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]).
|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|
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