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

Aims and objectives To study the effect of quantitative assessment‐based nursing intervention on the bowel function and life quality of patients with neurogenic bowel dysfunction after spinal cord injury. Background Neurogenic bowel dysfunction after spinal cord injury was clinically manifested by a...

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Veröffentlicht in:Journal of clinical nursing 2018-03, Vol.27 (5-6), p.e1146-e1151
Hauptverfasser: Zhang, Yanyan, Xia, Xiyan, Zhuang, Xuewei
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Xia, Xiyan
Zhuang, Xuewei
description Aims and objectives To study the effect of quantitative assessment‐based nursing intervention on the bowel function and life quality of patients with neurogenic bowel dysfunction after spinal cord injury. Background Neurogenic bowel dysfunction after spinal cord injury was clinically manifested by abdominal distension, intractable constipation, prolonged defecation and faecal incontinence, which seriously affected the normal life of patients. Traditional ways of nursing for these patients focused on basic care, but lacked sufficient recognition of disease severity and individual needs. Design One hundred and eighty‐four patients with neurogenic bowel dysfunction after spinal cord injury were randomly allocated into observation group (n = 92) and control group (n = 92). Methods The patients in the control group were given regular nursing, and the patients in the observation group were given quantitative assessment‐based nursing intervention. Recovery of bowel function, quality of life and satisfaction were compared between the two groups. Results Scores for bowel function including bloating, constipation, prolonged defecation, defecation drug dependence and faecal incontinence in the observation group were significantly lower than those in the control group (p 
doi_str_mv 10.1111/jocn.14198
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Background Neurogenic bowel dysfunction after spinal cord injury was clinically manifested by abdominal distension, intractable constipation, prolonged defecation and faecal incontinence, which seriously affected the normal life of patients. Traditional ways of nursing for these patients focused on basic care, but lacked sufficient recognition of disease severity and individual needs. Design One hundred and eighty‐four patients with neurogenic bowel dysfunction after spinal cord injury were randomly allocated into observation group (n = 92) and control group (n = 92). Methods The patients in the control group were given regular nursing, and the patients in the observation group were given quantitative assessment‐based nursing intervention. Recovery of bowel function, quality of life and satisfaction were compared between the two groups. Results Scores for bowel function including bloating, constipation, prolonged defecation, defecation drug dependence and faecal incontinence in the observation group were significantly lower than those in the control group (p &lt; .05). The scores for the quality of life including physical function, general health, social functioning, role‐motional, mental health in the observation group were significantly higher than those in the control group (p &lt; .001). Finally, the satisfaction rate in the observation group was 95.56%, which was significantly higher than that in the control group (83.7%) (p &lt; .01). Conclusion We concluded that quantitative assessment‐based nursing intervention contributed to recovery of bowel function and improvement of life quality and satisfaction. Relevance to clinical practice 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.</description><identifier>ISSN: 0962-1067</identifier><identifier>EISSN: 1365-2702</identifier><identifier>DOI: 10.1111/jocn.14198</identifier><identifier>PMID: 29193471</identifier><language>eng</language><publisher>England: Wiley Subscription Services, Inc</publisher><subject>Clinical trials ; Constipation ; Fecal incontinence ; neurogenic bowel dysfunction ; Nursing ; Nursing care ; nursing interventions ; Patient assessment ; Quality of life ; quantitative assessment ; Spinal cord injuries ; spinal cord injury</subject><ispartof>Journal of clinical nursing, 2018-03, Vol.27 (5-6), p.e1146-e1151</ispartof><rights>2017 John Wiley &amp; Sons Ltd</rights><rights>This article is protected by copyright. All rights reserved.