지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
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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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결론 및 제언
REFERENCES
참고문헌 (28)
참고문헌 신청
[학술지(정기간행물)] - De Souza MS / 2002 / Effectiveness of nursing interventions in alleviating perceived problems among orthopaedic patients / Journal of Orthopaedic Nursing 6 : 211 ~ 219
[학술지(정기간행물)] - Merdiye Sendir / 2012 / Postoperative Constipation Risk Assessment in Turkish Orthopedic Patients / Gastroenterology Nursing 35 (2) : 106 ~ 113
[학술지(정기간행물)] - Hsieh C / 2005 / Treatment of constipation in older adults / American Academy of Family Physicians 72 : 2277 ~ 2284
[학술지(정기간행물)] - Martin N. Stienen / 2014 / Constipation after thoraco-lumbar fusion surgery / Clinical Neurology and Neurosurgery 126 : 137 ~ 142
[학술지(정기간행물)] - E. C. Davies / 2008 / The use of opioids and laxatives, and incidence of constipation, in patients requiring neck-of-femur (NOF) surgery: a pilot study / Journal of Clinical Pharmacy and Therapeutics 33 (5) : 561 ~ 566
[학술지(정기간행물)] - Merdiye Sendir / 2012 / Postoperative Constipation Risk Assessment in Turkish Orthopedic Patients / Gastroenterology Nursing 35 (2) : 106 ~ 113
[학술지(정기간행물)] - Hsieh C / 2005 / Treatment of constipation in older adults / American Academy of Family Physicians 72 : 2277 ~ 2284
[학술지(정기간행물)] - Martin N. Stienen / 2014 / Constipation after thoraco-lumbar fusion surgery / Clinical Neurology and Neurosurgery 126 : 137 ~ 142
[학술지(정기간행물)] - E. C. Davies / 2008 / The use of opioids and laxatives, and incidence of constipation, in patients requiring neck-of-femur (NOF) surgery: a pilot study / Journal of Clinical Pharmacy and Therapeutics 33 (5) : 561 ~ 566
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UCI(KEPA) : I410-ECN-0101-2017-512-001994089