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KMID : 0123520220290020081
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Journal of muscle and joint health
2022 Volume.29 No. 2 p.81 ~ p.90
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Effects of Defecation Encouragement Program in Patients Undergoing total Knee Replacement Arthroplasty
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Park Jeong-Hee
Cheon Sung-Joo
Gwon Yeong-Hee
Park Hyeon-Suk
Kim Mi-Na
Park Mi-Ran
Choi Hye-Jin
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Abstract
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Purpose: The purpose of this study was to evaluate the efficacy of applying a defecation encouragement program forpatients undergoing total knee replacement arthroplasty (TKRA).
Methods: This program was based on the nursing bestpractice guideline: prevention of constipation in the older adult population by the National Guideline Clearing House (NGC)in 2011, which included fluid intake, bowel training, and abdominal and pelvic floor exercises. A team of one orthopaedicclinical nurse specialist and six orthopaedic nurses with a 10 years of clinical experience applied and assisted patientswith the program. Formal counsel was provided by one orthopaedic doctor, one gastroenterologist, and one exercisetherapist. Patients who defecated one day prior to or on the day of TKRA surgery were included. Data collected from 72subjects were analyzed using SPSS/WIN 21.0.
Results: Time until first defecation after surgery was 2.4±1.1 days inexperimental group, which was significantly shorter than the 3.5±0.9 days in control group (t=4.28, p<.001). Constipationassessment scale showed significantly lower points (t=2.55, p=.013) in experimental group (1.3±1.2) compared to controlgroup (2.6±2.6). The experimental group and control group were 17.3±7.67 and 23.7±14.43, respectively, and theexperimental group used less laxatives (t=2.83, p=.021).
Conclusion: A defecation encouragement program was provedto be an appropriate nursing intervention for patients undergoing TKRA. This study confirmed that constipation is a nursingproblem that can be sufficiently prevented if nurses are interested and encourage defecation.
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KEYWORD
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Defecation, Constipation, Program, Knee, Arthroplasty
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