</rights><rights>Copyright © 2018 John Wiley &amp; Sons Ltd</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3578-3fc4b880660e44370c6ff0e18e27c92b2869d596363e0e5928f78c4c411ab5c83</citedby><cites>FETCH-LOGICAL-c3578-3fc4b880660e44370c6ff0e18e27c92b2869d596363e0e5928f78c4c411ab5c83</cites><orcidid>0000-0002-6819-2024</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fjocn.14198$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fjocn.14198$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29193471$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zhang, Yanyan</creatorcontrib><creatorcontrib>Xia, Xiyan</creatorcontrib><creatorcontrib>Zhuang, Xuewei</creatorcontrib><title>Effect of quantitative assessment‐based nursing intervention on the bowel function and life quality of patients with neurogenic bowel dysfunction after spinal cord injury</title><title>Journal of clinical nursing</title><addtitle>J Clin Nurs</addtitle><description>Aims and objectives To study the effect of quantitative assessment‐based nursing intervention on the bowel function and life quality of patients with neurogenic bowel dysfunction after spinal cord injury. Background Neurogenic bowel dysfunction after spinal cord injury was clinically manifested by abdominal distension, intractable constipation, prolonged defecation and faecal incontinence, which seriously affected the normal life of patients. Traditional ways of nursing for these patients focused on basic care, but lacked sufficient recognition of disease severity and individual needs. Design One hundred and eighty‐four patients with neurogenic bowel dysfunction after spinal cord injury were randomly allocated into observation group (n = 92) and control group (n = 92). Methods The patients in the control group were given regular nursing, and the patients in the observation group were given quantitative assessment‐based nursing intervention. Recovery of bowel function, quality of life and satisfaction were compared between the two groups. Results Scores for bowel function including bloating, constipation, prolonged defecation, defecation drug dependence and faecal incontinence in the observation group were significantly lower than those in the control group (p &lt; .05). The scores for the quality of life including physical function, general health, social functioning, role‐motional, mental health in the observation group were significantly higher than those in the control group (p &lt; .001). Finally, the satisfaction rate in the observation group was 95.56%, which was significantly higher than that in the control group (83.7%) (p &lt; .01). Conclusion We concluded that quantitative assessment‐based nursing intervention contributed to recovery of bowel function and improvement of life quality and satisfaction. Relevance to clinical practice 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.</description><subject>Clinical trials</subject><subject>Constipation</subject><subject>Fecal incontinence</subject><subject>neurogenic bowel dysfunction</subject><subject>Nursing</subject><subject>Nursing care</subject><subject>nursing interventions</subject><subject>Patient assessment</subject><subject>Quality of life</subject><subject>quantitative assessment</subject><subject>Spinal cord injuries</subject><subject>spinal cord injury</subject><issn>0962-1067</issn><issn>1365-2702</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><recordid>eNp9kd1qFDEUx4NY7Lp64wNIwBsRpuZjJplcytL6QbE3ej1kMidtltlkm2S6zJ2P0AfxqXwSs921gheGQODkd37nwB-hV5Sc0XLer4PxZ7Smqn2CFpSLpmKSsKdoQZRgFSVCnqLnKa0JoZwx_gydMkUVryVdoJ_n1oLJOFh8O2mfXdbZ3QHWKUFKG_D514_7XicYsJ9icv4aO58h3pUfFzwuN98A7sMORmwnbx6q2g94dBb2ztHlea_fFnFpSnjn8g32MMVwDd6ZY-8wp7_ttkzAaeu8HrEJcSgz11OcX6ATq8cEL4_vEn2_OP-2-lRdXn38vPpwWRneyLbi1tR92xIhCNQ1l8QIawnQFpg0ivWsFWpolOCCA4FGsdbK1tSmplT3jWn5Er09eLcx3E6QcrdxycA4ag9hSh1VkoqayFoV9M0_6DpMseydOkaolJSossISvTtQJoaUIthuG91Gx7mjpNtn2O0z7B4yLPDro3LqNzA8on9CKwA9ADs3wvwfVfflavX1IP0NwBermg</recordid><startdate>201803</startdate><enddate>201803</enddate><creator>Zhang, Yanyan</creator><creator>Xia, Xiyan</creator><creator>Zhuang, Xuewei</creator><general>Wiley Subscription Services, Inc</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-6819-2024</orcidid></search><sort><creationdate>201803</creationdate><title>Effect