Abstract : Constipation is becoming main problems with related of modifiable lifestyle which mainly disturbing health of the person. Constipation can found at any age due change in life style, eating habits, fast foods, lack of exercise, lack of time for drinking water this are mainly reason of getting constipation. Constipation suffering person can mostly have this symptom which are abdominal and rectal pain, bloating, forcing, bowel movement stop or rare, hard stool, quantity of stool is less, difficulty in defecation, frequency of stool is less than three par weeks.
Introduction : One of problem which affecting person more severely and also reducing their quality of life, disturbing excretion is constipation1. Basically, constipation is symptoms not any kind of disease. Incidence of constipation varies 2-34% according to communities. According to result of studies conducted in Turkey incidence rate of constipation is Reported to be between 22-40%.2Constipation is expresses stool characteristics, stool transit time through intestinal tract and the passage content through anal sphincter 3. Dry stool and hard thrown out abnormal frequency and with difficulty.4Usually defecating less than 2 times, difficulty to pass and evacuate stool and hard defecation are the most common symptoms. 1 Nurses play a key role in determining the factors that cause constipation and the development of effective coping strategies. 5 Nurses, while helping to eliminate problems associated with constipation, should be aware of the factors that influence constipation and its causes6. Within this scope; the nurse diagnoses previous bowel habits of the individual, listens to bowel sounds, pulps the abdomen in terms of distension and makes a diagnosis using some diagnostic tools7. The most important nursing role towards preventing constipation is education of the patient and family8.
Constipation symptoms change from one person to another person, it can usually defecating less than 2 times, difficulty to pass and evacuate stool and hard defecation are the most common symptoms. It can be observe that constipation can be one of symptoms of damage of peripheral nerve also autonomic neuropathies. More people have problems of alternating diarrhea and constipation problems commonly found in diabetic people.10
Method : : It is an academic hospital-based study. It will be conducted AVBRH Sawangi respectively.
Inclusion criteria
1.Patients who are undergoing abdominal surgery such as stomach, gall bladder, liver, spleen, pancreas, small intestine, and large intestine
2. Patients will in hospital after 3 days surgery.
3. Patients will available during of collecting of data.
Exclusion criteria
1. Patients who are participated in similar kind of study
Sample size
N = 2?/22.P(1-p)
d2
2?/22 – It is the level of significant at 5% i.e. 95% confidence interval = 1.96
P - Proportion of patient at moderate risk = 11.71% = 0.1171
D - Derived error of margin = 7% = 0.007
N = 1.962 × 0.1171 × (1-01171)
0.072
= 81.05
N = 85
Outcome Measures
Primary outcome: It includes assess the risk of constipation among undergoing abdominal
surgery patients
Secondary outcome: It consist of risk of constipation among undergoing abdominal surgery
patients and aware patients about constipation risk.
Data management and monitoring
Data collection will be conducted for a single month span. This research will be carried out
after receiving authorization from the authorities concerned.
Tool for data Collection
Section A – Demographic Variable
A demographic information which gives baseline information obtained from patients such as age, sex, educational status, occupation, family income, BMI, previous constipation history.
Section B – Constipation risk assessment scale
Category Score
1. Mild constipation
2. Moderate constipation
3. Severe Constipation <10 11-15 >16
Statistical analysis
Descriptive method:
For analysis of demographic data will be going used frequency and mean, mean percentage and standard deviation will be used for assessing the risk factor of constipation undergoing abdominal surgery patients
Inferential statistics: For association between risk factor which contributing will be use to assess constipation of among undergoing abdominal surgery patients Chi- square going to use.
Discussion : A study will be conducted to assess the risk of constipation among undergoing abdominal surgery patients. Cross sectional descriptive research design will be selected for this study. There will be 85 patients of AVBRH Hospital Sawangi (m), Wardha will going to selected for this study. The Sample will be randomly selected with constipation risk assessment scale will be used assess the risk of constipation from subject and obtained data was analyzed using descriptive, inferential statistics and was interpreted in terms of objective of the study. There are some evidence to suggest that risk of constipation has occurs in undergoing abdominal surgery patients and affect health status of patients. Incidence of constipation varies 2-34% according to communities. According to result of studies conducted in Turkey incidence rate of constipation is Reported to be between 22-40%. Few of the related studies from local context were reported 6-8.
Conclusion : Conclusion will be drawn from the statistical analysis
References :
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3. Pinto Sanchez MI, Bercik P. Epidemiology and burden of chronic constipation. Canadian Journal of Gastroenterology and Hepatology. 2011;25(Suppl B):11B-5B.
4. Steele SR, Mellgren A. Constipation and obstructed defecation. Clinics in colon and rectal surgery. 2007 May;20(02):110-7.
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6. Jindal R, Swarnkar M. Outcomes are local: a cross sectional patient specific study of risk factors for surgical site infections in major abdominal surgeries. Journal of Krishna Institute of Medical Sciences University. 2020 Jan 1;9(1):43-50.
7. Gaidhane A, Sinha A, Khatib M, Simkhada P, Behere P, Saxena D, et al. A systematic review on effect of electronic media on diet, exercise, and sexual activity among adolescents. Indian Journal of Community Medicine. 2018;43(5):S56–65.
8. Khatib MN, Kirubakaran R, Gaidhane S, Shankar AH, Syed ZQ. Yoga for improving functional capacity, quality of life and cardiovascular outcomes in people with heart failure. The Cochrane Database of Systematic Reviews. Jul 2017(7); 1-2.