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Constipation prophylaxis in children undergoing orthopedic surgery: A quasi-experimental study

Laila Sara Mantegazzi1, Brigitte Seliner2, Lorenz Imhof3

  • 1APN in Continence Care, University Children's Hospital Zurich.

Journal for Specialists in Pediatric Nursing : JSPN
|May 26, 2016
PubMed

Insights

Implementing standardized constipation prophylaxis supported by advanced practice nurses significantly reduced constipation in pediatric orthopedic patients. This intervention is crucial for improving patient care in this population.

Area of Science:

  • Pediatric Nursing
  • Gastroenterology
  • Surgical Care

Background:

  • Constipation is a common issue in pediatric orthopedic patients.
  • Effective prophylaxis strategies are needed to manage this complication.
  • The role of advanced practice nurses in implementing care protocols is increasingly recognized.

Purpose of the Study:

  • To evaluate the effectiveness of constipation prophylaxis in pediatric orthopedic patients.
  • To assess the impact of advanced practice nurse support on prophylaxis outcomes.
  • To determine if a standardized approach to constipation prevention improves patient outcomes.

Main Methods:

  • A quasi-experimental study design was employed.
  • A historical control group (112 patients) was compared with an intervention group (59 patients).
  • The study was conducted in a surgical ward in Switzerland, focusing on pediatric patients aged 1-18.

Main Results:

  • The standardized constipation prophylaxis resulted in a 27% absolute risk reduction of constipation.
  • A statistically significant difference in constipation prevalence was observed between the groups (p = .001).
  • The intervention demonstrated a clear positive impact on reducing constipation incidence.

Conclusions:

  • Constipation prophylaxis is an essential component of care for pediatric orthopedic patients.
  • Advanced practice nurse-supported standardized prophylaxis is effective in reducing constipation.
  • This approach should be considered a necessity in pediatric orthopedic settings.
Abstract

Keywords:
Constipationhospitalnursingorthopedicpediatric

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