배변 격려 프로그램이 인공 슬관절 전치환술 환자의 배변에 미치는 효과
Effects of Defecation Encouragement Program in Patients Undergoing total Knee Replacement Arthroplasty
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Purpose: The purpose of this study was to evaluate the efficacy of applying a defecation encouragement program forpatients undergoing total knee replacement arthroplasty (TKRA). Methods: This program was based on the nursing bestpractice guideline: prevention of constipation in the older adult population by the National Guideline Clearing House (NGC)in 2011, which included fluid intake, bowel training, and abdominal and pelvic floor exercises. A team of one orthopaedicclinical nurse specialist and six orthopaedic nurses with a 10 years of clinical experience applied and assisted patientswith the program. Formal counsel was provided by one orthopaedic doctor, one gastroenterologist, and one exercisetherapist. Patients who defecated one day prior to or on the day of TKRA surgery were included. Data collected from 72subjects were analyzed using SPSS/WIN 21.0. Results: Time until first defecation after surgery was 2.4±1.1 days inexperimental group, which was significantly shorter than the 3.5±0.9 days in control group (t=4.28, p<.001). Constipationassessment scale showed significantly lower points (t=2.55, p=.013) in experimental group (1.3±1.2) compared to controlgroup (2.6±2.6). The experimental group and control group were 17.3±7.67 and 23.7±14.43, respectively, and theexperimental group used less laxatives (t=2.83, p=.021). Conclusion: A defecation encouragement program was provedto be an appropriate nursing intervention for patients undergoing TKRA. This study confirmed that constipation is a nursingproblem that can be sufficiently prevented if nurses are interested and encourage defecation.
Abstract
Purpose: The purpose of this study was to evaluate the efficacy of applying a defecation encouragement program forpatients undergoing total knee replacement arthroplasty (TKRA). Methods: This program was based on the nursing bestpractice guideline: prevention of constipation in the older adult population by the National Guideline Clearing House (NGC)in 2011, which included fluid intake, bowel training, and abdominal and pelvic floor exercises. A team of one orthopaedicclinical nurse specialist and six orthopaedic nurses with a 10 years of clinical experience applied and assisted patientswith the program. Formal counsel was provided by one orthopaedic doctor, one gastroenterologist, and one exercisetherapist. Patients who defecated one day prior to or on the day of TKRA surgery were included. Data collected from 72subjects were analyzed using SPSS/WIN 21.0. Results: Time until first defecation after surgery was 2.4±1.1 days inexperimental group, which was significantly shorter than the 3.5±0.9 days in control group (t=4.28, p<.001). Constipationassessment scale showed significantly lower points (t=2.55, p=.013) in experimental group (1.3±1.2) compared to controlgroup (2.6±2.6). The experimental group and control group were 17.3±7.67 and 23.7±14.43, respectively, and theexperimental group used less laxatives (t=2.83, p=.021). Conclusion: A defecation encouragement program was provedto be an appropriate nursing intervention for patients undergoing TKRA. This study confirmed that constipation is a nursingproblem that can be sufficiently prevented if nurses are interested and encourage defecation.
