Nursing interventions in the rehabilitation of people with neurogenic bowel: integrative review
DOI:
https://doi.org/10.4025/ciencuidsaude.v21i0.61197Keywords:
Neurogenic Bowel; Nursing; Rehabilitation NursingAbstract
Objective: to identify which nursing interventions are most effective for the rehabilitation of people with neurogenic bowel. Method: integrative literature review, from March 2016 to December 2021, in English, Portuguese and Spanish, in the electronic databases CINAHL, Cochrane Library, Embase (Elsevier) and MEDLINE, with the descriptors “Neurogenic bowel” and “Nursing”. Inclusion criteria: studies in full, with contents on nursing interventions for adult patients with neurogenic bowel. Results: eight studies were included. The most cited interventions were dietary adequacy and water intake (62.5%); appropriate use of medications (50%); abdominal massage, manual removal of feces and recto-digital stimulation (50%); positioning for elimination of feces, physical exercise and electrical stimulation (25%). Final considerations: the integrative synthesis of the studies showed that the most effective results are those that associate more than one intervention and that result from the individualized and systematic assessment carried out by the nurses.
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References
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19. McClurg D, Norton C. What is the best way to manage neurogenic bowel dysfunction? BMJ. 2016;354:i3931. DOI: 10.1136/bmj.i3931
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21. Organização Pan-Americana da Saúde. Cuidados inovadores para condições crônicas: organização e prestação de atenção de alta qualidade à s doenças crônicas não transmissíveis nas Américas. Washington, DC: OPAS, 2015. 1. Doença Crônica. 2. Assistência à Saúde. 3. Inovação. 4. Américas. I. Título. II. Organização Mundial da Saúde. ISBN 978-92-75-71738-7.
22. Kayikçi EE, Kocatepe V, Akyuz F, Can G. The effects of abdominal massage on the management of constipation: a systematic review of randomised controlled trials. Bezmialem Science. 2020;8(3):311-7. DOI: 10.14235/bas.galenos.2020.2832
23. Johns J, Krogh K, Rodriguez GM, Eng J, Haller E, Heinen M, et al. Management of neurogenic bowel dysfunction in adults after spinal cord injury: clinical practice Guideline for healthcare providers. Journal of Spinal Cord Med. 2021;44(3):442-510. DOI: 10.1080/10790268.2021.1883385.
24. Santos LT, Matos GSR, Nogueira PC, Simis M. Effect of transcutaneous abdominal electrical stimulation in people with constipation due to spinal cord injuries: a pilot study. RevEscEnferm USP. 2022;56(spe):e20210449. DOI: https://doi.org/10.1590/1980-220X-REEUSP-2021-0449en
25. Todd C, Woodward S. Experience of nurses caring for patients with neurogenic Bowel Dysfunction. JWOCN. 2018;45(2):163–167. DOI:10.1097/won.0000000000000413
2. Consortium for Spinal Cord Medicine Clinical practice guidelines: Management of Neurogenic Bowel Dysfunction in Adults after Spinal Cord Injury. 2020. https://pvacf.org/wp-content/uploads/2020/10/CPG_Neurogenic-Bowel-Recommendations.single-6.pdf. Accessed March 28, 2021.
3. Mekhael M, Kristensen H, Larsen HM, Juul T, Emmanuel A, Krogh K, et al. Transanal irrigation for neurogenic bowel disease, low anterior resection syndrome, faecal incontinence, and chronic constipation: a systematic review. J Clin Med. 2021;10(4):753. DOI: 10.3390/jcm10040753.
