Status quo of nursing for elderly functional constipation based on clinical practice guidelines
10.3760/cma.j.cn115682-20210803-03439
- VernacularTitle:基于临床实践指南的老年功能性便秘护理现况调查研究
- Author:
Danjing ZHANG
1
;
Ying HE
;
Jia YAO
;
Weizi WU
;
Meiyan FAN
;
Yufang HAO
Author Information
1. 北京医院中医科，国家老年医学中心，中国医学科学院老年医学研究院，北京 100730
- Keywords:
Aged;
Functional constipation;
Clinical practice guideline;
Recommendation;
Clinical practice
- From:
Chinese Journal of Modern Nursing
2022;28(21):2878-2883
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the gap between the clinical nursing status and practice guidelines of elderly functional constipation, propose corresponding action strategies, and provide reference for the clinical transformation of the guidelines.Methods:From July to October 2019, totally 330 clinical nurses and nursing managers of elderly patients with functional constipation admitted into the general hospitals, hospitals of traditional Chinese medicine, and hospitals of traditional Chinese medicine and western medicine in Beijing were selected by convenient sampling and investigated with self-made questionnaires. The standard and algorithm of recommendations were formulated, and Excel software was used to calculate the compliance rate, partial compliance rate, and non-compliant rate of recommendations. A total of 330 questionnaires were distributed in this study, and 330 questionnaires were recovered, with a recovery rate of 100.0% (330/330) . After excluding invalid questionnaires such as items with missing values greater than 10% and all items having the same answers, there were 317 valid questionnaires, with an effective rate of 96.1% (317/330) .Results:Among the recommendations of the 12 guidelines, the 3 items with the highest compliance rate were health education related to toileting patterns, health education related to activities and sports, satisfaction and effect evaluation, while the 4 items with the highest non-compliance rates were building interdisciplinary teams, comprehensive education and program promotion, health assessment, and physical examination of medication history. There was a statistically significant difference in the clinical practice status between nurses who had and had not received relevant training ( P<0.01) . Conclusions:Most nurses can provide comprehensive care for elderly patients with functional constipation, but there is a big gap between the practice and the guidelines. Measures such as strengthening nurse training and talent training and standardizing the nursing process of constipation can help promote the clinical translation of evidence.
