The Incidence, Risk Factors, and Effects of Constipation in Critical Patients: An Observational Cross-sectional Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 116
- 试验地点
- 1
- 主要终点
- The frequency of total constipation, early-type constipation and late-type constipation
研究概览
简要总结
This study aimed to investigate the early, late, and total constipation frequency, related factors, and their effects on the hospitalization day, gastric residual volume, vomiting, distension, and diarrhea, the feeding type, white blood cells, and C-Reactive Protein levels, and body temperature.
详细描述
Constipation is one of the most encountered nursing problems in intensive care unit patients.
Constipation is an important issue, especially in intensive care patients, requiring careful discussion since it has negative effects as well as high incidence and excessive risk factors. Furthermore, untreated constipation in these patients delays enteral feeding prolonging the time of weaning from the mechanical ventilator, which consequently increases the duration of stay in the intensive care unit. Additionally, it involves complications such as distention, nausea-vomiting, an increase in bacterial infection rate, high morbidity, and mortality. Therefore, the definitions, risks, and effects of constipation, especially early and late constipation, in critically ill patients should be determined for evidence-based interventions. However, studies on the subject are limited.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Only
- 时间视角
- Cross Sectional
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •>18 years
- •Not abdominal surgery
- •Not stoma
- •Not constipation during admission
- •Not intraperitoneal infection
- •Not had a recent colonoscopy -> 5 hospitalization days
排除标准
- •Having prolonged constipation and complications (such as decreased bowel sounds, and excessive distension)
- •Order for regular laxatives or enemas
- •Not meet inclusion criteria during follow-up
结局指标
主要结局
The frequency of total constipation, early-type constipation and late-type constipation
时间窗: Through study completion, an average of five months
During the study, patients in the intensive care unit with no bowel movements for four days were accepted as constipated. The ones without defecation for five days were evaluated in the early type constipation group, while the patients without defecation for six days or more were evaluated in the late-type constipation group.
次要结局
- Level of white blood cells(Through study completion, an average of five months)
- body temperature(Through study completion, an average of five months)
- he duration of stay in the intensive care unit(Through study completion, an average of five months)
- the amount of gastric residual volume(Through study completion, an avarage of five months)
- developing vomiting(Through study completion, an average of five months)
研究者
Arzu AKMAN YILMAZ
Asst. Prof
Abant Izzet Baysal University