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...
Saved in:
Main Authors: | , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Frontiers Media S.A.
2025-02-01
|
Series: | Frontiers in Medicine |
Subjects: | |
Online Access: | https://www.frontiersin.org/articles/10.3389/fmed.2025.1499184/full |
Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
_version_ | 1832539926376218624 |
---|---|
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. |
format | Article |
id | doaj-art-c5d49232854248cfa3075d76e1b05532 |
institution | Kabale University |
issn | 2296-858X |
language | English |
publishDate | 2025-02-01 |
publisher | Frontiers Media S.A. |
record_format | Article |
series | Frontiers in Medicine |
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 |
work_keys_str_mv | AT jiayifeng assessingthefeasibilityofabowelmanagementprogramforpatientswithneurogenicbowelfunctionafterspinalcordinjury AT jiayifeng assessingthefeasibilityofabowelmanagementprogramforpatientswithneurogenicbowelfunctionafterspinalcordinjury AT jiayifeng assessingthefeasibilityofabowelmanagementprogramforpatientswithneurogenicbowelfunctionafterspinalcordinjury AT xingyimu assessingthefeasibilityofabowelmanagementprogramforpatientswithneurogenicbowelfunctionafterspinalcordinjury AT xingyimu assessingthefeasibilityofabowelmanagementprogramforpatientswithneurogenicbowelfunctionafterspinalcordinjury AT leixu assessingthefeasibilityofabowelmanagementprogramforpatientswithneurogenicbowelfunctionafterspinalcordinjury AT leixu assessingthefeasibilityofabowelmanagementprogramforpatientswithneurogenicbowelfunctionafterspinalcordinjury AT tongxiaxia assessingthefeasibilityofabowelmanagementprogramforpatientswithneurogenicbowelfunctionafterspinalcordinjury AT tongxiaxia assessingthefeasibilityofabowelmanagementprogramforpatientswithneurogenicbowelfunctionafterspinalcordinjury |