Background and Aims: Male rectal cancer patients experience postoperative anxiety regarding bowel, urinary, and sexual function impairment. These patients must cope with various physical and psychosocial issues. The purpose of this study was to explain the process of accepting postoperative functional impairments among male rectal cancer patients. Methods: Fourteen male rectal cancer patients who had undergone surgery 6 or more months beforehand were assessed through semi-structured interviews. Data were analyzed using the grounded theory approach. Results: Simultaneous bowel, urinary, and sexual dysfunction mutually impeded male rectal cancer patients' activities and negatively affected their self-esteem alongside a feeling of lost masculinity. However, patients learned to understand their condition while exploring coping techniques for these three major impairments on their own terms. Patients adopted one of two coping methods, positive acceptance or acceptance with resignation, depending on support structures and the effectiveness of these established coping methods. Conclusion: Patients' acceptance of the impairment of three major bodily functions should be characterized as a single structure, rather than focusing on accepting bowel dysfunction alone. Support programs should be structured based on the processes characterized through this study along with patient readiness.
Purpose/Objectives: This study was aimed at developing a reliable scale for assessing the self-care agency of cancer patients under treatment. Design: A cross-sectional study was performed. Methods: The study involved patients with cancer who were receiving care on an outpatient basis at 4 hospitals in the Kanto/Shinetsu Districts of Japan. The items of the Self-care Agency Scale for Cancer Patients under Treatment (SAC) were developed using a qualitative study. The main research variables that were analyzed were obtained from a temporary questionnaire, the Self-Care Agency Questionnaire for Patients with Chronic Illness, and the Functional Assessment of Cancer Therapy General. After an item analysis, the construct validity was assessed using a confirmatory factor analysis, followed by an analysis of the scale's reliability and criterion validity. Findings: A convenience sample of 303 cancer patients was utilized. The fitness indices for the scale were as follows: Goodness of Fit Index (GFI)=0.911; Adjusted GFI=0.878. The Cronbach α coefficient was 0.900. The SAC was developed as a secondary factor model that included 3 factors and 15 items. The results of evaluation using this scale were significantly correlated with those of extermal standards. Conclusions: The SAC's construct validity, criterion validity, and reliability were all confirmed.