Effectiveness of early mobilisation versus laxative use in reducing constipation in post-operative orthopaedic patients: an integrative review

Okusaga, Omowumi; Mowat, Rebecca; Cook, Catherine

doi:10.37464/2020.392.410

Cited by 4 publications

(3 citation statements)

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“…-Nature of the study was not causing any harm or pain to the entire sample. -any unexpected risks appeared during the course of the research was cleared to participants and the ethical committee on time 3-Tool (I) was developed by the researcher after reviewed the relevant literatures (1)(2)(3)(4)(5)(6)(7)(8) . Tool II , III.…”

Section: Ethical Considerationmentioning

confidence: 99%

“…(3) . The prevalence of constipation in the general population worldwide ranges from 0.7 to 79% with median 16% (4) Its incidence in post-operative orthopedic patients is about 40% -60% (5) . Patients with constipation may have complications such as fecal impaction, and hemorrhoids, and others syndromes such as mental confusion, urine retention, intestinal obstruction and even vasovagal syncope (6) .…”

Section: Introductionmentioning

confidence: 99%

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Efficacy of Murdoch Bowel Protocol on Constipation among Patients with Hip and Pelvic Surgery

Bedawy,

El- meligy,

Mahmoud

et al. 2023

Tanta Scientific Nursing Journal

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background Constipation is a troubling condition that can happen to anyone, but it has much concern in patients with limited physical mobility as patient with orthopedic disorder. Aim of the study was To evaluate the efficacy of Murdoch bowel protocol on constipation among patients with hip and pelvic surgery Study design: was Quasi-experimental. Setting: The study conducted in Tanta International Teaching Hospital. Subjects: The sample included 80 patients who were adults (21-60 years), conscious and newly admitted to orthopedic department. Tools: Three tools were enrolled in the study for data collection: Tool (I) patients' sociodemographic sheet and health relevant data ", Tool II: Bristol Stool Form Scale. Tool III: Constipation Assessment Scale. Results: shows that the majority of patients 86.4% in study group and three quarters 75% of control group patients had constipation at the beginning of the study but at the end of study period after application of Murdoch bowel protocol only 11.1 %of study group had constipation compared to less than three quarters of control group patient. Conclusion: The Murdoch bowel protocol had great effect in prevention and management of constipation for patients with hip or pelvic surgery with a highly statistically significant difference between study and control group through period of the study as P value =0.000*. Recommendation: implementation of Murdoch bowel protocol for all orthopedic patients in orthopedic department for assessment and management of constipation.

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Section: Ethical Considerationmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Efficacy of Murdoch Bowel Protocol on Constipation among Patients with Hip and Pelvic Surgery

Bedawy,

El- meligy,

Mahmoud

et al. 2023

Tanta Scientific Nursing Journal

View full text Add to dashboard Cite

show abstract

“…Studi menunjukkan bahwa ada hubungan yang relevan antara berkurangnya aktivitas fisik dengan peningkatan angka kejadian konstipasi (Fekri et al, 2021;Nezakati et al, 2018). Pemberian obat anestesi serta analgetik pasca bedah juga dapat mempengaruhi motilitas usus yang mengakibatkan peningkatan resiko terjadinya disfungsi bowel (Okusaga et al, 2022;İskender & Çalışkan, 2022).…”

Section: Pendahuluanunclassified

Manajemen Nonfarmakologis dalam Mengurangi Resiko Konstipasi pada Pasien Ortopedi

Elvina,

Masfuri,

Kariasa

2023

JKS

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This study aims to evaluate the results of published studies related to nonpharmacological management to reduce complaints of constipation in orthopedic patients. The research method used was Systematic Review which was carried out through a search strategy in 9 electronic databases with the keywords (orthopedic patient OR orthopedic patient) AND (nonpharmacological management OR nonpharmacological therapy) AND (constipation OR obstipation). The results showed that there was various nonpharmacological management used to treat and prevent the severity of constipation in orthopedic patients, including interventions such as chewing gum, abdominal massage, acupressure, hydrotherapy, biofeedback therapy, and nursing interventions based on the patient's active involvement in care. Various nonpharmacological strategies are used to treat constipation in orthopedic patients, and the best method to treat constipation in orthopedic patients cannot be ascertained due to the variety of instruments used and differences in sample characteristics in each study. Selected articles were assessed for quality using the Critical Appraisal Skill Program (CASP) guidelines. The six reviewed articles obtained that the range of patients who were given nonpharmacological interventions was ≥ 18 years. Instruments for measuring the incidence and severity of constipation are the Constipation Assessment Score, ROME III, Bristol Scale, Rasmusen measuring scale, Constipation Score Method, and Constipation Risk Assessment Scale. In conclusion, several nonpharmacological therapies can be applied to orthopedic patients to reduce their constipation complaints, thereby reducing the impact of hospitalization on patients and improving their quality of life. Keywords: Constipation, Orthopedics, Nonpharmacological Therapy

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Opioid-Induced Constipation and Associated Symptoms After Orthopedic Trauma

Ortega,

Lisenby,

Getz

et al. 2024

Pain Management Nursing

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Effectiveness of early mobilisation versus laxative use in reducing constipation in post-operative orthopaedic patients: an integrative review

Cited by 4 publications

References 0 publications

Efficacy of Murdoch Bowel Protocol on Constipation among Patients with Hip and Pelvic Surgery

Efficacy of Murdoch Bowel Protocol on Constipation among Patients with Hip and Pelvic Surgery

Manajemen Nonfarmakologis dalam Mengurangi Resiko Konstipasi pada Pasien Ortopedi

Opioid-Induced Constipation and Associated Symptoms After Orthopedic Trauma

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