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

Yıl 2019, Cilt: 13 Sayı: 3, 342 - 349, 20.09.2019
https://doi.org/10.21763/tjfmpc.610835

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. 

Kaynakça

  • 1. https://www.who.int/disabilities/emergencies/Rehabilitation_in_EMTs_Poster.pdf?ua=1 (Date of access 20.01.2019)
  • 2. Cayrat E. Rehabilitation Nursing. Ankara, Gata Foundation Publishing House, 1999, p. 183-186.
  • 3. CBR A. strategy for rehabilitation, equalization of opportunities poverty reduction and social inclusion of people with disabilities, Joint Position Paper, 2004. http://www.ilo.org/skills/pubs/WCMS_107938/lang--en/index.htm. (Date of access. 15.02.2019).
  • 4. Ozcan O. Physical Medicine and Rehabilitation. Beyazova M, Kutsal YG, (Editors). 1. Cilt. Ankara, Güneş Bookstore, 2000, p.12-52.
  • 5. Camicia M. Black T, Farrell J, Waites K, Wirt S, & Lutz B. The essential role of the rehabilitation nurse in facilitating care transitions: A white paper by the Association of Rehabilitation Nurses, Rehabilitation Nursing 2014; 39(1):3-15.
  • 6. Oğuz H. Medicine Rehabilitation. Nobel Medicine Bookstore, 1995. p. 1-17.
  • 7. Özdemir L, Sütçü Çiçek H. Rehabilitation Nursing. Ankara, Nobel Academic Publishing, 2014: 82-91.
  • 8. Association of Rehabilitation Nurses (ARN). The Rehabilitation Staff Nurse Role Description. http://www.rehabnurse.org/uploads/files/uploads/File/rdstaffnurse11.pdf. (Date of access.24. 04. 2019).
  • 9. Pryor J, Smith CA. Framework for the role of registered nurses in the specialty practice of rehabilitation nursing in Australia, Journal of Advanced Nursing 2002; 39(3):249-257.
  • 10. Glenview IL. Mauk KL, (Editor). The specialty practice of rehabilitation nursing (3rd ed.). Association of Rehabilitation Nurses, 2007.: 2-15, 35-40
  • 11. Sabuncu N, Akça Ay F. Clinical Skills: Health Assessment, Patient Care and Follow-up. Ankara, Nobel Medical Bookstores, 2015, p. 612-622.
  • 12. Gezginci E, İyigün E, Yılmaz S. Comparison of 3 Different Teaching Methods for a Behavioral Therapy Program for Female Overactive Bladder, J Wound Ostomy Continence Nurs 2018; 45(1) p. 68-74.
  • 13. Camtosun A. Investigation of Gas-Gaita Incontinence in Female Patients with Urinary Incontinence, Faculty of Medicine, Department of Urology, Thesis, Ankara: Gazi University, 2008; 25-32.
  • 14. Demir S, Kızılkaya Beji N. Quality of Life and Health Calling Behaviors in Women with Urinary Incontinence, Florence Nightingale Nursing Journal 2015; 29(1):23-31.
  • 15. Aydın T, Taşpınar Ö, Kepekçi M, Keskin Y, Eaten B, Günel M, Gök M, Bektaş E, Saraç M, Mutluer AS. Functional independence measure scores of patients with hemiplegia followed up at home and in university hospitals, The Journal of Physical Therapy Science 2016; 28 p. 553-557.
  • 16. 16. Aizen E, Nixon H, Shugaev I. Awareness and Functional Outcome of Hip Fracture-Related Falls among Patients with a History of Recurrent Falling, IMAJ 2018; 2 p. 38-42.
