Constipation Occurrence among Critically Ill patients

Elsaman, Suad Elsayed Abdelmotalb; Ahmed, Hanaa

doi:10.9790/1959-0602047079

Cited by 3 publications

(4 citation statements)

References 26 publications

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“…This could be contributed that the use of sedative, and immobility, which reduce bowel motility, may be underlying causes for late defecation, even use of laxatives. Our results were consistent with those of (Lacy et al, 2016;Fennessy et al, 2017;Webster et al, 2017) who recommended that prophylactic laxative use has clinical advantages and can successfully avoid late defecation in critically ill patients.…”

Section: Calculation Of Sample Sizesupporting

confidence: 93%

“…(Guerra et al, 2013;Brasiel PGA et al, 2020) reported similar outcomes that patients who were on mechanical ventilation and received nutrition within 72 hours of ICU admission had greater frequencies of late defecation (72%). Similar findings were reached by (Fennessy et al, 2017;Webster et al, 2017) and about the advantages of early enteral feeding for critically sick patients with limited motility and documented that late defecation in these patients was linked to low or absent dietary fiber intake or was brought on by a decrease in gastrointestinal tract motility.…”

Section: Calculation Of Sample Sizesupporting

confidence: 79%

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Effect of late defecation on mechanical ventilator weaning in critically ill patients

Mahran

Abdelhafez

Ibrahim

et al. 2023

Egyptian Journal of Health Care

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Late defecation can be a significant clinical challenge that can compromise mechanical ventilator (MV) weaning management plans and prolong an intensive care unit (ICU) stay. The purpose of this study was to explore the effect of late defecation on mechanical ventilator weaning, and the factors associated with late defecation in mechanically ventilated patients. Study design: A quantitative descriptive research design was used in this study. Sampling and setting: Purposive sample of 120 mechanically ventilated patients in three ICUs for ≥ 48 hours were investigated, and their defecation status was assessed during the first week after admission. The patients were divided into two groups: normal defecation, and late defecation. Four tools were used in this study; patient assessment sheet, acute physiology and chronic health evaluation II score, The Victoria Bowel Performance Scale, and the patient outcomes assessment tool. Result: Incidence of weaning failure was 24.5% among patients in the normal defecation group and 52.2% among patients in the late defecation group, with a statistically significant difference (P value = 0.002*). (30.2 %) and (55.2 %) of patients in the normal defecation and the late defecation groups respectively received muscle relaxants with statistically significant difference (P value= 0.006*). Conclusion: The use of muscle relaxants, sedatives, and vasopressors may be associated factors of late defection development. Late defecation has a negative effect on MV weaning in critically ill patients. Recommendations: Frequent monitoring of gastro-intestinal motility and applying evidence based guidelines for management of disturbance in gastro-intestinal motility should be routine care in ICU.

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Section: Calculation Of Sample Sizesupporting

confidence: 93%

Section: Calculation Of Sample Sizesupporting

confidence: 79%

Effect of late defecation on mechanical ventilator weaning in critically ill patients

Mahran

Abdelhafez

Ibrahim

et al. 2023

Egyptian Journal of Health Care

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“…In the same line, Chawla et al (2021) (47) concluded that early enteral nutrition is useful than delayed enteral feeding in managing patients who are critically ill through the maintenance of gut integrity and decreasing gastrointestinal disorders. Also El-Saman and Ahmed (2017) (48) reported that most of patients receiving delayed enteral feeding and low fiber diet was constipated Conclusion It can be concluded that massage that applied on abdomen is effective in decreasing constipation and its adverse effect such as abdominal distension, abdominal circumference pressure, gastric residual volume (GRV) and increasing defecation frequency in intervention group.…”

Section: Discussionmentioning

confidence: 95%

Effect of Abdominal Massage on the Occurrence of Constipation among Critically Ill Ventilated Patients at Intensive Care Unit

Younis

Ahmed²,

Seada³

2023

Tanta Scientific Nursing Journal

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“…5 Konstipasi jika tidak diatasi akan mengakibatkan komplikasi pada penyakit lainnya seperti canker kolon, hipertensi arterial, impaksi fekal, hemoroid yang akan berujung kepada kematian. 6 Salah satu untuk meminimalkan kejadian konstipasi adalah aktifitas fisik yang cukup. Aktivitas fisik yang cukup akan memperkuat otot polos pada usus besar, sehingga akan mempengaruhi peristaltik usus yang akan membantu proses defekasi.…”

Section: Artikel Penelitianunclassified

Hubungan Aktivitas Fisik Terhadap Konstipasi pada Pasien Stroke di RS Islam Siti Rahmah Padang

Sibarani

Ulfah²,

Afriyanti

2020

JKA

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AbstrakKonstipasi merupakan keluhan yang sangat sering pada pasien stroke, jika tidak diatasi akan menyebabkan komplikasi penyakit lainnya. Konstipasi pada pasien stroke bisa disebabkan oleh berbagai faktor, salah satunya diperberat oleh aktivitas fisik yang kurang. Tujuan: Menentukan korelasi aktifitas fisik terhadap konstipasi pada pasien stroke di RS Islam Siti Rahmah Padang. Metode: Subjek penelitian adalah pasien stroke sebanyak 54 orang. Desain penelitian ini adalah cross sectional dengan teknik pengambilan sampel secara simple random sampling. Pengukuran konstipasi menggunakan Constipation Scoring System (CSS) dan untuk menilai aktifitas fisik digunakan International Physical Activity Quosioner (IPAQ). Analisa statisitik dilakukan dengan uji korelasi Spearmen. Hasil: Responden dengan aktifitas rendah dan mengalami konstipasi berjumlah 34 orang (87,18%). Hal ini menunjukan terdapat hubungan yang kuat dan bersifat positif antara aktivitas fisik dan konstipasi pada pasien stroke (p = 0,000, r = 0,608). Simpulan: Terdapat hubungan aktifitas fisik terhadap konstipasi pada pasien stroke di RS Islam Siti Rahmah padang

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Constipation Occurrence among Critically Ill patients

Cited by 3 publications

References 26 publications

Effect of late defecation on mechanical ventilator weaning in critically ill patients

Effect of late defecation on mechanical ventilator weaning in critically ill patients

Effect of Abdominal Massage on the Occurrence of Constipation among Critically Ill Ventilated Patients at Intensive Care Unit

Hubungan Aktivitas Fisik Terhadap Konstipasi pada Pasien Stroke di RS Islam Siti Rahmah Padang

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