Postoperative Constipation Risk Assessment in Turkish Orthopedic Patients

Şendir, Merdiye; Büyükıylmaz, Funda; Aştı, Türkinaz; Gürpınar, Şengül; Yazgan, İlknur

doi:10.1097/sga.0b013e31824d2945

Cited by 19 publications

(25 citation statements)

References 17 publications

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“…In the study of Cerit (2016), satisfaction of patients from the perspective of nurses was found to be above the average (13). In the study of Sendir et al (2012), it was determined that the patients were very satisfied related to nursing (14). The studies of the literature and findings of our study have shown that the reason for expectations of patients from nurses being attention and smiling faces rather than their professional information and skills might be that they assumed the competence of nurses as limited.…”

Section: Discussionmentioning

confidence: 42%

Adaptation with the chronic disease and expectations from nurses

Atik¹

2019

Erciyes Med J

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This study has been made to determine physical, social, and psychological adaptation levels and general adaptation levels of patients with chronic diseases who are under medical treatment at the hospital and to evaluate their expectations from nurses within the course of the said process. Materials and Methods: This study is definitive and cross sectional. The sample of the research is composed of 240 patients who have been under inpatient medical treatment in internal diseases clinics in between March and May 2018. Data were collected with a Personal Information form and an Adaptation to Chronic Illness Scale (ACIS). Results: As a result of the statistical analysis, the adaptation of the patients, included in the scope of the study, to the disease was determined to be 83.03±10.58. The social adaptation level of women, physical adaptation level of high school and university graduates, general adaptation, physical adaptation, and social adaptation levels of individuals who have never stayed at hospital, psychological adaptation level of individuals who had information related to their disease, and physical adaptation level of individuals with normal body mass index (BMI) were determined to be at higher statistically significant levels (p<0.05, p<0.01). Conclusion: In conclusion, the gender, level of education, experience of hospital stays, information status related to his/ her disease, BMI, medical diagnosis, and expectation models of nurses were determined to affect adaptation to the chronic disease to an important extent, from physical, social, and psychological aspects.

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Section: Discussionmentioning

confidence: 42%

Adaptation with the chronic disease and expectations from nurses

Atik¹

2019

Erciyes Med J

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“…In acutely hospitalised elderly patients, it was found that almost one-third of them needed a laxative at least once every 3 days (26). In this study, we observed that prescribing prophylactic laxatives was common, although not routine in either stroke or orthopaedic units, even though impaired mobility and use of pain medications are factors that could potentially increase the risk of developing constipation (27,28). Our findings indicate that patients who were prescribed prophylactic laxatives were less likely to develop constipation.…”

Section: Discussionmentioning

confidence: 57%

Incidence and predictors of new-onset constipation during acute hospitalisation after stroke

et al. 2015

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Objectives: We investigated new-onset constipation in patients with stroke compared with orthopaedic conditions and explored the predictors associated with constipation during acute hospitalisation. Methods: This was a prospective matched cohort study of 110 patients comparing stroke patients (n = 55) with orthopaedic patients (n = 55) admitted to a large tertiary acute hospital. Both cohorts were matched by age and sex. The incidence of new-onset constipation which occurred during a patient's acute hospitalisation was determined. Demographics, comorbidity, clinical factors, laboratory parameters and medications were evaluated as possible predictors of constipation. Results: The incidence of newonset constipation was high for both stroke (33%) and orthopaedic patients (27%; p = 0.66). Seven stroke patients (39%) and four orthopaedic patients (27%) developed their first onset of constipation on day 2 of admission. Mobility gains (RR 0.741, p < 0.001) and the use of prophylactic laxatives (RR 0.331, p < 0.01) had a protective effect against constipation. Bedpan use (RR 2.058, p < 0.05) and longer length of stay (RR 1.032, p < 0.05) increased the risk of developing new-onset constipation. Conclusions: New-onset constipation is common among patients admitted for stroke and orthopaedic conditions during acute hospitalisation. The early occurrence, on day 2 of admission, calls for prompt preventive intervention for constipation. What's known• Constipation is one of the most common medical complications for patients who have experienced stroke. However, there are limited numbers of studies on constipation as a poststroke complication.What's new• The incidence of new-onset constipation is similarly high for both patients with acute stroke and orthopaedic conditions. Our data reveal its early onset and associated predictors during acute hospitalisation.

