Ismail Nevine, Ratchford Irene, Proudfoot Celia, Gibbs John
Department of Paediatrics, Countess of Chester Foundation Trust NHS Hospital, UK.
J Child Health Care. 2011 Sep;15(3):221-9. doi: 10.1177/1367493511406568. Epub 2011 Aug 9.
The impact of a nurse-led constipation clinic was assessed by evaluating the first 50 patients, aged 1.5 to 10 years, using a questionnaire before initial clinic visit and at the third clinic visit, three to four months later. Patients had been constipated for at least six months. The nurses explained the physiology of constipation, the rationale for laxative treatment and the need to comply with treatment. Good toileting behaviour was encouraged. This resulted in an increase in defaecation frequency and stool softness, whereas soiling and pain on defaecation decreased. There was no significant change in the amount of laxatives taken, although it was suspected that compliance improved. Parental understanding of constipation and its management increased. Overall, the control of constipation in children improved markedly through attendance at a nurse-led clinic.
通过对首批50名年龄在1.5至10岁之间的患者进行评估，来评定由护士主导的便秘诊所的影响。在初次就诊前以及三到四个月后的第三次就诊时，使用问卷调查。这些患者便秘至少已有六个月。护士们解释了便秘的生理机制、泻药治疗的原理以及遵守治疗的必要性。鼓励养成良好的排便习惯。这使得排便频率增加，大便变软，而大便失禁和排便时的疼痛则有所减轻。虽然怀疑依从性有所提高，但服用泻药的量没有显著变化。家长对便秘及其管理的理解有所增加。总体而言，通过参加由护士主导的诊所，儿童便秘的控制得到了显著改善。
