Constipation Risk in Patients Undergoing Abdominal Surgery

Abstract

Background:Problems regarding bowel elimination are quite common in patients undergoing abdominal surgery.Objectives:To determine constipation risk before the surgery, bowel elimination during postoperative period, and the factors affecting bowel elimination.Patients and Methods:This is a cross-sectional study. It was conducted in a general surgery ward of a university hospital in Zonguldak, Turkey between January 2013 and May 2013. A total of 107 patients were included in the study, who were selected by convenience sampling. Constipation Risk Assessment Scale (CRAS), patient information form, medical and nursing records were used in the study.Results:The mean age of the patients was found to be 55.97 ± 15.74 (year). Most of the patients have undergone colon (37.4%) and stomach surgeries (21.5%). Open surgical intervention (83.2%) was performed on almost all patients (96.3%) under general anesthesia. Patients were at moderate risk for constipation with average scores of 11.71 before the surgery. A total of 77 patients (72%) did not have bowel elimination problem during postoperative period. The type of the surgery (P < 0.05), starting time for oral feeding after the surgery (P < 0.05), and mobilization (P < 0.05) were effective on postoperative bowel elimination.Conclusions:There is a risk for constipation after abdominal surgery. Postoperative practices are effective on the risk of constipation.

Mobilisasi Dini Terhadap Pemulihan Peristaltik Usus Dan Skala Nyeri Pasien Post Pembedahan

“…Fungsi normal usus secara normal akan kembali dalam beberapa jam setelah pembedahan. Pada pasien dengan pembedahan lambung dan usus besar, rata-rata 48-72 jam, dan 3-57% pasien dengan pembedahan abdomen mengalami masalah pada eliminasi ususnya (Celik et al, 2015). Pemberian intervensi keperawatan mobilisasi dini yang dilakukan oleh perawat diharapkan menjadi tindakan yang mendukung kualitas asuhan keperawatan bagi pasien post pembedahan.…”

Pengaruh Pijat I Love You (ILU) terhadap Rehabilitasi Fungsi Pencernaan Anak Pascaoperasi Perut

“…Penelitian lain menemukan bahwa fungsi normal usus secara normal akan kembali dalam beberapa jam setelah pembedahan. Pada pasien dengan pembedahan lambung dan usus besar, rata-rata 48-72 jam, dan 3-57% pasien dengan pembedahan abdomen mengalami masalah pada eliminasi ususnya (Celik, et al, 2015).…”

Kanser Hastalarında Konstipasyon Sıklığı ve Gelişme Riskinin İncelenmesi

“…Şendir ve arkadaşlarının (10) ortopedi hastalarında ameliyat sonrası konstipasyon riskini değerlendirdiği bir çalışmada hastaların Konstipasyon Risk Değerlendirme Ölçeği toplam puan ortalaması 12.7 ± 4.7 ve Çelik ve arkadaşlarının (25) abdominal cerrahi operasyon sonrası konstipasyon riskini değerlendirdiği bir çalışmada ise 11.7 ± 7.8 olarak belirlenmiştir Araştırma Dokuz Eylül Üniversitesi Hemşirelik Fakültesi Elektronik Dergisi http://www.deuhyoedergi.org (10,25). Bu çalışmada kanser hastalarının konstipasyon açısından orta düzeyde risk (13.10 ± 4.3) altında olduğu belirlenmiştir.…”