Investigation the Effect of Caspian Nursing Process in New-Onset Constipation after Stroke

Background and Aim: Structural planning is essential for the prevention, diagnosis and management of constipation in stroke patients. But attention to constipation as a complication is still less common in critically ill patients. Therefore, the present study aimed to determine the effect of a care plan on the frequency of constipation following stroke in hospitalized patients in Alzahra hospital of Isfahan. Materials and Methods: This clinical trial study was performed on 132 patients (two groups of 66) hospitalized for stroke during three years (pre-intervention, during discharge, one month after discharge) during the years 2018-2019 in Alzahra Hospital, Isfahan. Patients was randomly assigned to 8 block. Type of stroke and age was matched. Data collection tools included demographic-clinical information questionnaire and Rome IV, Bristol Scale and Norgine risk assessment tools. Results: Of the 116 clients studied, 76 (67.9%) elderly, 76 (63.8%)male, 74 (98.2%) married, and 109 (59.8%) were diploma respectively. The incidence of new-onset constipation following stroke in the control group decreased from 66 (100%) at admission to 39 (67.2%) at discharge. Also in the experimental group, from 66 cases (100%) to 18 cases (34%), this difference was significant (P = 0.001) but it was not significant in follow up (P = 0.16). The mean number of symptoms according to Rome IV criterion after intervention was 2.89 ±2.10 in the control group and 1.58±1.65 in the experimental group. This difference was significant (p <0.0001). Conclusion: The findings of the present study indicate a significant impact of the care plan on admission to discharge period, but for follow-up intervention requires more client or companion collaboration. Therefore, the present care plan is continuously recommended in the hospital and at home by both the nurse and the client or companion.

Investigation the Effect of Caspian Nursing Process in New-Onset Constipation after Stroke Keywords:

Constipation , Iran , Nursing care , Stroke