Factors Associated With Efficacy of Nurse-led Bowel Training of Patients With Chronic Constipation

Iqbal, Fareed; Askari, Alan; Adaba, Franklin; Choudhary, Aliya; Thomas, G. P.; Collins, Brigitte; Tan, Emile; Nicholls, R. J.; Vaizey, C. J.

doi:10.1016/j.cgh.2015.05.037

Cited by 10 publications

(11 citation statements)

References 27 publications

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“…Habit training, also called bowel retraining or pelvic floor retraining, has been developed to address constipation as a multifactorial disorder with a particular focus on the pelvic outlet. Habit training is generally not provided according to a standardized protocol and is mostly a nurse‐led treatment option . It involves dietary advice to improve stool consistency and to maximize the gastro‐colic response in order to ease defecation .…”

Section: Resultsmentioning

confidence: 99%

“…Habit training is generally not provided according to a standardized protocol and is mostly a nurse‐led treatment option . It involves dietary advice to improve stool consistency and to maximize the gastro‐colic response in order to ease defecation . Patients can be given basic gut anatomy and function training to gain an appreciation of how psychological and social stresses may influence gut functioning, as well as advice about the frequency and length of toilet visits and posture.…”

Section: Resultsmentioning

confidence: 99%

“…Patients can be given basic gut anatomy and function training to gain an appreciation of how psychological and social stresses may influence gut functioning, as well as advice about the frequency and length of toilet visits and posture. Simple pelvic floor exercises and abdominal muscular coordination training to improve the pushing effort are relevant treatment components in all protocols . However, habit training is not like biofeedback, where information about a physiological process is presented to enable mastering of a disordered function .…”

Section: Resultsmentioning

confidence: 99%

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European society of neurogastroenterology and motility guidelines on functional constipation in adults

Serra

Pohl

Azpiroz

et al. 2019

Neurogastroenterology Motil

161

151

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Introduction: Chronic constipation is a common disorder with a reported prevalence ranging from 3% to 27% in the general population. Several management strategies, including diagnostic tests, empiric treatments, and specific treatments, have been developed. Our aim was to develop European guidelines for the clinical management of constipation.Design: After a thorough review of the literature by experts in relevant fields, including gastroenterologists, surgeons, general practitioners, radiologists, and experts in gastrointestinal motility testing from various European countries, a Delphi consensus process was used to produce statements and practical algorithms for the management of chronic constipation. 2 of 33 | SERRA Et Al. | INTRODUC TI ONChronic constipation is a common disorder with a reported prevalence ranging from 3% to 27% in the general population. 1,2 Its prevalence increases with age 3,4 and consequently is expected to rise over the next few years, 5 in parallel with the predicted increase in longevity of the European population. Constipation is a symptom that may have diverse etiologies, and for this reason, several diagnostic approaches and treatment options are available, ranging from simple lifestyle changes and general measures to sophisticated pharmacological treatments and surgical interventions. 6 In an attempt to unify the health care received by the population across Europe, the European Society of Neurogastroenterology and Motility (ESNM) decided to develop European guidelines to help physicians to take the best decisions to improve the quality of health in patients suffering from common functional and motor disorders. In this document, we present the ESNM guidelines for chronic constipation, which are intended to be a useful tool for the management of this condition in the general population in Europe. In order to produce comprehensive guidelines addressing the different aspects related with constipation, experts from European countries working in related fields developed relevant statements after a thorough review of the available literature, and final recommendations and management algorithms were produced following a Delphi consensus process. | ME THODS | ParticipantsA chair (Jordi Serra) and co-chair (Daniel Pohl) were commissioned by the ESNM Steering Committee to develop the guidelines. A panel of 12 experts from different European countries, constituted by gastroenterologists, surgeons, general practitioners, radiologists, and experts in gastrointestinal (GI) motility testing, was invited by the chairs to participate in the development of the guidelines. Each expert was assigned to develop a specific area of the document (see below) and to establish a team with one or two co-workers to complete the assigned task. The final ESNM guidelines working group was composed of 13 experts and 9 co-authors. | The Delphi consensusEach expert and co-worker conducted a thorough review of the literature in their specific field of expertise. The following areas were covered by the different subgrou...

