The Effect of Recovery Enhancement Program for Patients with Rectal Cancer Surgery

Interventions: Behavioral : 1. Experimental Group
1) Week 1st: Before the day of discharge
- Goal: Dietary management, symptom management, exercise
- Contents: Function of the rectum, definition of low anterior resection syndrome (bowel dysfunction), disease experience of rectal cancer patients, purpose and method of pelvic floor muscle training (PFMT), diet management, postoperative management (symptom management)
- Education method (strategy): face-to-face, tablet PC, exercise demonstration and practice, exercise video provision (mobile phone, USB), primary caregiver participation, exercise/diet diary education
- Time: 30 minutes
2) Week 2nd: First outpatient visit
- Goal: exercise check, motivation (reinforcement)
- Contents: Introduction of a successful case of PFMT, Check of suitability of PFMT
- Education Method (Strategy): face-to-face, introduction of a successful case (printed material), text messages, exercise/diet diary records
- Time: 30 minutes
3) Week 3rd: 3 weeks after discharge
- Goal: Exercise adherence check, Identification of barriers of PFMT
- Contents: Identification of difficulties in performance and maintenance of PFMT, physical/psychological state check and coaching, emotional support
- Education Method (Strategy): telephone coaching, text messages, exercise/diet diary records
- Time: 10-20 minutes
4) Week 4th: 4 weeks after discharge
- Goal: Overcoming the barriers, maintaining PFMT
- Contents: Discussion on successful PFMT experience, planning of PFMT maintenance
- Education Method (Strategy): telephone coaching, text messages, exercise/diet diary records
- Time: 10-20 minutes
2. Control Group: Usual care
Primary outcome(s): Bowel function;Health-realted quality of life
Primary Purpose : Supportive Care, Intervention Model : Parallel, Blinding/Masking : Open, Allocation : RCT