Background and Aim:
Constipation is one of the most common complications of acute stroke. New-onset constipation and its impacts on outcome in acute stroke patients remain unclear. Updating the role of nursing interventions in constipation after stroke seems to be useful. Current study aimed to define a care plan on new-onset constipation in stroke clients.
Materials and Methods: Current study was conducted on ۲۰۱۹, the research study consisted of several phases which include of: Searching for scientific sources, formal-content validity, RAND and Delphi methods, Results and changes made at the Delphi stage and the panel of experts to define a care plan. First, studies were screened since ۲۰۰۰ to ۲۰۱۸ with key words of: "stroke", "constipation", "bowel management", "bowel strategy", "post stroke constipation", "new-onset constipation". based on researches, structure was defined. Second two authors determined eligible studies according checklist. Third, primary plan was defined then it was reviewed by an expert panel.
Results: The nursing process is goal-oriented method of caring that provides a framework to nursing care. The outcome should be focus on Prevention of bowel dysfunction, Increased awareness of bowel care needs, Steady state in water and electrolytes, Bristol type ۳ or ۴ criteria and No evidence of constipation according to Roman criteria.
Nursing interventions generally include: water electrolyte correction, medication regimen, fiber therapy, massage therapy, patient education during discharge and follow-up. Evaluation of care plan at discharge include of evaluate the client response and the need for ongoing interventions, Evaluation of awareness of intestinal care, Evaluation of care performed according to the Bristol criteria, Evaluation of care performed according to Roman criteria ۴ and Evaluation of disability in daily activities according to Barthel criteria.
Conclusion: It’s the first nursing care plan for new-onset constipation that suggested to nursing. The outcome of this care plan determine in future study.
