Ignite Creation Date:
2024-05-06 @ 8:28 PM
Last Modification Date:
2024-10-26 @ 3:28 PM
Study NCT ID:
NCT06399133
Status:
COMPLETED
Last Update Posted:
2024-05-03
First Post:
2024-04-27
Brief Title:
Care Package for Postoperative Constipation
Sponsor:
Kubra KAYA
Organization:
Hasan Kalyoncu University
Study Overview
Official Title:
Care Package for Postoperative Constipation
Status:
COMPLETED
Status Verified Date:
2024-04
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
Car_Package
Brief Summary:
Background Postoperative constipation is a common complication The effectiveness of a care package constituting warm water intake abdominal massage and a high-fiber diet has not been investigated in patients undergoing orthopedic surgery
Aim the investigators determined the effects of a care package including warm water intake abdominal massage and high-fiber diet on constipation prevention aiming to improve patient quality of life during the postoperative period and support nurses in clinical practice
Study design This was a single-center randomized controlled trial of patients hospitalized in the Orthopedics and Traumatology Clinic of a state hospital between September 15 2022 and April 30 2023 Overall 102 patients were randomly assigned to study and control groups Routine clinical practice was maintained for patients in the control group whereas a care package constituting postoperative warm water intake abdominal massage and a high-fiber diet was provided to those in the study group Data was collected using the Constipation Risk Assessment Scale and Visual Analog Scale Constipation severity was evaluated by administering the scales one day before surgery T0 and one T1 two T2 three T3 and four T4 days postoperatively Data were analyzed using SPSS software version 200 IBM Canada Statistical significance was set at p 005
Aim the investigators determined the effects of a care package including warm water intake abdominal massage and high-fiber diet on constipation prevention aiming to improve patient quality of life during the postoperative period and support nurses in clinical practice
Study design This was a single-center randomized controlled trial of patients hospitalized in the Orthopedics and Traumatology Clinic of a state hospital between September 15 2022 and April 30 2023 Overall 102 patients were randomly assigned to study and control groups Routine clinical practice was maintained for patients in the control group whereas a care package constituting postoperative warm water intake abdominal massage and a high-fiber diet was provided to those in the study group Data was collected using the Constipation Risk Assessment Scale and Visual Analog Scale Constipation severity was evaluated by administering the scales one day before surgery T0 and one T1 two T2 three T3 and four T4 days postoperatively Data were analyzed using SPSS software version 200 IBM Canada Statistical significance was set at p 005
Detailed Description:
INTRODUCTİON Constipation is a common complication observed in patients undergoing orthopedic surgery The incidence of constipation is reported to be between 40-72 in these patients Factors such as immobilization during the postoperative period opioid use addressing voiding and bowel movements in bed pain and inadequate intake of food and fluids contribute to increased susceptibility to constipation in patients undergoing orthopedic surgery Prolonged immobilization of patients undergoing orthopedic surgery and the widespread use of opioid analgesics in pain management protocols can increase the frequency of constipation Additionally increased catecholamine release due to surgical stress is considered a cause for decreased bowel mobility leading to constipation during the postoperative period
Constipation can lead to multiple adverse effects in patients such as discomfort bloating pain loss of appetite nausea vomiting and increased psychosocial stress Prevention and reduction of constipation symptoms improve patient comfort and quality of life Constipation in surgical patients increases the risk of postoperative complications and prolongs hospital stay
Multiple studies have utilized non-pharmacological methods to prevent constipation The effects of abdominal massage and a high-fiber diet were investigated in studies aimed at preventing constipation in patients undergoing orthopedic surgery However no study has investigated the effects of early warm water intake on constipation in patients undergoing orthopedic surgery Nevertheless one study found that patients administered warm water postoperatively experienced earlier bowel movements
The benefits of implementing care packages have been reported however the literature on care packages aimed specifically at preventing constipation remains limited Several existing care packages have been reported to be effective in preventing constipation However no study investigated the effects of a triple care package constituting early postoperative warm water intake abdominal massage and a high-fiber diet on constipation prevention in patients undergoing orthopedic surgery and previous studies have focused on individual components of the investigated care package
AIMS AND HYPOTHESİS We aimed to determine the effects of a three-intervention constipation prevention care package constituting early postoperative warm water intake abdominal massage and a high-fiber diet on the severity of postoperative constipation in patients undergoing orthopedic surgery We aimed to improve patients quality of life and to support nurses in clinical practice during the postoperative period Our study contributes to the literature owing to the lack of studies that investigated the effects of the aforementioned care package on constipation prevention in patients undergoing orthopedic surgery
The following hypotheses were tested in this study
H11 The constipation prevention care package shortens the time to first defecation postoperatively in patients undergoing orthopedic surgery
H12 The constipation prevention care package reduces postoperative constipation severity in patients undergoing orthopedic surgery
Constipation can lead to multiple adverse effects in patients such as discomfort bloating pain loss of appetite nausea vomiting and increased psychosocial stress Prevention and reduction of constipation symptoms improve patient comfort and quality of life Constipation in surgical patients increases the risk of postoperative complications and prolongs hospital stay
Multiple studies have utilized non-pharmacological methods to prevent constipation The effects of abdominal massage and a high-fiber diet were investigated in studies aimed at preventing constipation in patients undergoing orthopedic surgery However no study has investigated the effects of early warm water intake on constipation in patients undergoing orthopedic surgery Nevertheless one study found that patients administered warm water postoperatively experienced earlier bowel movements
The benefits of implementing care packages have been reported however the literature on care packages aimed specifically at preventing constipation remains limited Several existing care packages have been reported to be effective in preventing constipation However no study investigated the effects of a triple care package constituting early postoperative warm water intake abdominal massage and a high-fiber diet on constipation prevention in patients undergoing orthopedic surgery and previous studies have focused on individual components of the investigated care package
AIMS AND HYPOTHESİS We aimed to determine the effects of a three-intervention constipation prevention care package constituting early postoperative warm water intake abdominal massage and a high-fiber diet on the severity of postoperative constipation in patients undergoing orthopedic surgery We aimed to improve patients quality of life and to support nurses in clinical practice during the postoperative period Our study contributes to the literature owing to the lack of studies that investigated the effects of the aforementioned care package on constipation prevention in patients undergoing orthopedic surgery
The following hypotheses were tested in this study
H11 The constipation prevention care package shortens the time to first defecation postoperatively in patients undergoing orthopedic surgery
H12 The constipation prevention care package reduces postoperative constipation severity in patients undergoing orthopedic surgery
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None