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

European society of neurogastroenterology and motility guidelines on functional constipation in adults

Serra

Pohl

Azpiroz

et al. 2019

Neurogastroenterology Motil

161

151

View full text Add to dashboard Cite

show abstract

“…In the case series reported by Iqbal et al 29 and Duelund-Jakobson et al, 30 nurses provided behavioral ("biofeedback") therapy, but in the context of a broader multidisciplinary unit. The nursing models of care included in this review appeared to provide satisfactory results for patients with FGIDs.…”

Section: Discussionmentioning

confidence: 99%

“…The nursing models of care included in this review appeared to provide satisfactory results for patients with FGIDs. In the case series reported by Iqbal et al 29 and Duelund-Jakobson et al, 30 nurses provided behavioral ("biofeedback") therapy, but in the context of a broader multidisciplinary unit. Although neither of these studies had comparison cohorts, other randomized controlled trials for behaviorally based treatment have shown superior outcomes than have standard care.…”

Section: Discussionmentioning

confidence: 99%

Delivery of care for functional gastrointestinal disorders: A systematic review

Basnayake

Kamm

Salzberg

et al. 2019

J of Gastro and Hepatol

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Background A diverse range of treatments are available for the treatment of functional gastrointestinal disorders (FGIDs). Individual treatments, including drug therapies, behavioral therapy (“biofeedback”), psychological therapies, and dietary therapies, have been well validated in controlled, randomized trials and real‐life case series. However, few studies have evaluated models of delivery of care for the whole population of referred patients with an FGID. This review evaluates models of specialist outpatient care for the management of FGIDs. Methods A systematic review was performed of full‐text articles published until October 2018 in Pubmed/Medline and Embase. Studies were included if they evaluated a model of outpatient care in a specialist setting for the treatment of adult patients with an FGID and included patient‐reported outcomes comprising symptoms, quality of life, or psychological well‐being. Results Few studies have evaluated the delivery of care for the whole population of referred patients with an FGID, and there was one randomized comparison of different models of care. Two studies that evaluated the outcome of gastroenterologist‐only clinics suggested poor long‐term results. Two non‐comparative case series reported the outcome of multidisciplinary care, including gastroenterologists and psychological therapists, suggesting improved patient quality of life and psychological well‐being. Conclusions Despite the high prevalence and cost of treating FGIDs, and the availability of effective treatments, there are few data and limited randomized comparisons reporting the outcome of different types of specialist care. The few data available suggest that multidisciplinary care is superior to gastroenterologist‐only care, but this needs to be validated in prospective comparative studies.

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Treating disorders of brain–gut interaction with multidisciplinary integrated care. Moving towards a new standard of care

Burgell,

Hoey,

Norton

et al. 2024

JGH Open

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Disorders of brain–gut interaction (DGBI) are highly prevalent in our community with a negative burden on the quality of life and function. Symptoms are frequently food‐induced, and psychological disorders are commonly co‐morbid and contribute greatly to symptom severity and healthcare utilization, which can complicate management. Pathophysiological contributors to the development and maintenance of DGBI are best appreciated within the biopsychosocial model of illness. Established treatments include medical therapies targeting gastrointestinal physiology, luminal microbiota or visceral sensitivity, dietary treatments including dietary optimization and specific therapeutic diets such as a low‐FODMAP diet, and psychological interventions. The traditional “medical model” of care, driven predominantly by doctors, poorly serves sufferers of DBGI, with research indicating that a multidisciplinary, integrated‐care approach produces better outcomes. This narrative review explores the current evidence for multidisciplinary care and provides the best practice recommendations for physicians and healthcare systems managing such patients.

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Factors Associated With Efficacy of Nurse-led Bowel Training of Patients With Chronic Constipation

Cited by 10 publications

References 27 publications

European society of neurogastroenterology and motility guidelines on functional constipation in adults

European society of neurogastroenterology and motility guidelines on functional constipation in adults

Delivery of care for functional gastrointestinal disorders: A systematic review

Treating disorders of brain–gut interaction with multidisciplinary integrated care. Moving towards a new standard of care

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