The Effect of Inpatient Bowel and Bladder Training Given by The Nurse At a Rehabilitation Clinic on Sphincter Control

Öz

Aim: The aim of this study was to determine how the bowel and bladder training provided by the rehabilitation nurse affects sphincter control and to emphasize its importance. Methods: This study was designed semi-experimental. The sample of the study consisted of 130 individuals requiring bladder-bowel training and rehabilitation.  Urinal, diaper, bedpan, bladder catheterization as a heterogeneous group of patients with different status have formed the sample. The functional independence measure was used to evaluate the effectiveness of the training and sphincter control in patients who were provided bowel and bladder training. The patient was also provided with a training booklet with detailed information. Results: The training given to the patients was found to create a significant difference in bladder sphincter control and the FIM scores to increase after the training (p <0.05). The training was also found to significantly increase the FIM bowel sphincter scores (p<0.05).  Conclusions: We found that as a result the bowel and bladder training provided by rehabilitation nurses had positive and useful effects on the sphincters and allowed the patients to independently continue their daily living activities.

 

 

Amaç: Bu çalışmanın amacı rehabilitasyon hemşiresi tarafından verilen barsak ve mesane eğitiminin sfinkter kontrolünü nasıl etkilediğini ve önemini vurgulamaktır. Yöntem: Bu çalışma tasarımı yarı deneyseldir. Çalışmanın örneklemi mesane – barsak eğitimi ve rehabilitasyon gerektiren 130 kişiden oluştu. İdrar, bebek bezi, sürgü, mesane kateterizasyonu gibi farklı durumdaki hastalardan heterojen bir grup olarak örneklemi oluşturdu. Bağırsak ve mesane eğitimi verilen hastalarda sfinkter kontrolünün etkinliğini değerlendirmek için fonksiyonel bağımsızlık ölçeği kullanıldı. Hastaya ayrıca ayrıntılı bilgi içeren bir eğitim kitapçığı verildi. Bulgular: Hastalara verilen eğitimin mesane sfinkter kontrolünde ve fonksiyonel bağımsızlık ölçeği skorlarında eğitim sonrası anlamlı bir fark yarattığı bulundu (p <0.05). Eğitimin fonksiyonel bağımsızlık ölçeği barsak sfinkter skorlarını anlamlı olarak arttırdığı bulundu (p <0.05). Sonuç: Sonuç olarak rehabilitasyon hemşirelerinin sağladığı bağırsak ve mesane eğitiminin sfinkterler üzerinde olumlu ve faydalı etkileri olduğunu ve hastaların günlük yaşam aktivitelerini bağımsız olarak sürdürmelerini sağladığını belirledik. 

Anahtar Kelimeler

• Bladder,bowel,FIM,rehabilitation,nursing

Kaynakça

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