Bilsev DEMİR

The risk of postoperative constipation in liver transplant patients

Aim: This research study was carried out as a descriptive study to determine the risk of postoperative constipation in liver transplantpatients.Material and Methods: The study was conducted between September 2018 and November 2018 in the Liver Transplant Clinics ofLiver Transplant Institute at İnönü University. The research population was composed of all of the adult patients who underwentsurgery in these clinics. The sample of the study consisted of 95 patients who were selected from among these patients by using thenon-random sampling method, who were able to communicate and volunteered to participate in the study. The data were collectedthrough the face-to-face interview method using the Patient Information Form and the Constipation Risk Assessment Scale. Counts,percentages, mean scores, standard deviations, Kruskal-Wallis variance analyses, and independent samples t-tests were used toanalyze data.Results: TOf the patents participating in the study, 65.3% were found to be in the moderate-risk group in terms of the developmentof constipation. Total CRAS score was found to be 12.15±3.06 (moderate risk). The risk of constipation was found to be significantlyhigher in patients who were aged 18–34, male, and high school graduates.Conclusion: More than half of the liver transplant patients who participated in the study were found to be at moderate risk for thedevelopment of postoperative constipation.

PDF

___

1. Ozturk MH, Kılıc SP. Effective of education on quality of life and constipation severity in patients with primary constipation. Patient Educ Couns 2019;102: 316-23.
2. Wald A, Scarpignato C, Kamm MA, et al. The burden of constipation on quality of life: results of a multinational survey. AP&T 2007;26:227-36.
3. Drossman DA. The functional gastrointestinal disorders and the Rome III process. Gastroenterology 2006;130:1377-90.
4. Yiannakou Y, Piessevaux H, Bouchoucha M, et al. A randomized, double-blind, placebo-controlled, phase 3 trial to evaluate the efficacy, safety, and tolerability of prucalopride in men with chronic constipation. Am J Gastroenterol 2015;110:741.
5. Erdil F, Özhan Elbaş N. Cerrahi Hastalıkları Hemşireliği 2001;4.
6. Nikjooy A, Jafari H, Saba MA. Patient assessment of constipation quality of life questionnaire: Translation, cultural adaptation, reliability, and validity of the persian version. Iran J Med Sci 2018;43:261.
7. Bengi G, Yalçın M, Akpınar H. Kronik konstipasyona güncel yaklaşım. Güncel Gastroenteroloji 2014;18:181-97.
8. Büyükyılmaz F, Şendir M. Cerrahi hastalarında barsak boşaltımı sorunlarına yönelik hemşirelik bakımı 2009.
9. Celik S, Atar NY, Ozturk N, et al. Constipation risk in patients undergoing abdominal surgery. Iranian Red Crescent Medical J 2015;17:6.
10. Sendir M, Buyukyilmaz F, Asti T, et al.Postoperative constipation risk assessment in Turkish orthopedic patients. Gastroenterol Nurs 2012; 35:106-13.
11. Richmond JP, Wright ME. Development of a constipation risk assessment scale. J of Orthopaedic Nursing 2006;10:186-97.
12. Richmond JP. Development and validation of a constipation risk assessment scale for use in clinical practice 2002, University of Ulster
13. Kutlu AK, Yilmaz E, Cecen D, et al. The reliability and validity of the Turkish version of the constipation risk assessment scale. Gastroenterol Nurs 2011;34:200- 8.
14. Richmond JP, Wright ME. Establishing reliability and validity of a constipation risk assessment scale. J of Orthopaedic Nursing 2008;12:139-50.
15. Madsen L, Magor C, Parker BA. Comparison of two bowel treatments to prevent constipation in postsurgical orthopaedic patients. Int J Orthop Trauma Nur 2010;14:75-81.
16. Robyn E. Stumm, Maureen Spence Thomas, Judith Coombes et al. Managing constipation in elderly orthopaedic patients using either pear juice or a high fibre supplement. Am J Neurodegener Dis 2001;58:181-5.
17. Ucuzal M, Aldanmaz N. Genel cerrahi hastalarında ameliyat sonrası konstipasyon riski. İnönü Üniversitesi Sağlık Bilimleri Dergisi 2015;4:17-22.
18. Raahave D. Faecal retention: A common cause in functional bowel disorders, appendicitis and haemorrhoids. J Gastroenterol 2010;45:592-602.
19. Costilla VC, Foxx-Orenstein AE. Constipation in adults: diagnosis and management. Curr Gastroenterol 2014;12:310-21.
20. Hsieh C. Treatment of constipation in older adults. Am Fam Physician 2005;72:2277-84.
21. McCrea GL, Miaskowski C, Stotts NA, et al. A review of the literature on gender and age differences in the prevalence and characteristics of constipation in North America. J Pain Symptom Manage 2009;37:737-45.
22. Pinto Sanchez MI, Bercik P. Epidemiology and burden of chronic constipation. Can J Gastroenterol Hepatol 2011;25:11-5.
23. Wald A, Mueller-Lissner S, Kamm MA, et al. Survey of laxative use by adults with self-defined constipation in South America and Asia: a comparison of six countries. Aliment Pharmacol Ther 2010;31:274-84.
24. Ross CE, Wu C. The links between education and health. Am Sociol Rev 1995;719-45.
25. Klingman L. Bowel Elimination, in Fundamentals of Nursing 8th Edition, P.P.A.P.P.S.A. Hall, Editor. 2012; MO: Mosby Elsevier: St. Louis. 1087-1123.
26. Bengi G, Yalçın M, Akpınar H. Kronik konstipasyona güncel yaklaşım. Güncel Gastroenteroloji 2014;18: 72-88.