Outcomes in non-surgical management for bowel dysfunction
| Autor: | A. B. Williams, Alexis Schizas, Monica Lyons, Emma Collins, Fiona Hibberts |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
Adult
Male medicine.medical_specialty Constipation Adolescent medicine.medical_treatment Biofeedback Young Adult medicine Humans Fecal incontinence Young adult Physical Therapy Modalities General Nursing Aged Retrospective Studies Specialties Nursing Aged 80 and over Pelvic floor business.industry Biofeedback Psychology Retrospective cohort study Middle Aged medicine.disease Bowel dysfunction Treatment Outcome medicine.anatomical_structure Physical therapy Functional constipation Female medicine.symptom business Fecal Incontinence |
| Zdroj: | British Journal of Nursing. 23:776-780 |
| ISSN: | 2052-2819 0966-0461 |
| Popis: | This retrospective review considers clinical outcomes of patients following non-surgical management of bowel dysfunction (faecal incontinence and constipation), within a tertiary centre's pelvic floor unit. Between November 2010 and January 2013, 443 patients were entered into a database and the results of their treatment were recorded. To capture the treatment modalities that patients received they were grouped into three categories: defaecatory techniques and/or pelvic floor exercises; dietary advice and/or medication recommendations; rectal irrigation or the use of anal plugs. Patients received a median number of three sessions with a specialist nurse or physiotherapist. After completing a programme of therapy, 81% of patients had an improved St Mark's incontinence score and 75% of patients had an improved Thompson's functional constipation score. Subjective symptom improvement was reported in 78% of patients. The majority of these patients were discharged in 2011 and 2012 and have not required follow-up, suggesting that non-surgical management is effective on a medium-term basis. |
| Databáze: | OpenAIRE |
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