  • 17. Scrutinio D, Monitillo V, Guida P, Nardulli R, Multari V, Monitillo F, Calabrese G, Fiore P. Functional Gain After Inpatient Stroke Rehabilitation: Correlates and Impact on Long-Term Survival. Stroke 2015; Oct. 46 (10) p. 2796-80. doi: 10.1161/strokeaha.115.010440.
  • 18. 18. Carvalho E, Queiroz IP, Queiroz I P, DeSouza Batista IM, DosSantos Maciel T, DaSilva Arêas FZ. Effects of proprioceptive neuromuscular facilitation on the functional independence measure in patients with Parkinson's disease. Manual Therapy, Posturology & Rehabilitation Journal, Revista Manual Therapy 2015; 13 p. 299.
  • 19. Meseli F. Evaluation of Urinary Incontinence Conditions of Sixty-Five Years and Over Individuals, Faculty of Medicine, Department of Family Medicine, Thesis, Antalya: Akdeniz University, 2016; 31.
  • 20. Goode P S, Burgio K L, Redden D T, Markland A, Richter H E, Sawyer P, Allman R M. Population-based study of incidence and predictors of urinary inkontinence in African American and white older adults, NIH Public Access 2008; 179(4) p.449-1454.
  • 21. Bindawas SM, Vennu V, Mawajdeh H, Alhaidary HM, Moftah E. Length of Stay and Functional Outcomes Among Patients with Stroke Discharged from an Inpatient Rehabilitation Facility in Saudi Arabia, Medical Science Monitor 2018; 2 p. 207-214.
  • 22. Aydın ZD. Immobility and results in the elderly , Nobel Medicus, 2008; 3(2) p. 12-17.
  • 23. Alves JO, Da Luz ST, Brandao S, Da Luz CM, Jorge RN, Da Roza T. Urinary İnkontinence in Physically Active Young Women: Prevalence and Related Factors, Sports Med 2017; 38 p. 937-941.
  • 24. Ersin A. Short Term Effects of Urinary Incontinence Symptoms on Bladder Training and Pelvic Floor Home Exercise Program. Health Sciences Institute, Department of Physiotherapy and Rehabilitation, M.Sc. Thesis, Istanbul: Yeditepe University, 2014; 75-77.
  • 25. Iovino P, Chiarioni G, Bilancio G, Cirillo M, Mekjavic İB, Pisot R. et al. New Onset of Constipation during Long-Term Physical Inactivity: A Proof-of-Concept Study on the Immobility- Induced Bowel Changes, Plos One, 2013. 8(8):e72608, Doi:10.1371/journal.pone.0072608.
  • 26. Ayaz S, Hisar F. The efficacy of education programme for preventing constipation in women, International Journal of Nursing Practice 2014; 2 p. 275–282.
  • 27. Ergun S. Efficacy of Bladder Training Given to Brain Damaged Patients. Health Sciences Institute, Nursing Program, Master Thesis, Ankara: Gazi University, 2014; 55-56.
  • 28. 28. Aksit Akıncı N. The Effects of Education on the Qu ality of Life of Women Given the Diagnosis of Stress Urinary Incontinence, Institute of Health Sciences, Nursing Program, Master Thesis, Ankara: Gazi University, 2009; 44-48.
  • 29. Pekmezci H. Effects of Education on Cancer Symptoms. Health Sciences Institute, Department of Internal Medicine Nursing, Master Thesis, Trabzon: Karadeniz Technical University, 2013; 61-62.
  • 30. Erdogan GY. Evaluation of Symptoms in Patients with Chemotherapy and the Role of Education in Symptom Management. Health Sciences Institute, Department of Internal Medicine Nursing, Master Thesis, Sivas: Cumhuriyet University, 2013; 90-91.
Yıl 2019, Cilt: 13 Sayı: 3, 342 - 349, 20.09.2019
https://doi.org/10.21763/tjfmpc.610835

