training for patients with rectal cancer after anus preservation surgery.2.In this study,364 patients with postoperative rectal cancer had insufficient knowledge level of rehabilitation training,positive attitude,and behaviors that needed to be strengthened;Pelvic floor rehabilitation training guidance,monthly family income,education level,times of review,postoperative time,other diseases related to pelvic floor,whether the current stoma,and treatment plan affect patients’knowledge,trust and behavior level.Therefore,medical staff should pay attention to the pelvic floor rehabilitation training of patients,and consider the individual situation of patients when teaching,carry out personalized education,and improve the compliance of patients with pelvic floor rehabilitation training.