Affiliation:
1. Teaching and Research Section of Clinical Nursing, Xiangya Hospital of Central South University, Changsha, China
2. Xiangya School of Nursing, Central South University, Changsha, China
3. Xiangya Center for Evidence-Based Nursing Practice & Healthcare Innovation: A JBI Affiliated Group, Changsha, China
Abstract
ABSTRACT
Introduction and objective:
Constipation is a common complication following spinal surgery that can result in distension, abdominal pain, infection, and even intestinal perforation. This study reports on an evidence-based implementation project to reduce the incidence of constipation in spinal surgery wards.
Methods:
The project was conducted in the spinal surgery ward of a general tertiary hospital in Changsha City, China, from March to August 2022. We used the JBI Implementation Framework and the JBI Model of Evidence-Based Healthcare for audits and feedback. Data were collected and analyzed using JBI's Practical Application of Clinical Evidence System (PACES) software. Seven audit criteria were developed based on the best practice recommendations summarized by JBI. A baseline audit was conducted with 20 nurses and 50 patients in the spinal surgery ward, and a follow-up audit was conducted using the same sample size and setting.
Results:
The baseline audit revealed compliance below 46% for five of the seven criteria. Strategies developed to address poor compliance included educating nurses and patients, developing a post-operative constipation risk assessment sheet, organizing stakeholder focus group meetings, establishing a constipation management routine, and effective empowerment of nurses. The follow-up audit showed positive compliance results, with the highest rate for Criterion 7 (100%) and the greatest increase for Criterion 2 (from 0% to 78%). Furthermore, the incidence of post-operative constipation decreased from 48% to 16%.
Conclusion:
The project improved compliance with audit criteria, reduced the incidence of constipation, and enhanced the efficiency of quality management in the spinal surgery ward.
Spanish abstract:
http://links.lww.com/IJEBH/A186
Publisher
Ovid Technologies (Wolters Kluwer Health)
Reference19 articles.
1. American Gastroenterological Association medical position statement on constipation;Bharucha;Gastroenterol,2013
2. Evidence summary. Constipation in hospitalized patients: management;Pamaiahgari;JBI EBP Database,2021
3. The association between constipation and quality of life, health related quality of life and health status in adults: a systematic review protocol;Trads;JBI Database System Rev Implement Rep,2015
4. Constipation after thoraco-lumbar fusion surgery;Stienen;Clin Neurol Neurosurg,2014
5. Influencing factor analysis of constipation occurrence after thoracolumbar fractures surgery;Chen;NJCPLA,2014