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User satisfaction with a constipation service: a comparative audit
Sarah Hambleton1, Alison Oldam, Sheleen Sheils
1Department of Clinical Psychology, South of Tyne and Wearside Mental Health Trust.
Insights
A new pediatric constipation service significantly improved outcomes and family support. Families found the education and treatment effective for long-term childhood constipation issues.
Area of Science:
- Pediatric Gastroenterology
- Child Health Services Research
Background:
- Chronic constipation negatively impacts children's quality of life, self-esteem, and family dynamics.
- Existing constipation services may not fully address the long-term needs of affected children and families.
Purpose of the Study:
- To evaluate the effectiveness of a newly established pediatric constipation service.
- To explore the experiences and perceptions of children and families utilizing the service.
Main Methods:
- A mixed-methods approach combining quantitative outcome review with qualitative data from 16 children and families.
- Analysis of service outcomes and participant feedback regarding education and treatment effectiveness.
Main Results:
- The new service demonstrated significant improvements in patient outcomes and family support levels.
- Families reported understanding the condition, attempting lifestyle changes, and appreciating the effective, often novel, treatment.
- The service was perceived as beneficial for managing long-term childhood constipation.
Conclusions:
- The established constipation service is effective in improving outcomes and support for pediatric patients.
- Further service development could enhance prevention, early intervention, and reduce secondary referrals for childhood constipation.
Abstract:
Chronic constipation in children affects their quality of life and can have far reaching consequences, causing low self-esteem in children and family conflict (McGinley 2001). A review of outcomes following the establishment of a new constipation service showed significant improvements in outcomes and in the level of support provided to families. To obtain a more in depth picture of effectiveness, quantitative findings were supplemented with the views of 16 children and families who use the service. Families generally understood the condition and were attempting to make lifestyle changes. They appreciated the education and support offered by the service: for many it was the first time that they had been given effective treatment for what was often a long term problem. Although the existing service is effective, further development could help prevent constipation, improve early intervention and prevent the need for secondary referrals.
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