Operating Room Services Program, Vocational School of Health Services, Sivas Cumhuriyet University, Sivas, Turkey.
Anesthesia Program, Medical Services and Techniques, Vocational School of Health Services, Sivas Cumhuriyet University, Sivas, Turkey.
J Perianesth Nurs. 2023 Oct;38(5):e15-e20. doi: 10.1016/j.jopan.2023.05.004. Epub 2023 Aug 12.
The purpose of this study was to determine the frequency of postoperative constipation and risk factors in orthopedic patients.
A descriptive model was used.
A total of 140 patients who underwent surgical intervention in the Orthopedics and Traumatology Clinic were included in the present study. The Descriptive Characteristics Form, Constipation Risk Assessment Scale, and Visual Analog Scale were used to collect the study data. Frequencies, percentages, Mann Whitney U, Kruskal-Wallis, and Spearman Correlation tests were used to evaluate the data.
In the present study, 72.1% of the individuals experienced constipation during the hospitalization period, and the constipation risk score was 12.77.á...á4.83. Those who were female, over 65 years old, unemployed, had lower extremity surgery, used opioid analgesics, were dependent on their activities, had prehospital constipation, had a chronic disease, and used drugs regularly had higher constipation risk scores at statistically significant levels. A significant correlation was detected between the constipation risk score and age, pain severity, hospital stay, time to first defecation after surgery, and the amount of fluid consumed daily.
The majority of the individuals experienced constipation during the hospitalization period, and the constipation risk score was moderate. Those who were female, had advanced age, were unemployed, had high pain severity, opioid use, previous constipation, chronic disease, regular medication, long hospital stay, those whose first defecation period was prolonged after the surgery and whose fluid intake was insufficient had a higher risk of constipation. In this regard, nurses must evaluate orthopedic patients in terms of constipation risk factors and apply nondrug methods that prevent and relieve constipation with laxatives.
本研究旨在确定骨科患者术后便秘的频率和相关风险因素。
采用描述性模型。
本研究纳入了骨科和创伤科诊所接受手术干预的 140 名患者。使用描述性特征表、便秘风险评估量表和视觉模拟评分法来收集研究数据。采用频率、百分比、Mann-Whitney U 检验、Kruskal-Wallis 检验和 Spearman 相关检验来评估数据。
本研究中，72.1%的个体在住院期间经历了便秘，便秘风险评分为 12.77±4.83。女性、年龄超过 65 岁、失业、下肢手术、使用阿片类镇痛药、活动依赖、有院前便秘史、患有慢性病和经常使用药物的个体，其便秘风险评分更高，具有统计学意义。便秘风险评分与年龄、疼痛严重程度、住院时间、术后首次排便时间以及每日液体摄入量之间存在显著相关性。
大多数个体在住院期间经历了便秘，便秘风险评分处于中等水平。女性、年龄较大、失业、疼痛严重程度高、阿片类药物使用、有院前便秘史、患有慢性病、经常用药、住院时间长、术后首次排便时间延长以及液体摄入不足的个体，其便秘风险更高。因此，护士必须评估骨科患者的便秘风险因素，并应用非药物方法，如使用泻药来预防和缓解便秘。
