Emly Marian, Rochester Patsy
Physiotherapy Services for People with Learning Disability, East Leeds Primary Care Trust.
Br J Community Nurs. 2006 Aug;11(8):326, 328-32. doi: 10.12968/bjcn.2006.11.8.21664.
Constipation affects the quality of life of many 'at risk' groups of people. Laxatives are the dominant management strategy whose long-term use is ineffective and very costly to the NHS prescription bill and in the use of health staff resources. The development of a user-friendly, evidence-based clinical guideline (The effective management of constipation in primary care) has the potential to change the present situation by providing healthcare practitioners with an aide-mémoire to assist clinical reasoning, in order to re-evaluate current practice and suggest combined alternative treatment strategies. Early indications of use of the guideline suggest holistic individualised bowel management programmes can significantly reduce laxative use and nursing interventions and lead to improved quality of life.
便秘影响着许多“高危”人群的生活质量。泻药是主要的治疗策略，但其长期使用效果不佳，对英国国家医疗服务体系（NHS）的处方费用以及医护人员资源的使用来说成本高昂。制定一份用户友好型、基于证据的临床指南（《初级保健中便秘的有效管理》）有可能改变现状，为医疗从业者提供一份辅助记忆工具以协助临床推理，从而重新评估当前的做法并提出联合替代治疗策略。该指南使用的早期迹象表明，全面的个体化肠道管理方案可以显著减少泻药的使用和护理干预，并提高生活质量。
