Nursing Experience of Applying Phased Nursing Intervention Model to Prevent Low Anterior Resection Syndrome in One Patient with Ultra-Low Rectal Cancer

This paper summarizes the experience of staged nursing intervention for preventing low anterior resection syndrome (LARS) in a 40-year-old female patient with ultra-low rectal cancer after sphincter-preserving surgery. Key nursing measures include establishing a multidisciplinary LARS management team and dividing the nursing process into three stages according to disease progression and rehabilitation needs: preoperative stage (unfamiliar → familiar), first postoperative stage (prevention and control of intestinal dysfunction), and post-stoma reversal stage (incontinence → controllable). Targeted interventions were implemented in each stage, including education on LARS and stoma care, systematic pelvic floor muscle training, nutritional support, anal sensory awakening training, simulated defecation coordination training, bowel preparation before stoma reversal, multi-position Kegel exercises, defecation habit reconstruction, dietary and medication guidance, and continuous nursing management. After continuous intervention in the three stages, the patient’s LARS score and Wexner score decreased significantly at 2 months after stoma reversal, pelvic floor muscle strength recovered, anxiety and depression were completely relieved, and quality of life was greatly improved.