Effect of quantitative assessment‐based nursing intervention on the bowel function and life quality of patients with neurogenic bowel dysfunction after spinal cord injury

Abstract

Our finding can increase the rational allocation of nurse-patient ratio and provide personalised nursing for severe patients to reduce complications and promote the rehabilitation of the disease. Our findings can also serve as a reference for other countries to develop the nurse practitioner role.

Application of Quantitative Assessment Strategy-Based Nursing Combined with Empathic Nursing in Patients Undergoing Tension-Free Inguinal Herniorrhaphy

“…After a comprehensive evaluation of the patient's gender, age, education level, pain, and severity of the condition, the patients are divided into different levels of nursing subjects. When taking intervention for patients, different levels of intervention nursing should be given to each level subject to implementing stratified personalized nursing [ 18 , 19 ]. According to relevant studies, implementing stratified nursing after comprehensive evaluation can effectively promote patient rehabilitation and reduce the length of hospital stay.…”

Nursing Interventions for Patients With Neurogenic Bowel Dysfunction Arising From Complete Spinal Cord Injury

“…Concept mapping led to identification of 4 nursing interventions for management of neurogenic bowel dysfunction in patients with complete SCI (Figure 2). They are (1) digital-anal stimulation (n = 12 elements6,9,10,17–22,24–26); (2) manual evacuation of stool (n = 9 elements6,9,10,18,20,22,24–26); (3) manual abdominal massage or massage with an electromechanical device (n = 8 elements6,10,17,18,20,23,25,26); and (4) other means of gastrocolic reflex stimulation (n = 6 elements6,9,10,18,25,26).…”

“…It is also reported to relax the external anal sphincter, preventing constipation and unscheduled evacuation. Digital-anal stimulation contributes to dilation of the anal canal and relaxation of the puborectalis muscle, decreasing the anorectal angle, and reducing resistance to evacuation of stool from the rectal vault 21. Maintaining finger contact on the rectal mucosa is advised during digital-anal stimulation, combined with careful circular movements to prevent rectal lesions and autonomic dysreflexia.…”

Content, face, and construct validity of the Irritable Bowel Syndrome Quality of Life (IBS‐QOL) as a measure of bowel‐related quality of life in spinal cord injury

“…7 In various studies, the general measures of QOL (e.g., SF-36) or generic single-item questions have been employed to examine the effect of NBD on QOL, or to evaluate the effects of interventions targeting bowel dysfunction. 5,[8][9][10][11][12] However, a noteworthy limitation of the current SCI literature is the lack of widely accepted bowel-specific QOL instruments that can offer a comprehensive view of the impact of bowel dysfunction across various domains of life. While SF-36 is widely adopted as a tool for measuring health-related QOL, it remains unclear whether it can adequately capture the intricate impacts of NBD, as general QOL measures may have limited sensitivity or specificity for assessing conditionspecific issues.…”

“…In various studies, the general measures of QOL (e.g., SF‐36) or generic single‐item questions have been employed to examine the effect of NBD on QOL, or to evaluate the effects of interventions targeting bowel dysfunction 5,8–12 . However, a noteworthy limitation of the current SCI literature is the lack of widely accepted bowel‐specific QOL instruments that can offer a comprehensive view of the impact of bowel dysfunction across various domains of life.…”