The Influence Of Apply Rhubarb Navel Therapy To Promote Fecal Continence After Colostomy

Objective To explore curative effectiveness of rhubarb navel therapy promoting fecal continence and improving the quality life for rectal cancer patients with colostomy.Methods The total of68rectal cancer patients with colostomy for clinical research were chosen from anorectal surgery in zhejiang cancer hospital and The second affiliated hospital of zhejiang university.The samples were randomly divided into two groups,34samples into experimental group and34samples into control group.The intervention group received rhubarb navel therapy,simultaneously routine therapy whereas the control group only received routine therapy. Before and after rhubarb navel therapy, measured the dependent variables to compare the differences between two groups.The variables including QOL of EORTC QLQ-C30and QLQ-CR38, the funetions of permanent abdominal colostomy,the incidence and sevetity of fecal dermatitis, the using quantity and cost of ostomy bags,and the formation of bowel regularityResults①The case of bowel regularity of the experimental group is higher than the control group (P<0.05).The using quantity and costing of ostomy bags of the experimental group are lower than the control group (P=0.000, P=0.000).②The functions of Permanent abdominal colostomy：In addition to question4"Feeling ability of defecation"and question8"Satisfaction of ostomy",there were significant differences between the two groups in scores of scale about the functions of permanent abdominal colostomy.③Experimental group in the functional areas were higher than those in the control group, but in symptom domains were lower than the control group. Experimental group significantly increased in the scores of role function, emotional function, social function and overall health status (P<0.05).but significantly decreased in the scores of issues related to colostomy (P<0.05).Conclusions rhubarb navel therapy could pomote the patient after colostomy to formed fecal continence, can help the colostomy patient save ostomy bags and some money; rhubarb navel therapy help to improve the funetions of permanent abdominal colostomy; Also rhubarb navel therapy help to improve QOL of patient with colostomy, Especially in the functional areas.