Constipation
Conditions
Keywords
Critical care, Constipation, Intensive care, Nursing
Brief summary
This study aimed to investigate the early, late, and total constipation frequency, related factors, and their effects on the hospitalization day, gastric residual volume, vomiting, distension, and diarrhea, the feeding type, white blood cells, and C-Reactive Protein levels, and body temperature.
Detailed description
Constipation is one of the most encountered nursing problems in intensive care unit patients. Constipation is an important issue, especially in intensive care patients, requiring careful discussion since it has negative effects as well as high incidence and excessive risk factors. Furthermore, untreated constipation in these patients delays enteral feeding prolonging the time of weaning from the mechanical ventilator, which consequently increases the duration of stay in the intensive care unit. Additionally, it involves complications such as distention, nausea-vomiting, an increase in bacterial infection rate, high morbidity, and mortality. Therefore, the definitions, risks, and effects of constipation, especially early and late constipation, in critically ill patients should be determined for evidence-based interventions. However, studies on the subject are limited.
Interventions
None listed
Sponsors
Abant Izzet Baysal University
Study design
Observational model
CASE_ONLY
Time perspective
CROSS_SECTIONAL
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* \>18 years * Not abdominal surgery * Not stoma * Not constipation during admission * Not intraperitoneal infection * Not had a recent colonoscopy -\> 5 hospitalization days
Exclusion criteria
* Having prolonged constipation and complications (such as decreased bowel sounds, and excessive distension) * Order for regular laxatives or enemas * Not meet inclusion criteria during follow-up
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The frequency of total constipation, early-type constipation and late-type constipation | Through study completion, an average of five months | During the study, patients in the intensive care unit with no bowel movements for four days were accepted as constipated. The ones without defecation for five days were evaluated in the early type constipation group, while the patients without defecation for six days or more were evaluated in the late-type constipation group. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| he duration of stay in the intensive care unit | Through study completion, an average of five months | the duration of stay in the intensive care unit as days (how many days?) |
| the amount of gastric residual volume | Through study completion, an avarage of five months | the amount of gastric residual volume in ml/cc |
| developing vomiting | Through study completion, an average of five months | developing vomiting as numbers (how many times?) |
| Level of white blood cells | Through study completion, an average of five months | level of white blood cells (WBC) in mcL |
| body temperature | Through study completion, an average of five months | body temperature in celsius |
Countries
Turkey (Türkiye)
Outcome results
None listed