Development of Evidence-based Nursing Practice Guideline for Non-Phamacologic Management of Constipation in Institutionalized Elderly

2.50
Hdl Handle:
http://hdl.handle.net/10755/156351
Type:
Presentation
Title:
Development of Evidence-based Nursing Practice Guideline for Non-Phamacologic Management of Constipation in Institutionalized Elderly
Abstract:
Development of Evidence-based Nursing Practice Guideline for Non-Phamacologic Management of Constipation in Institutionalized Elderly
Conference Sponsor:Sigma Theta Tau International
Conference Year:2007
Author:Kim, Myungae, PhD, RN
P.I. Institution Name:Keimyung
Title:Professor
Co-Authors:Taenam Park, PhD, RN
[Research Presentation] The purpose of this study was to develop evidence-based nursing practice guideline for non-phamacologic management of constipation in institutionalized elderly. Ultimately, the purpose of this guideline is to reduce severity of constipation and to prevent recurrence of constipation through adequate management of constipation without the use of laxatives. This study was performed by methodological design. Summarized below are 8 procedures according to developmental process of evidence based guideline in The Scottish Intercollegiate Guidelines Network(SIGN) to develop this guideline. The result from this study were as follows: This guideline consists of 5 categorical recommendations, 17 recommendations and 43 sub recommendations in guideline including: 1) recommendation for assessment of constipation, 2) recommendation for palliative practice of constipation, 3) recommendation for preventive practice of recurrent constipation, 4) recommendation for evaluation of constipation, 5) recommendations for organizational team approach, and 6) recommendations for education of nurse, patient and the family. Additionally, the result from the analysis of cost-effectiveness through pilot-application of guideline in the actual clinical setting were as follows: there was a significant decrease in frequency of constipation (Chi 2=23.01, p=.000) and severity of constipation (t=6.13, p=.000), and quality of life was significantly improved (t=6.63, p=.000) after pilot-application of guideline. In the cost per week, medication and procedure cost was slightly decreased, but the time cost was increased 1.59 times compared with non application of guideline. Based on the results described above, this study can be used as a baseline data for the future study in developing the evidence based guideline.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleDevelopment of Evidence-based Nursing Practice Guideline for Non-Phamacologic Management of Constipation in Institutionalized Elderlyen_GB
dc.identifier.urihttp://hdl.handle.net/10755/156351-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Development of Evidence-based Nursing Practice Guideline for Non-Phamacologic Management of Constipation in Institutionalized Elderly</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2007</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Kim, Myungae, PhD, RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Keimyung</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Professor</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">nurkma@kmu.ac.kr</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Taenam Park, PhD, RN</td></tr><tr><td colspan="2" class="item-abstract">[Research Presentation] The purpose of this study was to develop evidence-based nursing practice guideline for non-phamacologic management of constipation in institutionalized elderly. Ultimately, the purpose of this guideline is to reduce severity of constipation and to prevent recurrence of constipation through adequate management of constipation without the use of laxatives. This study was performed by methodological design. Summarized below are 8 procedures according to developmental process of evidence based guideline in The Scottish Intercollegiate Guidelines Network(SIGN) to develop this guideline. The result from this study were as follows: This guideline consists of 5 categorical recommendations, 17 recommendations and 43 sub recommendations in guideline including: 1) recommendation for assessment of constipation, 2) recommendation for palliative practice of constipation, 3) recommendation for preventive practice of recurrent constipation, 4) recommendation for evaluation of constipation, 5) recommendations for organizational team approach, and 6) recommendations for education of nurse, patient and the family. Additionally, the result from the analysis of cost-effectiveness through pilot-application of guideline in the actual clinical setting were as follows: there was a significant decrease in frequency of constipation (Chi 2=23.01, p=.000) and severity of constipation (t=6.13, p=.000), and quality of life was significantly improved (t=6.63, p=.000) after pilot-application of guideline. In the cost per week, medication and procedure cost was slightly decreased, but the time cost was increased 1.59 times compared with non application of guideline. Based on the results described above, this study can be used as a baseline data for the future study in developing the evidence based guideline.</td></tr></table>en_GB
dc.date.available2011-10-26T14:41:51Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T14:41:51Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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