Effectiveness of Squatting Position on Constipation Severity and Defecation Problems

Constipation Clinical Trial

Official title:

Effectiveness of Squatting Position on Constipation Severity and Defecation Problems in the Postoperative Period of Hernia Surgery

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05287789
• Other study ID #: SQUATTING
• Secondary ID: KBYBAB-17/YL-454
• Status: Completed
• Phase: N/A
• Start date: January 1, 2018
• Est. completion date: May 31, 2018

Study information

• Verified date: March 2022
• Source: Karabuk University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial 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.

Description:

In this study, after the surgical procedure, the patients were placed in a squatting position by placing a stool under their feet in the toilet.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 102
• Est. completion date: May 31, 2018
• Est. primary completion date: May 31, 2018
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years to 65 Years

Eligibility

Inclusion Criteria:

• 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

Exclusion Criteria:

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

Related Conditions & MeSH terms

• Constipation
• Nursing Care
• Postoperative Care

Intervention

Other:
• Squatting position by footstool
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.

Locations

Country	Name	City	State
Turkey	Karabuk University	Karabük

Sponsors (1)

Lead Sponsor	Collaborator
Meltem Kaya

Country where clinical trial is conducted

Turkey, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	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	Difficulty pushing in defecation average score	Average score on a scale from 0 to 4. 0 I did not experience any difficulties, 1 I had mild difficulties, 2 I had some difficulties, 3 I had a lot of difficulties, 4 I experienced extreme difficulties.	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.
Secondary	Duration of defecation, average minutes	The time (minutes) the patient spent defecation.	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.
Secondary	Defecation pain average score	The Visual Analog Scale (VAS) consists of a 10 cm line used to evaluate defecation pain by scoring it between 1 and 10.	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.
Secondary	Stool consistency	Bristol Stool Scale (BSS) is designed to classify the form of human faeces into seven categories. Types 1-2, hard; types 3-5, normal; types 6-7, loose/liquid	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.
Secondary	Fear of pushing in defecation average score	Average score on a scale from 0 to 4. 0 No Fear, 1 Slightly Scared, 2 Slightly Scared, 3 Very Afraid, 4 Extremely Too Afraid.	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.