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Stroke: bowel dysfunction in patients admitted for rehabilitation
Tânia M N de M Engler1, Cinthia C Dourado2, Thais G Amâncio3
1Graduate Program in Health Sciences, Universidade de Brasília (UnB), Brazil ; Neurological rehabilitation program in the SARAH Network of Rehabilitation Hospitals, Brasília (DF), Brazil.
The Open Nursing Journal
|November 25, 2014
Summary
Bowel dysfunctions like constipation significantly increase after stroke, affecting over half of patients. This highlights a critical need for better understanding and management of these common post-stroke complications.
Area of Science:
- Neurology
- Gastroenterology
- Rehabilitation Medicine
Background:
- Brain injury from cerebrovascular accident (stroke) can lead to various neurological deficits.
- Bowel dysfunctions are common but often underreported in stroke survivors.
- Understanding the prevalence and types of bowel issues post-stroke is crucial for patient care.
Purpose of the Study:
- To determine the prevalence of bowel dysfunctions before and after stroke.
- To characterize the types and frequency of these dysfunctions.
- To assess laxative use in stroke patients.
Main Methods:
- A cross-sectional study involving 98 hospitalized patients undergoing rehabilitation post-stroke.
- Data collected on bowel movement frequency, stool consistency, constipation, straining, incomplete evacuation, and incontinence.
- Information gathered through self-reports or caregiver reports.
Main Results:
- The prevalence of bowel dysfunctions rose from 23.96% before stroke to 55.21% after stroke (p<0.0001).
- Stroke increased the likelihood of developing bowel dysfunctions sevenfold.
- Constipation was the most frequent dysfunction post-stroke (50%), followed by diminished bowel movement frequency (26.79%).
Conclusions:
- Bowel dysfunctions significantly increase following a stroke.
- These dysfunctions are prevalent and require further investigation.
- Current literature inadequately describes these common post-stroke complications.
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