Effectiveness of Squatting Position on Constipation Severity and Defecation Problems

NCT05287789 | Completed

• 2 other identifiers: SQUATTINGKBYBAB-17/YL-454
• Study Type: interventional
• Target: 102
• Locations: 1 country
• Sites: 1

Brief Summary

One of the most common nursing care problems after surgery is defecation problems and the risk of constipation. The aim of the study was to determine the effectiveness of the squatting position with footstool on the constipation severity and defecation problems in the postoperative period in patients with hernia surgery.

Conditions

Constipation; Postoperative Care; Nursing Care

Keywords

Squatting Position; Constipation; Defecation problems; Clinical Nursing Research

Outcome Measures

Primary Outcomes (1)

• Change from before surgery in The Constipation Severity Scale (CSS) average score

  Constipation Severity Scale (CSS) aims to determine individuals' defecation frequency, intensity, and difficulty. The CSS consists of 16 items and three sub dimensions, namely Excrement Congestion, Large Bowel Laziness, and Pain. The lowest score that can be attained from the CSS is 0 while the highest score that can be attained is 73.

  Data were collected before surgery, post-op 1st day, post-op 2nd day and on the 7th day after discharge. All of the patients were discharged on the 2nd postoperative day.

Secondary Outcomes (5)

• Difficulty pushing in defecation average score

  Data were collected post-op 2nd day and on the 7th day after discharge. All of the patients were discharged on the 2nd postoperative day.

• Duration of defecation, average minutes

  Data were collected post-op 2nd day and on the 7th day after discharge. All of the patients were discharged on the 2nd postoperative day.

• Defecation pain average score

  Data were collected post-op 2nd day and on the 7th day after discharge. All of the patients were discharged on the 2nd postoperative day.

• Stool consistency

  Data were collected post-op 2nd day and on the 7th day after discharge. All of the patients were discharged on the 2nd postoperative day.

• Fear of pushing in defecation average score

  Data were collected post-op 2nd day and on the 7th day after discharge. All of the patients were discharged on the 2nd postoperative day.

Study Arms (2)

Squatting position by footstool

EXPERIMENTAL

After the first postoperative ambulation, stable patients whose bowel movements resumed met their initial defecation needs with the squatting position created using a footstool at the appropriate height on the water closet type toilet. The patients used footstools in the hospital and throughout a week after discharge at home for defecation.

Other: Squatting position by footstool

Control Group

NO INTERVENTION

The control group received the routine care provided to all the patients in the clinic with no additional interventions.

Interventions

Squatting position by footstool OTHER

Before the study, the height of the toilet bowls in the patient rooms was measured as 42 cm. The stools to be used for the study are manufactured by ordering laminated with white medium density fiberboard and synthetic resin resistant to harsh chemicals. Stools are made of high quality non-slip materials for patient safety. After the first postoperative ambulation, stable patients whose bowel movements resumed met their initial defecation needs with the squatting position created using a stool at the appropriate height on the water closet type toilet. The patients used footstools throughout a week after discharge at home and in the hospital for defecation.

Squatting position by footstool

Eligibility Criteria

• Age: 18 Years - 65 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Hernia surgery in the general surgery clinic
• Between 18 and 65 years of age
• BMI between normal and overweight (18.50-24,99 kg/m2: Normal,25-29,99 kg/m2: Overweight)
• Being able to establish verbal communication
• Volunteering to participate in the study
• Absence of mental confusion
• Having full consciousness and orientation
• Having no communication difficulties
• Having a constipation risk between moderate to high
• Using a water closet type toilet at home

You may not qualify if:

• Having a low risk of constipation
• Patient who declined to participate in the study

Sponsors & Collaborators

• Meltem Kaya: lead

Study Sites (1)

Karabuk University

Karabük, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Constipation

Condition Hierarchy (Ancestors)

Signs and Symptoms, Digestive; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• Meltem Kaya

  Karabuk University

  PRINCIPAL INVESTIGATOR

• Aysegul Oksay Sahin

  Karabuk University

  STUDY CHAIR

• Isıl Isık Andsoy

  Karabuk University

  STUDY CHAIR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: DOUBLE
• Who Masked: INVESTIGATOR, OUTCOMES ASSESSOR
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Lecturer, MSc

Model Details: pretest-posttest time series model with the different control group

Study Record Dates

• First Submitted: March 18, 2021
• First Posted: March 18, 2022
• Study Start: January 1, 2018
• Primary Completion: May 31, 2018
• Study Completion: May 31, 2018
• Last Updated: March 18, 2022

Record last verified: 2022-03

Locations

TU (1)