Assessing the feasibility of a bowel management program for patients with neurogenic bowel function after spinal cord injury

The aim of this study was to assess the feasibility of a bowel management program for patients with neurogenic bowel function after spinal cord injury. The program is based on evidence-based nursing, expert meeting and pre-experiment construction, the construction process is standardized and scienti...

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Main Authors: Jiayi Feng, Xingyi Mu, Lei Xu, Tongxia Xia
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-02-01
Series:Frontiers in Medicine
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Online Access:https://www.frontiersin.org/articles/10.3389/fmed.2025.1499184/full
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author Jiayi Feng
Jiayi Feng
Jiayi Feng
Xingyi Mu
Xingyi Mu
Lei Xu
Lei Xu
Tongxia Xia
Tongxia Xia
author_facet Jiayi Feng
Jiayi Feng
Jiayi Feng
Xingyi Mu
Xingyi Mu
Lei Xu
Lei Xu
Tongxia Xia
Tongxia Xia
author_sort Jiayi Feng
collection DOAJ
description The aim of this study was to assess the feasibility of a bowel management program for patients with neurogenic bowel function after spinal cord injury. The program is based on evidence-based nursing, expert meeting and pre-experiment construction, the construction process is standardized and scientific, and the content is comprehensive, mainly includes 4 dimensions of bowel assessment, bowel intervention, assessment indices and discharge follow-up, which were carried out at the time of admission (T1), discharge (T2) and 1 month after discharge (T3) of patients in the experimental group, while the control group used routine orthopedic bowel management, and bowel function indices, quality of life and laboratory tests were used as outcome indices, and differences in the observed indices of patients in the two groups were compared to validate the effect of the program. Compared with the control group, the incidence of bloating, constipation and fecal incontinence was significantly reduced in the experimental group, while the frequency of defecation scores, fecal character scores, Neurogenic Bowel Dysfunction scores, laboratory test results and quality of life were also effectively improved. The results also highlight the need for a large, multi-center, long-term follow-up study to validate the efficacy of this protocol to improve the feasibility of bowel management protocols for patients with neurogenic bowel function after spinal cord injury. This study provides a reference base for further exploration of bowel management in patients with neurogenic bowel function after spinal cord injury and is worthy of promotion and application in clinical practice.
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spelling doaj-art-c5d49232854248cfa3075d76e1b055322025-02-05T07:32:19ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2025-02-011210.3389/fmed.2025.14991841499184Assessing the feasibility of a bowel management program for patients with neurogenic bowel function after spinal cord injuryJiayi Feng0Jiayi Feng1Jiayi Feng2Xingyi Mu3Xingyi Mu4Lei Xu5Lei Xu6Tongxia Xia7Tongxia Xia8Nursing Department, Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou, ChinaNursing College, Zunyi Medical University, Zunyi, Guizhou, ChinaGuiyang Public Health Clinical Center, Guiyang, Guizhou, ChinaNursing Department, Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou, ChinaNursing College, Zunyi Medical University, Zunyi, Guizhou, ChinaNursing Department, Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou, ChinaNursing College, Zunyi Medical University, Zunyi, Guizhou, ChinaNursing Department, Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou, ChinaNursing College, Zunyi Medical University, Zunyi, Guizhou, ChinaThe aim of this study was to assess the feasibility of a bowel management program for patients with neurogenic bowel function after spinal cord injury. The program is based on evidence-based nursing, expert meeting and pre-experiment construction, the construction process is standardized and scientific, and the content is comprehensive, mainly includes 4 dimensions of bowel assessment, bowel intervention, assessment indices and discharge follow-up, which were carried out at the time of admission (T1), discharge (T2) and 1 month after discharge (T3) of patients in the experimental group, while the control group used routine orthopedic bowel management, and bowel function indices, quality of life and laboratory tests were used as outcome indices, and differences in the observed indices of patients in the two groups were compared to validate the effect of the program. Compared with the control group, the incidence of bloating, constipation and fecal incontinence was significantly reduced in the experimental group, while the frequency of defecation scores, fecal character scores, Neurogenic Bowel Dysfunction scores, laboratory test results and quality of life were also effectively improved. The results also highlight the need for a large, multi-center, long-term follow-up study to validate the efficacy of this protocol to improve the feasibility of bowel management protocols for patients with neurogenic bowel function after spinal cord injury. This study provides a reference base for further exploration of bowel management in patients with neurogenic bowel function after spinal cord injury and is worthy of promotion and application in clinical practice.https://www.frontiersin.org/articles/10.3389/fmed.2025.1499184/fullspinal cord injuryneurogenic bowel dysfunctionbowel managementassessingfeasibility
spellingShingle Jiayi Feng
Jiayi Feng
Jiayi Feng
Xingyi Mu
Xingyi Mu
Lei Xu
Lei Xu
Tongxia Xia
Tongxia Xia
Assessing the feasibility of a bowel management program for patients with neurogenic bowel function after spinal cord injury
Frontiers in Medicine
spinal cord injury
neurogenic bowel dysfunction
bowel management
assessing
feasibility
title Assessing the feasibility of a bowel management program for patients with neurogenic bowel function after spinal cord injury
title_full Assessing the feasibility of a bowel management program for patients with neurogenic bowel function after spinal cord injury
title_fullStr Assessing the feasibility of a bowel management program for patients with neurogenic bowel function after spinal cord injury
title_full_unstemmed Assessing the feasibility of a bowel management program for patients with neurogenic bowel function after spinal cord injury
title_short Assessing the feasibility of a bowel management program for patients with neurogenic bowel function after spinal cord injury
title_sort assessing the feasibility of a bowel management program for patients with neurogenic bowel function after spinal cord injury
topic spinal cord injury
neurogenic bowel dysfunction
bowel management
assessing
feasibility
url https://www.frontiersin.org/articles/10.3389/fmed.2025.1499184/full
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