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Effect of quantitative assessment-based nursing

Effect of quantitative assessment-based nursing intervention on the bowel function and life quality of patients with neurogenic bowel dysfunction after spinal cord injury

Yanyan Zhang MD, RN, Superviser Nurse1 | Xiyan Xia MD, Lecturer2 | Xuewei Zhuang

MD, PhD, Associate Professor3

1Rehabilitation Center, Shandong University

Qilu Hospital, Jinan, China

2Department of Immunology, Jinan

Vocational College of Nursing, Jinan, China

3Department of Clinical Laboratory

Medicine, Shandong University Qilu

Hospital, Jinan, China

Correspondence

Xuewei Zhuang, Department of Clinical

Laboratory Medicine, Shandong University

Qilu Hospital, Jinan, China.

Email: zhiyuan0517@163.com

Funding information

Shandong Provincial Nature Science Found,

Grant/Award Number: 2015ZRE2757

Aims and objectives: To study the effect of quantitative assessment-based nursing

intervention on the bowel function and life quality of patients with neurogenic

bowel dysfunction after spinal cord injury.

Background: Neurogenic bowel dysfunction after spinal cord injury was clinically

manifested by abdominal distension, intractable constipation, prolonged defecation

and faecal incontinence, which seriously affected the normal life of patients. Tradi-

tional ways of nursing for these patients focused on basic care, but lacked sufficient

recognition of disease severity and individual needs.

Design: One hundred and eighty-four patients with neurogenic bowel dysfunction

after spinal cord injury were randomly allocated into observation group (n = 92) and

control group (n = 92).

Methods: The patients in the control group were given regular nursing, and the

patients in the observation group were given quantitative assessment-based nursing

intervention. Recovery of bowel function, quality of life and satisfaction were com-

pared between the two groups.

Results: Scores for bowel function including bloating, constipation, prolonged defeca-

tion, defecation drug dependence and faecal incontinence in the observation group

were significantly lower than those in the control group (p < .05). The scores for the

quality of life including physical function, general health, social functioning, role-

motional, mental health in the observation group were significantly higher than those in

the control group (p < .001). Finally, the satisfaction rate in the observation group was

95.56%, which was significantly higher than that in the control group (83.7%) (p < .01).

Conclusion: We concluded that quantitative assessment-based nursing intervention con-

tributed to recovery of bowel function and improvement of life quality and satisfaction.

Relevance to clinical practice: Our finding can increase the rational allocation of

nurse–patient ratio and provide personalised nursing for severe patients to reduce

complications and promote the rehabilitation of the disease. Our findings can also

serve as a reference for other countries to develop the nurse practitioner role.

K E Y W O R D S

neurogenic bowel dysfunction, nursing interventions, quantitative assessment, spinal cord

injury

Accepted: 19 November 2017

DOI: 10.1111/jocn.14198

e1146 | © 2017 John Wiley & Sons Ltd wileyonlinelibrary.com/journal/jocn J Clin Nurs. 2018;27:e1146–e1151.

 

 

1 | INTRODUCTION

Patients with spinal cord injury (SCI) is associated with autonomic

dysreflexia (Furusawa et al., 2011), serious upper and lower neuro-

genic bowel dysfunction (NBD)(Preziosi & Emmanuel, 2009; Gondim,

de Oliveira, & Thomas, 2010). NBD after SCI was clinically mani-

fested by abdominal distension, intractable constipation, prolonged

defecation and faecal incontinence, which seriously affected the nor-

mal life of patients (Zhu & Liu, 2012). Traditional ways of nursing for

these patients focused on basic care, but lacked sufficient recogni-

tion of disease severity and individual needs. Through comprehen-

sive evaluation of the patient’s symptoms, laboratory and

radiological results, quantitative assessment-based nursing interven-

tion can identify the most urgent care needs and provide person-

alised nursing intervention to reduce complications and promote the

rehabilitation of the disease (Huang & He, 2012). In this study, we

determined the effect of quantitative assessment-based nursing

intervention on the bowel function an