of quantitative assessment‐based nursing intervention on the bowel function and life quality of patients with neurogenic bowel dysfunction after spinal cord injury</title><author>Zhang, Yanyan ; Xia, Xiyan ; Zhuang, Xuewei</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3578-3fc4b880660e44370c6ff0e18e27c92b2869d596363e0e5928f78c4c411ab5c83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Clinical trials</topic><topic>Constipation</topic><topic>Fecal incontinence</topic><topic>neurogenic bowel dysfunction</topic><topic>Nursing</topic><topic>Nursing care</topic><topic>nursing interventions</topic><topic>Patient assessment</topic><topic>Quality of life</topic><topic>quantitative assessment</topic><topic>Spinal cord injuries</topic><topic>spinal cord injury</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zhang, Yanyan</creatorcontrib><creatorcontrib>Xia, Xiyan</creatorcontrib><creatorcontrib>Zhuang, Xuewei</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of clinical nursing</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zhang, Yanyan</au><au>Xia, Xiyan</au><au>Zhuang, Xuewei</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effect of quantitative assessment‐based nursing intervention on the bowel function and life quality of patients with neurogenic bowel dysfunction after spinal cord injury</atitle><jtitle>Journal of clinical nursing</jtitle><addtitle>J Clin Nurs</addtitle><date>2018-03</date><risdate>2018</risdate><volume>27</volume><issue>5-6</issue><spage>e1146</spage><epage>e1151</epage><pages>e1146-e1151</pages><issn>0962-1067</issn><eissn>1365-2702</eissn><abstract>Aims and objectives To study the effect of quantitative assessment‐based nursing intervention on the bowel function and life quality of patients with neurogenic bowel dysfunction after spinal cord injury. Background Neurogenic bowel dysfunction after spinal cord injury was clinically manifested by abdominal distension, intractable constipation, prolonged defecation and faecal incontinence, which seriously affected the normal life of patients. Traditional ways of nursing for these patients focused on basic care, but lacked sufficient recognition of disease severity and individual needs. Design One hundred and eighty‐four patients with neurogenic bowel dysfunction after spinal cord injury were randomly allocated into observation group (n = 92) and control group (n = 92). Methods The patients in the control group were given regular nursing, and the patients in the observation group were given quantitative assessment‐based nursing intervention. Recovery of bowel function, quality of life and satisfaction were compared between the two groups. Results Scores for bowel function including bloating, constipation, prolonged defecation, defecation drug dependence and faecal incontinence in the observation group were significantly lower than those in the control group (p &lt; .05). The scores for the quality of life including physical function, general health, social functioning, role‐motional, mental health in the observation group were significantly higher than those in the control group (p &lt; .001). Finally, the satisfaction rate in the observation group was 95.56%, which was significantly higher than that in the control group (83.7%) (p &lt; .01). Conclusion We concluded that quantitative assessment‐based nursing intervention contributed to recovery of bowel function and improvement of life quality and satisfaction. Relevance to clinical practice 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.</abstract><cop>England</cop><pub>Wiley Subscription Services, Inc</pub><pmid>29193471</pmid><doi>10.1111/jocn.14198</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-6819-2024</orcidid></addata></record>
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source Wiley Online Library Journals Frontfile Complete
subjects Clinical trials
Constipation
Fecal incontinence
neurogenic bowel dysfunction
Nursing
Nursing care
nursing interventions
Patient assessment
Quality of life
quantitative assessment
Spinal cord injuries
spinal cord injury
title Effect of quantitative assessment‐based nursing intervention on the bowel function and life quality of patients with neurogenic bowel dysfunction after spinal cord injury
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