| Autor: |
Kelly, Louise C., Glinsky, Joanne V., Mair, Yvette, Darvall, Amy J., Nier, Lianne M., Harvey, Lisa A. |
| Zdroj: |
Journal of the Australasian Rehabilitation Nurses' Association (JARNA); Dec2024, Vol. 26 Issue 3, p40-50, 11p |
| Abstrakt: |
Background Neurogenic bowel dysfunction (NBD) is a debilitating consequence of spinal cord disorders (SCD). The time to complete bowel care can increase over time for some people and can have a profound effect upon health and wellbeing. Several studies have suggested that the time to complete bowel care may be reduced using trans anal irrigation (TAI), therefore a randomised controlled trial has been designed to test this theory. Study Design Protocol for community based randomised controlled trial (TAI Study). Objectives To determine whether TAI is quicker than 'standard bowel care' in people living with a SCD. Setting Community sites in Greater Sydney and South East Queensland. Methods A pragmatic randomised controlled trial is planned. Twenty four people with chronic SCD will be randomised to receive usual care or TAI. The primary outcome is time to complete bowel care at six weeks. Secondary outcomes include: participant reported time to complete bowel care; measures of constipation; measures of faecal incontinence; measures of quality of life; participant and nurse perceptions of bowel care routine effectiveness and measurements of bowel care burden. The protocol complies with the SPIRIT guideline for reporting clinical trial protocols. Conclusions The findings of the TAI Study will guide recommendations for nurses prescribing bowel care plans for people living in the community with SCD. [ABSTRACT FROM AUTHOR] |
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