Bowel dysfunction
Conditions
Interventions
Intervention group:Digital rectal stimulation + Abdominal massage + Usual care
Control group:Usual care
Sponsors
The First Hospital of Changsha
Eligibility
Sex/Gender
All
Age
18 Years to 85 Years
Inclusion criteria
Inclusion criteria: (1) age = 18 years old, (2) Stroke stable phase (no Stroke relapse for 3 months), (3) Awake consciousness and stable vital signs, (4) NIHSS Score=15, (5) Bowel dysfunction according to the criteria of Rome?: 1) Constipation is defined as meeting any 2 of the following features: a. Difficulty with stool passage in 25% or more of bowel movements; b. Hard stool or lumpy consistency (Bristol Stool Form Scale type 1-2 stool) in 25% or more of bowel movements; c. Incomplete evacuation in 25% or more of bowel movements; d. Obstruction or blockage sensation in 25% or more of bowel movements; e. Need for digital help with 25% or more of bowel movements; f. Spontaneous bowel movements less than 3 times per week. 2) Rare loose stools without the use of laxatives. 3) Not meeting the criteria for irritable bowel syndrome. *The symptoms must have been present for at least 6 months prior to diagnosis, and must have been present during the past 3 months as per the above criteria; it is important to exclude constipation due to opioid use. Fecal incontinence refers to repeated occurrences of uncontrolled fecal excretion. *The symptoms must have been present for at least 6 months prior to diagnosis, and must have occurred 2-4 times within the past week.
Exclusion criteria
Exclusion criteria: (1) Severe cognitive impairment or communication difficulties that may affect participation in the study, (2) History of anorectal trauma and surgery, mass growth in the intestinal canal or intestinal obstruction, (3) Crohn's disease, inflammatory bowel disease, ulcerative colitis, irritable bowel syndrome, (4) Patients with a confirmed diagnosis of deep vein thrombosis, (5) Participation in other rehabilitation programs or clinical trials during the study period, (6) Pregnant or lactating women.
Design outcomes
Secondary
| Measure | Time frame |
|---|---|
| Bristol Stool Form Scale;The Patient Assessment of Constipation-Quality of Life;Faecal Incontinence Quality of Life ; | — |
Primary
| Measure | Time frame |
|---|---|
| Wexner; | — |
Countries
China
Contacts
Public ContactYing He
The First Hospital of Changsha
Outcome results
None listed