Şendir Merdiye, Büyükıylmaz Funda, Aştı Türkinaz, Gürpınar Şengül, Yazgan İlknur
Florence Nightingale School of Nursing, Istanbul University, Istanbul, Turkey.
Gastroenterol Nurs. 2012 Mar-Apr;35(2):106-13. doi: 10.1097/SGA.0b013e31824d2945.
This descriptive, correlational study was conducted to describe constipation risk assessment and the affecting factors of constipation risk of patients who have undergone major orthopedic surgery. Data were collected using a patient information form and the Constipation Risk Assessment Scale (CRAS) on the second postoperative day. Data were analyzed using the SPSS version 11.5 for Windows. The mean age of the 83 patients studied was 53.75 ± 21.29 years. Subjects were hospitalized in the orthopedic wards for 14.39 ± 15.17 days, and their current bowel habit was 2.18 ± 1.80 stools per week. Of the sample, 63.9% were female, 69.9% of the patients had a history of previous surgery, 45.8% had hip/knee arthroplasty surgery, and 55.4% had bowel problems during the hospitalization period. Patients had a medium risk for constipation according to the CRAS subscale (gender, mobility, and pharmacological agents). Total CRAS score was 12.73 ± 4.75 (medium risk) on the second postoperative day. In addition, age, marital status, educational level, having a history of surgery, and bowel elimination problems did have a significant effect on constipation risk. On the basis of the findings from this study, nurses must learn the postoperative constipation risk of orthopedic patients to implement safe and effective interventions.
本描述性相关性研究旨在描述接受大型骨科手术患者的便秘风险评估及便秘风险的影响因素。术后第二天，通过患者信息表和便秘风险评估量表（CRAS）收集数据。使用Windows版SPSS 11.5对数据进行分析。所研究的83例患者的平均年龄为53.75±21.29岁。受试者在骨科病房住院14.39±15.17天，其目前的排便习惯为每周2.18±1.80次。在样本中，63.9%为女性，69.9%的患者有既往手术史，45.8%接受过髋/膝关节置换手术，55.4%在住院期间有肠道问题。根据CRAS子量表（性别、活动能力和药物因素），患者存在中度便秘风险。术后第二天CRAS总分是12.73±4.75（中度风险）。此外，年龄、婚姻状况、教育水平、手术史和肠道排泄问题确实对便秘风险有显著影响。基于本研究结果，护士必须了解骨科患者术后的便秘风险，以实施安全有效的干预措施。
