Constipation, Nursing Care, Postoperative Care
Conditions
Keywords
Squatting Position, Constipation, Defecation problems, Clinical Nursing Research
Brief summary
One of the most common nursing care problems after surgery is defecation problems and the risk of constipation. The aim of the study was to determine the effectiveness of the squatting position with footstool on the constipation severity and defecation problems in the postoperative period in patients with hernia surgery.
Detailed description
In this study, after the surgical procedure, the patients were placed in a squatting position by placing a stool under their feet in the toilet.
Interventions
OTHERSquatting position by footstool
Before the study, the height of the toilet bowls in the patient rooms was measured as 42 cm. The stools to be used for the study are manufactured by ordering laminated with white medium density fiberboard and synthetic resin resistant to harsh chemicals. Stools are made of high quality non-slip materials for patient safety. After the first postoperative ambulation, stable patients whose bowel movements resumed met their initial defecation needs with the squatting position created using a stool at the appropriate height on the water closet type toilet. The patients used footstools throughout a week after discharge at home and in the hospital for defecation.
Sponsors
Meltem Kaya
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
DOUBLE (Investigator, Outcomes Assessor)
Intervention model description
pretest-posttest time series model with the different control group
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* Hernia surgery in the general surgery clinic * Between 18 and 65 years of age * BMI between normal and overweight (18.50-24,99 kg/m2: Normal,25-29,99 kg/m2: Overweight) * Being able to establish verbal communication * Volunteering to participate in the study * Absence of mental confusion * Having full consciousness and orientation * Having no communication difficulties * Having a constipation risk between moderate to high * Using a water closet type toilet at home
Exclusion criteria
* Having a low risk of constipation * Patient who declined to participate in the study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change from before surgery in The Constipation Severity Scale (CSS) average score | Data were collected before surgery, post-op 1st day, post-op 2nd day and on the 7th day after discharge. All of the patients were discharged on the 2nd postoperative day. | Constipation Severity Scale (CSS) aims to determine individuals' defecation frequency, intensity, and difficulty. The CSS consists of 16 items and three sub dimensions, namely Excrement Congestion, Large Bowel Laziness, and Pain. The lowest score that can be attained from the CSS is 0 while the highest score that can be attained is 73. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Difficulty pushing in defecation average score | Data were collected post-op 2nd day and on the 7th day after discharge. All of the patients were discharged on the 2nd postoperative day. | Average score on a scale from 0 to 4. 0 I did not experience any difficulties, 1 I had mild difficulties, 2 I had some difficulties, 3 I had a lot of difficulties, 4 I experienced extreme difficulties. |
| Duration of defecation, average minutes | Data were collected post-op 2nd day and on the 7th day after discharge. All of the patients were discharged on the 2nd postoperative day. | The time (minutes) the patient spent defecation. |
| Defecation pain average score | Data were collected post-op 2nd day and on the 7th day after discharge. All of the patients were discharged on the 2nd postoperative day. | The Visual Analog Scale (VAS) consists of a 10 cm line used to evaluate defecation pain by scoring it between 1 and 10. |
| Stool consistency | Data were collected post-op 2nd day and on the 7th day after discharge. All of the patients were discharged on the 2nd postoperative day. | Bristol Stool Scale (BSS) is designed to classify the form of human faeces into seven categories. Types 1-2, hard; types 3-5, normal; types 6-7, loose/liquid |
| Fear of pushing in defecation average score | Data were collected post-op 2nd day and on the 7th day after discharge. All of the patients were discharged on the 2nd postoperative day. | Average score on a scale from 0 to 4. 0 No Fear, 1 Slightly Scared, 2 Slightly Scared, 3 Very Afraid, 4 Extremely Too Afraid. |
Countries
Turkey (Türkiye)
Outcome results
None listed