Investigation on Constipation during the First 30 Days after Hip Fracture_West China Medical Journal

Authors：

 ZhangYan , LiuKai , MaLiqun ,  JiangJunwei , LuoCuirong , ZhangXueping

Department of Orthopedics, Leshan City People's Hospital, Leshan, Sichuan 614000, P. R. China;

Corresponding author：

JiangJunwei, Email: 285061643@qq.com

Keywords：

Hip fracture; Constipation; Surgery

DOI：

10.7507/1002-0179.20160037

Video：

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Objective To research on the condition of constipation during the first 30 days after hip fracture. Methods One hundred and four patients with hip fracture treated between May 2014 and March 2015 participated in this study. We judged whether there was constipation by recording the defecation pattern and stool consistency in three time periods: from admission to the time just before surgery, from the end of surgery to the time of discharge, and from discharge to 30 days after injury. The defecation pattern was assessed using Bristol Stool Scale and a scale of four-stage defecation was used to assess the stool consistency. Results There were 51.9% (54) of the patients who developed constipation during the first time period, 69.0% (69) during the second time period, and 63.4% (59) in the third time period. The proportion increased by 17% during the second period over the first (P=0.003), while there was no significant difference between the latter two time periods (P=0.581). Normal defecation pattern was re-established 9.7 days after surgery, though 23.7% (22) of the patients did not re-establish normal defecation pattern within the first 30 days after injury. Conclusion The incidence of constipation during the first 30 days after hip fracture is high. The results imply that further studies are needed to prevent constipation.

Citation： ZhangYan, LiuKai, MaLiqun, JiangJunwei, LuoCuirong, ZhangXueping. Investigation on Constipation during the First 30 Days after Hip Fracture. West China Medical Journal, 2016, 31(1): 131-134. doi: 10.7507/1002-0179.20160037 Copy

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7.	周莲. 骨科卧床患者便秘的护理干预[J]. 中国实用医药, 2013, 8(9):212-213.
8.	Lewis SJ, Heaton KW. Stool form scale as a useful guide to intestinal transit time[J]. Scand J Gastroenterol, 1997, 32(9):920-924.
9.	Rasmussen LS, Pedersen PU. Constipation and defecation pattern the first 30 days after thoracic surgery[J]. Scand J Caring Sci, 2010, 24(2):244-250.
10.	Neighbour C. Improving bowel care after surgery for hip fracture[J]. Nurs Older People, 2014, 26(10):16-22.
11.	陈茜, 叶敏. 老年卧床住院患者便秘的影响因素[J]. 中华护理杂志, 2009, 44(9):805-807.
12.	阳世伟, 殷磊, 李键. 饮食教育预防骨科术后病人便秘的研究[J]. 中华护理杂志, 2004, 39(1):12-14.
13.	Wrightb JE. Review of the literature on constipation to enable development of a constipation risk assessment scale[J].J Orthop Nurs, 2004, 8(4):192-207.
14.	Asai T. Constipation:does it increase morbidity and mortality in critically ill patients?[J]. Crit Care Med, 2007, 35(12):2861-2862.
15.	Watt-Watson J, Chung F, Chan VW, et al. Pain management following discharge after ambulatory same-day surgery[J]. J Nurs Manag, 2004, 12(3):153-161.
16.	Davies EC, Green CF, Mottram DR, et al. The use of opioids and laxatives, and incidence of constipation, in patients requiring neck-of-femur (NOF) surgery:a pilot study[J]. J Clin Pharm Ther, 2008, 33(5):561-566.
17.	Probert CJ, Emmett PM, Heaton KW. Intestinal transit time in the population calculated from self made observations of defecation[J]. J Epidemiol Community Health, 1993, 47(4):331-333.
18.	Davies GJ, Crowder M, Reid B, et al. Bowel function measurements of individuals with different eating patterns[J]. Gut, 1986, 27(2):164-169.
19.	李六亿, 袁建峰, 赵艳春, 等. 医疗综合目标评估对医务人员手卫生依从率的影响[J]. 中国感染控制杂志, 2015(1):16-19.

1. Norton C. Constipation in older patients:effects on quality of life[J]. Br J Nurs, 2006, 15(4):188-192.
2. Müller-Lissner SA, Kamm MA, Scarpignato C, et al. Myths and misconceptions about chronic constipation[J]. Am J Gastroenterol, 2005, 100(1):232-242.
3. Kinnunen O. Study of constipation in a geriatric hospital, day hospital, old people's home and at home[J]. Aging (Milano), 1991, 3(2):161-170.
4. 张军红, 戎瑞芳. 骨科卧床患者便秘的护理[J]. 河北医药, 2014(18):2879-2880.
5. Wrightb JE. Review of the literature on constipation to enable development of a constipation risk assessment scale[J]. Clin Eff Nurs, 2004, 8(4):192-207.
6. 陈映红, 阮丽丽, 黄益珍. 多发性骨折患者便秘原因分析与护理对策[J]. 齐齐哈尔医学院学报, 2015(11):1694-1695.
7. 周莲. 骨科卧床患者便秘的护理干预[J]. 中国实用医药, 2013, 8(9):212-213.
8. Lewis SJ, Heaton KW. Stool form scale as a useful guide to intestinal transit time[J]. Scand J Gastroenterol, 1997, 32(9):920-924.
9. Rasmussen LS, Pedersen PU. Constipation and defecation pattern the first 30 days after thoracic surgery[J]. Scand J Caring Sci, 2010, 24(2):244-250.
10. Neighbour C. Improving bowel care after surgery for hip fracture[J]. Nurs Older People, 2014, 26(10):16-22.
11. 陈茜, 叶敏. 老年卧床住院患者便秘的影响因素[J]. 中华护理杂志, 2009, 44(9):805-807.
12. 阳世伟, 殷磊, 李键. 饮食教育预防骨科术后病人便秘的研究[J]. 中华护理杂志, 2004, 39(1):12-14.
13. Wrightb JE. Review of the literature on constipation to enable development of a constipation risk assessment scale[J].J Orthop Nurs, 2004, 8(4):192-207.
14. Asai T. Constipation:does it increase morbidity and mortality in critically ill patients?[J]. Crit Care Med, 2007, 35(12):2861-2862.
15. Watt-Watson J, Chung F, Chan VW, et al. Pain management following discharge after ambulatory same-day surgery[J]. J Nurs Manag, 2004, 12(3):153-161.
16. Davies EC, Green CF, Mottram DR, et al. The use of opioids and laxatives, and incidence of constipation, in patients requiring neck-of-femur (NOF) surgery:a pilot study[J]. J Clin Pharm Ther, 2008, 33(5):561-566.
17. Probert CJ, Emmett PM, Heaton KW. Intestinal transit time in the population calculated from self made observations of defecation[J]. J Epidemiol Community Health, 1993, 47(4):331-333.
18. Davies GJ, Crowder M, Reid B, et al. Bowel function measurements of individuals with different eating patterns[J]. Gut, 1986, 27(2):164-169.
19. 李六亿, 袁建峰, 赵艳春, 等. 医疗综合目标评估对医务人员手卫生依从率的影响[J]. 中国感染控制杂志, 2015(1):16-19.

West China Medical Journal

Investigation on Constipation during the First 30 Days after Hip Fracture

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