Journal of Korean Academy of Nursing (대한간호학회지)

Korean Society of Nursing Science (한국간호과학회)
권호 표지

Effects of a Constipation Intervention Program on Inpatients′ Defecation

변비 중재 프로그램이 입원환자의 배변에 미치는 효과

  • 최자윤 (목포카톨릭대학교 간호학과)
  • Published : 2004.02.01
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: The purpose of this study was to evaluate the effect of a constipation reduction program for inpatients. Method: Subjects were selected in one medical ward of C University Hospital from May, 2001 to November, 2001. Twenty-nine subjects were assigned to an experimental group and 32 subjects to a control group. Data related to the frequency of defecation and to the length and amount of laxative drugs used was collected by a medical record review and data on the degree of constipation was obtained by a self-report using a constipation assessment scale. Results: More than 90% of the subjects admitted in the department of neurology and one third of total subjects presented with activity limitation and about one fourth of the subjects were fed with a nasogastric tube. There was a significant difference in the degree of constipation, frequency of defecation, and the length and amount of laxative drug use between the two groups. Conclusion: This program is effective in inpatient's constipation reduction. Further studies need to apply this program in various clinical environments and properly use this program in different clinical settings.

Keywords

References

  1. Aldoori, W. H., Giovannucci, E. L., & Rimm, E. B. (1995). Prospective Study of Physical Activity and the Risk of Symptomatic Diverticular Disease in Men. Am Coll Physicians Obs, 123, 276-282
  2. Berman, I., & Manning, D. (1990). Streamlining the management of defecation disorders. Dis Colon Rectum, 33, 778-785 https://doi.org/10.1007/BF02052326
  3. Choi, J. Y., Jang, G. S., & Kim, H. O. (2003). A Development of a Constipation Intervention Program for Inpatients. J Korea Acad Adult Nurs, 15(4), 596-606
  4. Choi, J. Y., & Kim, H. O. (2001). A Comparison Study on the Complications according to Nasogastric Tube Feeding Methods. Korean Nurses, 40(1), 64-79
  5. Connell, A. M., Hilton, C., & Irvine, G. (1985). Variation of Bowel Habit in Two Population Samples. Br Med, 2, 1095-1099
  6. Drossman, D. A., Richter, J. E., Tally, N. J., Thompsom, W. G., Corazziari, E. C., & Whitehead, W. E. (1994). The functional gastrointestinal disorders(1st ed.). Little Brown and Company : Boston
  7. Duffy, J., & Zemike, W. (1997). Development of a constipation risk assessment scale. Int J Nurs Pract, 3(4), 260-263
  8. Forlaw, L. (1983). The Critically III Patient: nutritional implications-entera nutrition. Nurs Clin North Am, 18(1), 111-117
  9. Fowler, C. J. (1997). The Cause and Management of Bladder, Sexual and Bowel Symptoms in Multiple Sclerosis. Baillieres Clin Neural, 6(3), 447-466
  10. Jost, W. H., Jung, G., & Schimrigk, K. (1994). Colonic Transit Time in Nonidiopathic Parkinson's Syndrome. Eur Neural, 34(6), 329-331
  11. Kleessen, B. B., Syjura, H. J., & Junft, M. B. (1997). Effects of inulin and lactose on fecal microflora, microbial activity and bowel habit in elderly constipated person. Am J Clin Nurs, 65, 1397-1402
  12. Kwon, Y. S. (1993). Change of Bowel Elimination : Constipation. Korean Nurses, 32(2), 20-23
  13. Lennard-Jones, J. E. (1985). Pathophysiology of Constipation. Br J Surg, 72, 7-13 https://doi.org/10.1002/bjs.1800720103
  14. Martelli, H., Devroede, G., Arhan, P., Duguay, C., Domic, C., & Faverdin, C. (1978). Some Parameters of Large Bowel Motility in Normal Man, Gastroenterol, 75, 612-618
  15. McMillan, S. C., & Williams, F. A. (1989). Validity and Reliability of the Constipation Assessment Scale. Cancer Nurs, 12(3), 183-188
  16. Mian, S. W., & Davies, G. J. (1998). Assessment of Constipation Using Bowel Diaries. The Br Soc Gastroenterol, 42(3S), 99
  17. Moore-Gillon, V. (1984). Constipation: What does the patient mean? J R Soc Med, 77(3), 108-110
  18. Ryu, E. J., Choi, K. S., Kwon, Y. M., Joo, S. N., Yun, S. R., Choi, H. S., Kwon, S. B., Lee, J. H., Kiu, B. J., Kim H. Y., Ahn, O. H., & Rho, E. S. (1998). Analysis of the nursing interventions done by MlCU and SICU nurses using NIC. J Korea Acad Nurs, 28(2), 457-467
  19. Son, H. M., Hwang, J. I., Kim, S. Y, Park, S. M., Suh, M. J., & Kim, K. S. (1998). A survey of the nursing interventions performed by hospital nurses using the NIC in Korea. The Seoul J Nurs, 12(1), 75-96
  20. Whitehead, W. E., Chaussade, S., Corazziari, E. (1991). Report of an international workshop on management of constipation. Gastroenterol Int, 4, 99-113
  21. Yang, S. (1992). Effects of Fluid Intake, Dietary Fiber Supplement and Abdominal Muscle Exercise on Antipsychotic Drug-induced Constipation in Schizophrenics The J Cathol Med Coll, 45(4), 1501-1514
  22. Yang, S., & Yu, S. J. (1996). Effect of Dietary Fiber Supplement on Antidepressant-induced Constipation in Depressed Inpatients. J Korean Acad Psychiatr Ment Health Nurs, 5(1), 13-26