Öz

Kaynakça

  • 1. https://www.who.int/disabilities/emergencies/Rehabilitation_in_EMTs_Poster.pdf?ua=1 (Date of access 20.01.2019)
  • 2. Cayrat E. Rehabilitation Nursing. Ankara, Gata Foundation Publishing House, 1999, p. 183-186.
  • 3. CBR A. strategy for rehabilitation, equalization of opportunities poverty reduction and social inclusion of people with disabilities, Joint Position Paper, 2004. http://www.ilo.org/skills/pubs/WCMS_107938/lang--en/index.htm. (Date of access. 15.02.2019).
  • 4. Ozcan O. Physical Medicine and Rehabilitation. Beyazova M, Kutsal YG, (Editors). 1. Cilt. Ankara, Güneş Bookstore, 2000, p.12-52.
  • 5. Camicia M. Black T, Farrell J, Waites K, Wirt S, & Lutz B. The essential role of the rehabilitation nurse in facilitating care transitions: A white paper by the Association of Rehabilitation Nurses, Rehabilitation Nursing 2014; 39(1):3-15.
  • 6. Oğuz H. Medicine Rehabilitation. Nobel Medicine Bookstore, 1995. p. 1-17.
  • 7. Özdemir L, Sütçü Çiçek H. Rehabilitation Nursing. Ankara, Nobel Academic Publishing, 2014: 82-91.
  • 8. Association of Rehabilitation Nurses (ARN). The Rehabilitation Staff Nurse Role Description. http://www.rehabnurse.org/uploads/files/uploads/File/rdstaffnurse11.pdf. (Date of access.24. 04. 2019).
  • 9. Pryor J, Smith CA. Framework for the role of registered nurses in the specialty practice of rehabilitation nursing in Australia, Journal of Advanced Nursing 2002; 39(3):249-257.
  • 10. Glenview IL. Mauk KL, (Editor). The specialty practice of rehabilitation nursing (3rd ed.). Association of Rehabilitation Nurses, 2007.: 2-15, 35-40
  • 11. Sabuncu N, Akça Ay F. Clinical Skills: Health Assessment, Patient Care and Follow-up. Ankara, Nobel Medical Bookstores, 2015, p. 612-622.
  • 12. Gezginci E, İyigün E, Yılmaz S. Comparison of 3 Different Teaching Methods for a Behavioral Therapy Program for Female Overactive Bladder, J Wound Ostomy Continence Nurs 2018; 45(1) p. 68-74.
  • 13. Camtosun A. Investigation of Gas-Gaita Incontinence in Female Patients with Urinary Incontinence, Faculty of Medicine, Department of Urology, Thesis, Ankara: Gazi University, 2008; 25-32.
  • 14. Demir S, Kızılkaya Beji N. Quality of Life and Health Calling Behaviors in Women with Urinary Incontinence, Florence Nightingale Nursing Journal 2015; 29(1):23-31.
  • 15. Aydın T, Taşpınar Ö, Kepekçi M, Keskin Y, Eaten B, Günel M, Gök M, Bektaş E, Saraç M, Mutluer AS. Functional independence measure scores of patients with hemiplegia followed up at home and in university hospitals, The Journal of Physical Therapy Science 2016; 28 p. 553-557.
  • 16. 16. Aizen E, Nixon H, Shugaev I. Awareness and Functional Outcome of Hip Fracture-Related Falls among Patients with a History of Recurrent Falling, IMAJ 2018; 2 p. 38-42.
  • 17. Scrutinio D, Monitillo V, Guida P, Nardulli R, Multari V, Monitillo F, Calabrese G, Fiore P. Functional Gain After Inpatient Stroke Rehabilitation: Correlates and Impact on Long-Term Survival. Stroke 2015; Oct. 46 (10) p. 2796-80. doi: 10.1161/strokeaha.115.010440.
  • 18. 18. Carvalho E, Queiroz IP, Queiroz I P, DeSouza Batista IM, DosSantos Maciel T, DaSilva Arêas FZ. Effects of proprioceptive neuromuscular facilitation on the functional independence measure in patients with Parkinson's disease. Manual Therapy, Posturology & Rehabilitation Journal, Revista Manual Therapy 2015; 13 p. 299.
