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KMID : 0367020160280060637
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Journal of Korean Academic of Adult Nursing
2016 Volume.28 No. 6 p.637 ~ p.645
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Constipation in Patients following Orthopedic Surgery : Incidence and Influencing Factors
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Park Jeong-Hee
Yun Sun-Ok
Kim Sun-Hwa
Yu Mi-Gyeong
Ham Eun-Jin
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Abstract
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Purpose: The purpose of this study was to identify the occurrences and the factors contributing to constipation in the post surgical period following major orthopedic surgery.
Methods: The sample included 133 patients who had surgery of the hip, knee, or spine. Patients were excluded from the study if there was a history of bowel surgery or constipation from chart review. Data were collected using questionnaires such as Korean version of Modified Barthel index (K-MBI), Hospital Anxiety and Depression Scale, and Constipation Assessment Scale (CAS) before surgery and on the third postoperative day.
Results: Reports of constipation occurred in 77 instances (57.9%). The first reported defecation was within 4.0±2.2 days following surgery. Mean days of first defecation of constipation group vs. non-constipation group was 5.5±1.7 days vs. 2.1±1.0 days. There were statistically significant differences between patients who reported than those who did not in terms of age, length of NPO period, postoperative ADL, and the reported incidents of preoperative and postoperative depressive symptoms. Postoperative ADL, age, and NPO period were significant influencing factors of constipation and explained 52.4% of the variance.
Conclusion: Constipation is a very common symptom for patients undergoing orthopedic surgery. These results indicate a need for improving patient’s ADL after surgery to prevent constipation.
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KEYWORD
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Constipation, Orthopedics, Postoperative period
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