PURPOSE: The purpose of this study is to develop an instrument to evaluate defecation function after anterior resection surgery.
METHODS: The Scale items of defecation function were selected from the previous scale, literature, expert opinions, and 174 survey questionnaires from 46 patients after low anterior resection.
RESULTS: The Scale structure of 2 subscales that is “Fecal continence and passage”” Keeping sense of want to do defecate “was developed. It was 12 items, likert type (1-5) scale (Range; 12-60 score). Internal consistency was high (Chronback α ＝. 82, 72 for each subscale, and .84 for all 12 items). CFI (Comparative Fit lndex) calculated by structural equation modeling (SEM) is .910.
CONCLUSIONS: The development of “Defecation Assessment Scale ver. 2” (DDAS ver. 2) was structured of two subscale structure (8 items, 4 items, total 12 items). The Scale is reliable and validate structured.

View full abstract

We performed the following techniques for reinforcement of adhesion and sealing in patients with difficult-to-manage stomas. ①While the patient is in the supine position, we confirm overall abdominal status, that is, flatness, hardness, the stoma site, and creases and depressions occurring around the stoma. ②While the patient is in the sitting position, the bottoms and starting points of creases and depressions occurring around the stoma are marked. ③When the patient is in the supine position again, adhesion and sealing correction procedures are performed on the basis of the marked sites. These procedures prolonged the bearing time of ostomy appliances and enabled regular exchange, with no stool leakage

View full abstract