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Dissertation/Thesis Abstract

The Need for a Standard Bowel Regimen in Reducing Constipation in Pain-Managed Postoperative Inpatients
by Mariano, Kevin, D.N.P., Brandman University, 2019, 48; 13425856
Abstract (Summary)

This clinical scholarly project (CSP) focuses on the importance of a standardized bowel regimen in the inpatient postoperative patient population. The target population for this CSP included kidney transplants, liver transplants, urologic surgical patients, head and neck resections whipples, and bariatric surgical patients. Convenience sampling was used to recruit patients from UCLA’s postoperative surgical floor (n = 54) for the intervention. A retrospective chart analysis (n = 54) was used to compare stool transit time, length of stay (LOS), and Bristol Stool Form Scale (BSFS) scores. The basis of the intervention included the administration laxatives on postoperative day one, until the occurrence of a bowel movement. The goal was to decrease the patient’s length of stay, increase their BSFS scores, and decrease their stool transit time. The Mann-Whitney U test was used to compare the median of stool transit time (measured in days) from the pre- and post-intervention groups. The median stool transit time for the pre- intervention group was 3 days [IQR 1.0, 4.0], whereas for the post-intervention group the median stool transit time was 4 days [ IQR 2.0, 5.0]. The results were non-significant at the 0.05 level (Mann-Whitney U test, Z = –1.756, p = .079). Lastly, the distribution of LOS did not significantly vary by groups (Mann-Whitney U test, Z = –0.453, p = .650, overall median LOS was 5 days [IQR 3.0, 10.0]).

Indexing (document details)
Advisor: Webb, Bryan
Commitee: Hanisch, Tyke
School: Brandman University
Department: Nursing and Health Professions
School Location: United States -- California
Source: DAI-B 80/05(E), Dissertation Abstracts International
Subjects: Health sciences, Nursing
Keywords: Anethesia, Bowel regimen, Convenience sampling, Inpatients, Laxatives, Opioids
Publication Number: 13425856
ISBN: 978-0-438-78574-8
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