Establishing reliability and validity of a constipation risk assessment scale

Richmond, Janice; Wright, Marion E.

doi:10.1016/j.joon.2008.10.003

Cited by 15 publications

(16 citation statements)

References 44 publications

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“…According to the literature, small intestine returns to its normal function in a couple of hours after the surgery. This time would be 24 - 48 hours for stomach surgery and 48 - 72 hours for colon surgery ( 13 ). In this study, most of the patients did not present with bowel elimination at second night after operation, whereas in previous studies regarding abdominal surgeries, the bowel elimination problem often occurred ( 17 ) and it did not occur altogether in 3 - 57% of the patients ( 18 ).…”

Section: Discussionmentioning

confidence: 99%

“…Constipation is an important symptom affecting postoperative healing, quality of life, comfort, respiratory and circulatory systems of the patients, and quality of nursing care in the postoperative period ( 1 , 3 , 10 - 12 ). Place of surgical intervention, type of anesthesia, trauma of intestines during the operation, duration of postoperative immobility, suppression of defecation feeling, use of bedpan, inability to protect privacy, inability of the patients to verbally express their discomfort , using opioids/non opioids analgesic, fluid intake and alterations in dietary habits are effective in bowel elimination in the early postoperative period ( 6 , 10 - 13 ).…”

Section: Introductionmentioning

confidence: 99%

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Constipation Risk in Patients Undergoing Abdominal Surgery

Çelik

Atar

Öztürk

et al. 2015

Iran Red Crescent Med J

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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.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Constipation Risk in Patients Undergoing Abdominal Surgery

Çelik

Atar

Öztürk

et al. 2015

Iran Red Crescent Med J

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“…A number of questionnaires are validated for the evaluation of the risk and severity of constipation. • Constipation risk assessment scale includes individual, physiological and pharmacological risk factors to estimate the probability of constipation (34).…”

Section: Diagnostic Elementsmentioning

confidence: 99%

Constipation in Peritoneal Dialysis Patients

et al. 2019

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Constipation in peritoneal dialysis (PD) is an infrequent but potentially serious condition affecting the mechanical properties of dialysis techniques and predisposing to bacterial intestinal translocation and eventual enteric peritonitis. Despite the importance of the problem, published literature is scarce, consisting mostly of uncontrolled single-center trials. This inconsistency may be attributed to the large number of clinical, radiological, and endoscopic tools that have been used in the studies with a lack of generally accepted core primary outcomes. The current narrative review discusses the pathophysiological associations between chronic kidney disease, PD, and constipation with related complication.

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“…Six valid and reliable instruments on constipation were selected and especially scrutinized for factors related to constipation (Downing, Kuziemsky et al 2007, Kyle, 2007, Larkin, Sykes 2008, Lewis, Heaton 1997, McMillan, Williams 1989, Richmond, Wright 2008 (Table 1). To measure prevalence, definition, symptom distress and other factors related to constipation, questions from Swedish versions of validated questionnaires were used (Table 2).…”

Section: Development Of the Study Questionnairementioning

confidence: 99%

“…To measure prevalence, definition, symptom distress and other factors related to constipation, questions from Swedish versions of validated questionnaires were used (Table 2). All the factors identified by other instruments were measured, with exception of the factor of learning problems (Richmond, Wright 2008). The reason for this was that this was judged to be too time consuming for the nurses to assess.…”

Section: Development Of the Study Questionnairementioning

confidence: 99%

Constipation in palliative care : Prevalence, definitions, symptom distress and risk-factors

Erichsén¹

2015

Linköping Studies in Health Sciences. Thesis

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Background and aims: Constipation for patients in palliative care is common and described with variations in prevalence. Side -effects from opioid- treatment, is considered to be one of the main factors leading to constipation. The overall aim of the thesis was to study constipation among patients admitted to specialized palliative care- settings in Sweden. The specific aims of the thesis were 1) To describe and explore the prevalence, definition and symptom distress of constipation by applying different definitions of constipation, in patients admitted to specialized palliative care settings in Sweden. 2) To identify factors related to constipation in patients in specialized palliative care and comparing these factors for patients with different types of constipation to patients without constipation. Methods: A literature- search were conducted where prevalence of- and factors related to constipation was explored and included in a questionnaire, developed for this thesis. Data was collected in a cross- sectional design with a response rate of 50% and analysed with logistic regression. Results: A total of 485 patients from 38 specialized palliative care- units in Sweden participated. Prevalence of constipation for patients in specialized palliative care varied between 7- 43 % depending on definition used. Two different constipation- groups were identified: Medical constipation- group 23% (MCG) and Perceived constipation- group 35% (PCG). Three sub- groups was also identified: patients with i) only ≤ 3 defecations/week, 7%, ii) only perception of being constipated, 19%, and iii) patients with both ≤ 3 defecations/ week and perception of being constipated,16%. Several factors were found to be related to constipation as hospitalisation, absence of laxative- treatment, haemorrhoids, poor appetite, hard stool form and opioids. Conclusions: Prevalence of constipation may differ depending on definitions used. Distress from constipation and other factors related to constipation, than opioids, needs to be incorporated into the clinical constipation- assessment. Validated constipation assessment tool needs to be developed.

The series name Linköping University, Studies in Health Sciences, Thesis in the Licentiate thesis is incorrect. The correct name is Linköping Studies in Health Sciences. Thesis.

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Establishing reliability and validity of a constipation risk assessment scale

Cited by 15 publications

References 44 publications

Constipation Risk in Patients Undergoing Abdominal Surgery

Constipation Risk in Patients Undergoing Abdominal Surgery

Constipation in Peritoneal Dialysis Patients

Constipation in palliative care : Prevalence, definitions, symptom distress and risk-factors

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