Development of a Training Program for Promoting Autonomous Bowel Management in Children with Hirschsprung's Disease or Anorectal Malformation

2.50
Hdl Handle:
http://hdl.handle.net/10755/304424
Category:
Abstract
Type:
Presentation
Title:
Development of a Training Program for Promoting Autonomous Bowel Management in Children with Hirschsprung's Disease or Anorectal Malformation
Author(s):
Nishida, Miyuki
Lead Author STTI Affiliation:
Non-member
Author Details:
Miyuki Nishida, RN, PhD, mnishida@juntendo.ac.jp
Abstract:

Poster presented on: Monday, July 22, 2013, Tuesday, July 23, 2013

Purpose: Development of a program to help children with anorectal malformation or Hirschsprung’s disease attain autonomy over defecation.

Methods: The subjects of this study were 15 children with anorectal malformation or Hirschsprung’s disease and their mothers, who participated in a comprehensive training program to promote autonomous bowel management over a 5-year period, the results of which were evaluated by semi-structured interviews and questionnaires.

Ethical considerations: The study was approved by the ethics committee of both the author’s institution and that at which data was collected.

Results: The program consisted primarily of provision of knowledge and emotional support for mother and child. Knowledge scores rose for both mother and child, though not statistically significant. During infancy, mothers noted becoming capable of engaging positively in defecation care following acceptance of the disorder and taking part in the empowerment program. From school age on, approaches directed to the child stepped up self-care in defecation. This in turn allowed mothers to acknowledge their child’s growth, enabling them to entrust bowel management to the child, contributing to their own emotional stability.

Conclusion:  Autonomous defecation in children with anorectal malformation or Hirschsprung’s disease requires not only training for the child, but understanding and cooperation by the mother. And for this, preparatory interaction from an age before self-care is possible, and carrying through with the various stages of the program in tandem with the mother is believed essential for maximizing efficacy.

Keywords:
incontinence; disoder; empowerment
Repository Posting Date:
22-Oct-2013
Date of Publication:
22-Oct-2013
Conference Date:
2013
Conference Name:
24th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Prague, Czech Republic
Description:
24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleDevelopment of a Training Program for Promoting Autonomous Bowel Management in Children with Hirschsprung's Disease or Anorectal Malformationen_GB
dc.contributor.authorNishida, Miyukien_GB
dc.contributor.departmentNon-memberen_GB
dc.author.detailsMiyuki Nishida, RN, PhD, mnishida@juntendo.ac.jpen_GB
dc.identifier.urihttp://hdl.handle.net/10755/304424-
dc.description.abstract<p>Poster presented on: Monday, July 22, 2013, Tuesday, July 23, 2013</p><b>Purpose: </b>Development of a program to help children with anorectal malformation or Hirschsprung’s disease attain autonomy over defecation. <p><b>Methods: </b>The subjects of this study were 15 children with anorectal malformation or Hirschsprung’s disease and their mothers, who participated in a comprehensive training program to promote autonomous bowel management over a 5-year period, the results of which were evaluated by semi-structured interviews and questionnaires. <p>Ethical considerations: The study was approved by the ethics committee of both the author’s institution and that at which data was collected. <p><b>Results: </b>The program consisted primarily of provision of knowledge and emotional support for mother and child. Knowledge scores rose for both mother and child, though not statistically significant. During infancy, mothers noted becoming capable of engaging positively in defecation care following acceptance of the disorder and taking part in the empowerment program. From school age on, approaches directed to the child stepped up self-care in defecation. This in turn allowed mothers to acknowledge their child’s growth, enabling them to entrust bowel management to the child, contributing to their own emotional stability. <p><b>Conclusion: </b><b> </b>Autonomous defecation in children with anorectal malformation or Hirschsprung’s disease requires not only training for the child, but understanding and cooperation by the mother. And for this, preparatory interaction from an age before self-care is possible, and carrying through with the various stages of the program in tandem with the mother is believed essential for maximizing efficacy.en_GB
dc.subjectincontinenceen_GB
dc.subjectdisoderen_GB
dc.subjectempowermenten_GB
dc.date.available2013-10-22T20:35:35Z-
dc.date.issued2013-10-22-
dc.date.accessioned2013-10-22T20:35:35Z-
dc.conference.date2013en_GB
dc.conference.name24th International Nursing Research Congressen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationPrague, Czech Republicen_GB
dc.description24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.en_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.en_GB
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