Definitions, signs, and symptoms of constipation in people with severe or profound intellectual disabilities: A systematic review

Autor: Marjolijn C. Wagenaar, Annette A.J. van der Putten, Johanna G. Douma, Cees P. van der Schans, Aly Waninge
Přispěvatelé: Healthy Ageing, Allied Health Care and Nursing, Participation and Health of Persons with Intellectual and Visual Disabilities, Developmental and behavioural disorders in education and care: assessment and intervention, Health Psychology Research (HPR), Extremities Pain and Disability (EXPAND)
Rok vydání: 2021
Předmět:
Zdroj: Heliyon, 8(5). Elsevier
Heliyon, 8(5):e09479. ELSEVIER SCI LTD
ISSN: 2405-8440
Popis: Background: It is difficult to diagnose constipation for people with severe or profound intellectual disabilities. Definitions for this are ambiguous, and the symptoms and signs are often unnoticed. The aim of this study is toidentify clear definitions of constipation for people with different levels of intellectual disabilities and to identify signs and symptoms.Method: Guided by the PRISMA statement, a systematic review of the literature was conducted within electronic databases MEDLINE, Embase, CINAHL, Cochrane, and PsycINFO. Definitions, signs, and symptoms were extractedand the quality of definitions was assessed.Results: In total, 24 studies were included. Quality of definitions ranged from poor to good quality. Standard and referenced definitions were used in ten studies, a self-composed definition was employed in eleven studies; andthree studies did not refer to a source of the definition. The self-composed definitions had not been evaluated after being used for the target group, and no scientific substantiation was available. A broad range of signs and symptoms were described.Conclusions: No substantiated definition has been ascertained for constipation for people with severe or profound intellectual disabilities. Further research will be necessary to identify which signs and symptoms are important fordefining constipation in this target group.
Databáze: OpenAIRE