참고문헌 (25)
- Bouras, E. P., "Chronic constipation in the elderly", Gastroenterology clinics of North America, 38(3), pp.463~480 (2009)[DOI]
- Bouvier, M., "Effects of consumption of a milk fermented by the probioticstrain Bifidobacterium animalis DN-173010 on colonic transittimes in healthy humans", Bioscience and Microflora, 20(2), pp.43~48 (2001)[DOI]
- 최자윤, "변비중재프로그램이 입원환자의 배변에 미치는 효과", Journal of Korean Academy of Nursing, 34(1), pp.72~80 (2004), 한국간호과학회
- Davies, E. C., "The use of opioids and laxatives, and incidence of constipation, in patients requiring neck-of-femur(NOF)surgery : a pilot study", Journal of Clinical Pharmacy and Therapeutics, 33(5), pp.561~566 (2008)[DOI]
- De Lillo, A. R., "Functional bowel disorders in the geriatric patient : constipation, fecal impaction, and fecal incontinence", The American Journal of Gastroenterology, 95(4), pp.901~905 (2000)[DOI]
- DeSouza, "Effectiveness of nursing interventions in alleviating perceived problems among orthopaedic patients", Journal of Orthopaedic Nursing, 6(4), pp.211~219 (2002)[DOI]
- Kennedy, J. W., "Total knee arthroplasty in the elderly : does age affect pain, function or complications?", Clinical Orthopaedics and Related Research, 471(6), pp.1964~1969 (2013)[DOI]
- 김연아, "복부경락마사지가 뇌졸중환자의 변비완화에 미치는 효과", Journal of The Korean Data Analysis Society, 15(2), pp.859~872 (2013), 한국자료분석학회
- Koloski, N. A., "Impact of persistent constipation on health-related quality of life and mortality in older community-dwelling women", The American Journal of Gastroenterology, 108(7), pp.1152~1158 (2013)[DOI]
- Koppen, I. J., "Management of functional constipation in children : therapy in practice", Paediatric Drugs, 17(5), pp.349~360 (2015)[DOI]
- Kyle, G., "The older person : Management of constipation", British Journal of Community Nursing, 15(2), pp.58~64 (2013)[DOI]
- Laila, S. M., "Constipation prophylaxis in children undergoing orthopedic surgery : A quasiexperimental study", Journal for Specialists in Pediatric Nursing, 21(3), pp.109~118 (2016)[DOI]
- McMillan, S. C., "Validity and reliability of the Constipation Assessment Scale", Cancer Nursing, 12(3), pp.183~188 (1989)[DOI]
- Myatt, R., "Constipation : a common postoperative complication of cardiac surgery", British Journal of Cardiac Nursing, 7(4), pp.172~177 (2012)[DOI]
- 박정희, "정형외과 환자의 수술 후 변비 발생과 영향 요인", 성인간호학회지, 28(6), pp.637~645 (2016), 한국성인간호학회[DOI]
- 박성희, "임신 및 출산 여성의 요실금 및 대변실금 예방을 위한 케겔운동의 효과: 체계적 문헌 고찰", Journal of Korean Academy of Nursing, 43(3), pp.420~430 (2013), 한국간호과학회
- Rao, S. S., "Update on the management of constipation in the elderly : new treatment options", Clinical Interventions in Aging, 5, pp.163~171 (2010)[DOI]
- "Prevention of constipation in the older adult population" (2005)[URL]
- Ross-Adjie, G. M., "Bowel management post major joint arthroplasty : results from a randomised controlled trial", International Journal of Orthopaedic and Trauma Nursing, 19(2), pp.92~101 (2015)[DOI]
- Sendir, M., "Postoperative constipation risk assessment in Turkish orthopedic patients", Gastroenterology Nursing, 35(2), pp.106~113 (2012)[DOI]
- 신정은, "변비 약물 치료의 지침 – 어떤 약제를, 언제 사용해야 하는가?", 대한내과학회지, 88(1), pp.22~26 (2015), 대한내과학회[DOI]
- Silva, C. A., "The use of abdominal muscle training, breathing exercises and abdominal massage to treat paediatric chronic functional constipation", Colorectal disease:the Official Journal of the Association of Coloproctology of Great Britain and Irelan, 15(5), pp.e250~e255 (2013)[DOI]
- Swegle, J. M., "Management of common opioid-induced adverse effects", American Family Physician, 74(8), pp.1347~1354 (2006)
- Toner, F., "Preventing, assessing, and managing constipation in older adults", Nursing, 42(12), pp.32~40 (2012)[DOI]
- 유은희, "골반저 근육 재활치료", Obstetrics & Gynecology Science, 49(9), pp.1838~1843 (2006), 대한산부인과학회