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The aim of this study was to assess knowledge, attitudes, and practices when it comes to constipation management in intensive care.
Conclusion This is the first national survey assessing the knowledge, attitudes and practices of French intensivists in the field of constipation management.
The Working Group on Abdominal Problems (WGAP) of the European Society of Intensive Care Medicine (ESICM) developed recommendations on the constipation management in intensive care, but their implementation varies among intensivists (2).
This is a matter of concern, and corrective actions are needed to improve constipation management in intensive care units, such as implementation of written protocols and evaluation of implementation programs.
It was designed to investigate the characteristics of intensivists (10 issues), to assess knowledge with 13 issues in accordance with the recommendations, each one scored 0 or 1 allowing to calculate a knowledge score, to investigate behaviors (aka attitudes) regarding constipation management in their unit (9 issues) and practices with a case scored 4. The responses were collected anonymously.
Only 7%% (n = 41) of intensivists declare having a written protocol for constipation management in their unit, while 93%% (n = 536) have a systematic monitoring of transit in their service and 72%% (n = 415) initiate a treatment of constipation in the 6 days following the admission in intensive care unit.
Similar(52)
In univariate analyses, conformance to assessment of comprehensive symptoms, fatigue and constipation assessment, timely management of pain and constipation, and timely emotional well-being assessment were associated with highest levels of quality of life (all Ps <.05).
The present study is an analysis of the completed baseline data that aims to characterize demographics, clinical characteristics, constipation symptoms, pain management, therapies used for the treatment of OIC, rate of inadequate response to laxatives, and the impact of OIC on work productivity in a multicountry sample of patients with chronic noncancer pain and OIC.
Our finding agrees with those of Meshkinpour et al. [ 9] who studied the effects of regular exercise in the management of constipation among patients with chronic idiopathic constipation in the age range of 31 to 65 yr.
Report of an international workshop on management of constipation.
The objective of this report is to describe a cost-effective strategy for management of constipation in nursing home residents with dementia.
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