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“…Postoperative constipation prolongs hospital stays, causes comorbidity in addition to the existing disorders, and adversely affects patients' quality of life. 12,16 The aim of the current study was to assess constipation risk among patients hospitalized in the internal medicine and general surgery departments for any reason.…”

Section: Introductionmentioning

confidence: 99%

“…31 Consistent with the literature, the group of participants in our study who reported not exercising regularly had a higher mean constipation risk score. The results of a study by Sendir et al 16 indicated that the patients were in the moderate risk group with a mean CRAS score of 12.73±4.75. On the other hand, the mean CRAS scores obtained in our study showed that most of the participants were in the low-risk group.…”

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confidence: 97%

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Evaluation of Constipation Risk among Inpatients in Surgery and Internal Medicine Wards

Arlı¹

2019

tjcd

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Amaç: Bu araştırma, cerrahi ve dahili kliniklerde yatan hastalarda konstipasyon riskinin değerlendirilmesi amacıyla yapıldı. Yöntem: Tanımlayıcı tipteki çalışma, Ağrı Devlet Hastanesi'nde Nisan 2018-Haziran 2018 tarihleri arasında servislerde yatan ve çalışmayı kabul eden 251 hastanın katılımıyla yapıldı. Veriler kişisel bilgi formu ve konstipasyon risk değerlendirme ölçeği (KRDÖ) kullanılarak toplandı. Bulgular: Araştırmaya katılanların yaş ortalaması 49,74±19,50 idi. Araştırmaya katılan hastaların KRDÖ toplam puan ortalamaları ile sosyo-demografik özelliklerine göre dağılımları incelendiğinde; cinsiyet, medeni durum, eğitim durumu ve meslek özellikleri arasında istatistiksel olarak anlamlı fark olduğu bulundu (p<0,05, p<0,01). Ayrıca, hastaların KRDÖ toplam puan ortalamaları ile sağlık durumu ve yaşam tarzı özelliklerine göre dağılımları incelendiğinde; hastanın yattığı servis, kronik hastalık durumu, düzenli ilaç kullanımı, en çok tüketilen besin grubu, öğüt atlama durumu, düzenli egzersiz yapma, kabızlık sorunu ve konstipasyon riski özellikleri açısından istatistiksel olarak anlamlı fark olduğu belirlendi (p<0,05, p<0,01). KRDÖ toplam puanı ile yaş arasında pozitif yönde istatistiksel açıdan anlamlı bir ilişki olduğu bulundu (p<0,01). Sonuç: Çalışmaya katılan hastaların yaşları arttıkça, konstipasyon sorununu daha fazla yaşadıkları belirlendi. Bu nedenle özellikle yatan hastaların konstipasyon risk değerlendirilmesinin yapılması, konstipasyon sorununun erken dönemde tanılanması, uygun hemşirelik girişimleri ve ekip iş birliği ile sorunun önlenmesi ya da çözülmesi önerilmektedir. Anahtar Kelimeler: Konstipasyon, konstipasyon risk değerlendirmesi, konstipasyonda bakım Aim: This study was conducted to evaluate the risk of constipation among inpatients in the surgery and internal medicine wards. Method: This descriptive study included 251 inpatients being treated in the Ağrı State Hospital between April 2018 and June 2018 who consented to participate. Data were collected using a personal information form and the constipation risk assessment scale (CRAS). Results: The mean age of the participants was 49.74±19.50 years. Analysis of the patients' distributions according to mean CRAS score and sociodemographic characteristics showed that gender, marital status, education level, and occupation were statistically significant (p<0.05, p<0.01). In addition, when the distribution of the patients according to mean CRAS total score and health status/lifestyle characteristics was examined, statistically significant differences were observed in terms of hospital ward, presence of chronic disease, regular medication use, predominant food group, skipping meals, regular exercise, constipation problem, and constipation risk (p<0.05, p<0.01). There was a statistically significant positive correlation between total CRAS score and age (p<0.01). Conclusion: Older age was associated with more problems with constipation in our study group. Therefore, it is recommended to prevent or solve the problem through constipation risk assessment...

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Postoperative Constipation Risk Assessment in Turkish Orthopedic Patients

Cited by 19 publications

References 17 publications

Adaptation with the chronic disease and expectations from nurses

Adaptation with the chronic disease and expectations from nurses

Incidence and predictors of new-onset constipation during acute hospitalisation after stroke

Evaluation of Constipation Risk among Inpatients in Surgery and Internal Medicine Wards

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