Application evidence-based comprehensive nursing intervention in patients with constipation after spinal surgery
LUO Qin
LI Yanting
MO Xueqing
ZHU Jiangli
LUO Yan'e
ZHOU Yang
Abstract：Objective:To evaluate the effects of the evidence on the prevention and management of constipation in patients after spinal surgery.Methods:Evidence was synthesised through evidence retrieval and literature evaluation,audit criteria and audit method were developed according to clinical situations.Obstacle factors were analysed and action strategies were developed.The implementation rate,knowledge level of nurses and outcome indicators of patients before and after the clinical practice were compared.Results:After evidence-based practice,10 audit criteria increased from 0-61.1％to 57.5％-100.0％.The level of nurses'knowledge score increased from(51.50±13.19)to(83.25±7.30),and the difference was statistically significant(P＜0.05).The incidence of constipation decreased from 52.8％to 5.0％,the incidence of postoperative abdominal distension and pain decreased from 69.4％to 12.5％,the utilization rate of postoperative adjuvant drugs decreased from 86.1％to 55.0％,and the time of the first postoperative defecation decreased from(88.75±32.32)h to(55.83±23.02)h.All the differences were statistically significant(P＜0.05).Conclusion:Evidence-based prevention and management of constipation in patients after spinal surgery can improve the level of nurses'knowledge,reduce the incidence of constipation,and enhance the quality of constipation management.
Keywords：spine surgeryconstipationevidence-based nursingevidence-based practice
Publication Date：2024-12-15
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 4219-4223 )