  • 19. Meseli F. Evaluation of Urinary Incontinence Conditions of Sixty-Five Years and Over Individuals, Faculty of Medicine, Department of Family Medicine, Thesis, Antalya: Akdeniz University, 2016; 31.
  • 20. Goode P S, Burgio K L, Redden D T, Markland A, Richter H E, Sawyer P, Allman R M. Population-based study of incidence and predictors of urinary inkontinence in African American and white older adults, NIH Public Access 2008; 179(4) p.449-1454.
  • 21. Bindawas SM, Vennu V, Mawajdeh H, Alhaidary HM, Moftah E. Length of Stay and Functional Outcomes Among Patients with Stroke Discharged from an Inpatient Rehabilitation Facility in Saudi Arabia, Medical Science Monitor 2018; 2 p. 207-214.
  • 22. Aydın ZD. Immobility and results in the elderly , Nobel Medicus, 2008; 3(2) p. 12-17.
  • 23. Alves JO, Da Luz ST, Brandao S, Da Luz CM, Jorge RN, Da Roza T. Urinary İnkontinence in Physically Active Young Women: Prevalence and Related Factors, Sports Med 2017; 38 p. 937-941.
  • 24. Ersin A. Short Term Effects of Urinary Incontinence Symptoms on Bladder Training and Pelvic Floor Home Exercise Program. Health Sciences Institute, Department of Physiotherapy and Rehabilitation, M.Sc. Thesis, Istanbul: Yeditepe University, 2014; 75-77.
  • 25. Iovino P, Chiarioni G, Bilancio G, Cirillo M, Mekjavic İB, Pisot R. et al. New Onset of Constipation during Long-Term Physical Inactivity: A Proof-of-Concept Study on the Immobility- Induced Bowel Changes, Plos One, 2013. 8(8):e72608, Doi:10.1371/journal.pone.0072608.
  • 26. Ayaz S, Hisar F. The efficacy of education programme for preventing constipation in women, International Journal of Nursing Practice 2014; 2 p. 275–282.
  • 27. Ergun S. Efficacy of Bladder Training Given to Brain Damaged Patients. Health Sciences Institute, Nursing Program, Master Thesis, Ankara: Gazi University, 2014; 55-56.
  • 28. 28. Aksit Akıncı N. The Effects of Education on the Qu ality of Life of Women Given the Diagnosis of Stress Urinary Incontinence, Institute of Health Sciences, Nursing Program, Master Thesis, Ankara: Gazi University, 2009; 44-48.
  • 29. Pekmezci H. Effects of Education on Cancer Symptoms. Health Sciences Institute, Department of Internal Medicine Nursing, Master Thesis, Trabzon: Karadeniz Technical University, 2013; 61-62.
  • 30. Erdogan GY. Evaluation of Symptoms in Patients with Chemotherapy and the Role of Education in Symptom Management. Health Sciences Institute, Department of Internal Medicine Nursing, Master Thesis, Sivas: Cumhuriyet University, 2013; 90-91.
Toplam 30 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Kurumları Yönetimi
Bölüm Orijinal Makaleler
Yazarlar

Emine Miray Duyar Bu kişi benim

Bahar İnkaya

Yayımlanma Tarihi 20 Eylül 2019
Gönderilme Tarihi 6 Mayıs 2019
Yayımlandığı Sayı Yıl 2019 Cilt: 13 Sayı: 3

Kaynak Göster

Vancouver Duyar EM, İnkaya B. The Effect of Inpatient Bowel and Bladder Training Given by The Nurse At a Rehabilitation Clinic on Sphincter Control. TJFMPC. 2019;13(3):342-9.

Sağlığın ve birinci basamak bakımın anlaşılmasına ve geliştirilmesine katkıda bulunacak yeni bilgilere sahip yazarların İngilizce veya Türkçe makaleleri memnuniyetle karşılanmaktadır.