Constipation in critical cardiac patients. 1. Clinical protocols 2. Heart disease 3. Intensive care unit 4. Defecation behavior
Conditions
Interventions
1. Patients will be categorized into three groups based on their bowel movement characteristics. All patients will receive constipation prevention and management measures daily at 8:00 AM. However, if
Experimental Other,No Intervention No treatment
Protocol group,Usual care group
Sponsors
Siriraj Hospital
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: 1.Cardiovascular disease patients 2. Aged 18 years or older 3. Good consciousness (Glasgow Coma Scale score > 8)
Exclusion criteria
Exclusion criteria: 1.Diarrhea within 1 day prior to randomization 2.Nil by mouth for more than 24 hours 3.Daily laxative use within the previous week 4.Contraindications for laxatives, including allergies, coagulopathy, or rectal perforation 5.A history of chronic constipation, irritable bowel syndrome, inflammatory bowel disease, intestinal ileus or obstruction, gastrointestinal bleeding, cirrhosis, or bowel surgery. 6.Women who were pregnant at the time of admission. 7.The presence of a colostomy, ileostomy, or jejunostomy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| rates of Fleet enema use at 72 hours after study enrollment Enema | — |
Secondary
| Measure | Time frame |
|---|---|
| Rate of constipation more than 72 hours after study enrollment patient has not had a bowel movement.,Rate of diarrhea within 72 hours after study enrollment. Defecation of more than 3 times per day with stool consistency of types 6-7 according to the Bristol Stool Scale and stool weight exceeding 250 milliliters per day.,patient satisfaction with defecation. From the date of study enrollment to the date of study completion Rating Scale | — |
Countries
Thailand
Contacts
Public ContactPattanaporn Supina
Faculty of Medicine, Siriraj Hospital.
Outcome results
None listed