4. Campoy LT, Rabeh SAN, Castro FFS, Nogueira PC, Terçariol CAS. Bowel rehabilitation of individuals with spinal cord injury: video production. Rev Bras Enferm. 2018;71(5):2376-82. DOI: http://dx.doi.org/10.1590/0034-7167-2017-0283
5. Emmanuel A, Kurze I, Krogh K, Velasco ME, Christensen P, Christensen P, et al. An open prospective study on the efficacy of Navina Smart, an electronic system for transanal irrigation, in neurogenic bowel dysfunction. PLoS ONE. 2021;16(1):e0245453. DOI: https://doi.org/10.1371/ journal.pone. 0245453
6. Johns JS, Krogh K, Ethans K, Chi J, Querée M, Eng JJ, et al. Pharmacological management of neurogenic bowel dysfunction after spinal cord injury and multiple sclerosis: a systematic review and clinical implications. J. Clin. Med. 2021;10(4):882. DOI: https://doi.org/10.3390/jcm10040882
7. Bernardi M, Fedullo AL, Bernardi E, Munzi D, Peluso I, Myers J, et al. Diet in neurogenic bowel management: a viewpoint on spinal cord injury. World J Gastroenterol. 2020;26(20):2479-2497. DOI: 10.3748/wjg. v26.i20.2479
8. Martinez AP, Azevedo GR. Tradução, adaptação cultural e validação da Bristol StoolFormScale para a população brasileira. Rev Latino-Am Enfermagem. 2012;20(3):1-7. DOI: https://doi.org/10.1590/S0104-11692012000300021
9. Mendes KD, Silveira RC, Galvão CM. Revisão integrativa: método de pesquisa para a incorporação de evidências em saúde e na enfermagem. Texto Contexto Enferm. 2008;17(4):758-64. DOI: https://doi.org/10.1590/S0104-07072008000400018
10. Moher D, Liberati A, Tetzlaff J, Altmn DG. Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement. PLoS Med. 2009;21;6(7):e1000097. doi: 10.1371/journal.pmed.1000097
11. Melnyk BM, Fineout-Overholt E. Making the Case for Evidence-Based Practice. In: Melnyk BM, Fineout-Overholt E. Eds. Evidence-Based Practice in Nursing & Healthcare. A Guide to Best Practice. 2011. 2nd Edition, Lippincot Williams & Wilkins, Philadelphia, 3-24.
12. Wincentak J, Xu Y, Rudden L, Truong C, Krog K, Kingsnorth. Current state of knowledge on digital rectal stimulation in individuals with traumatic and nontraumatic spinal cord injury: a scoping review. Arch Phys Med Rehabil. 2021;102(9):1816-1825. DOI: 10.1016/j.apmr.2020.12.023
13. McClurg, D; Booth, L; Herrero-Fresneda, I. Safety and efficacy of intermittent colonic exoperistalsis device to treat chronic constipation: a prospective multicentric clinical trial. Clin Transl Gastroenterol. 2020;11(12):e00267. DOI: 10.14309/ctg.0000000000000267
14. Durney P, Stillman M, Montero W, Goetz L. A Primary care provider's guide to neurogenic bowel dysfunction in spinal cord injury. Top Spinal Cord InjRehabil. 2020; 26(3):172-176. DOI: 10.46292/sci2603-172
15. McClurg D, Harris F, Goodman K, Doran S, Hagen S, Treweek S, et al. Abdominal massage plus advice, compared with advice only, for neurogenic bowel dysfunction in MS: a RCT. Health TechnolAssess. 2018;22(58):1-134. DOI: 10.3310/hta22580
16. Nelson MES, Orr M. Digital rectal stimulation as an intervention in persons with spinal cord injury and upper motor neuron neurogenic bowel. An evidenced-based systematic review of the literature. J Spinal Cord Med. 2021;44(4):525-532. DOI: 10.1080/10790268.2019.1696077
17. Zhang Y, Xia X, Zhuang X. Effect of quantitative assessment-based nursing intervention on the bowel function and life quality of patients with neurogenic bowel dysfunction after spinal cord injury. J Clin Nurs. 2018; 27(5-6):1146-1151. DOI: 10.1111/jocn.14198
18. Yeung HY, Iyer P, Pryor J, Nicholson M. Dietary management of neurogenic bowel in adults with spinal cord injury: an integrative review of literature. DisabilRehabil. 2021; 43(9):1208- 1219. DOI: 10.1080/09638288.2019.1652702
19. McClurg D, Norton C. What is the best way to manage neurogenic bowel dysfunction? BMJ. 2016;354:i3931. DOI: 10.1136/bmj.i3931
20. Kurze1 I, Geng V, Böthig R. Guideline for the management of neurogenic bowel dysfunction in spinal cord injury/disease. Spinal Cord. 2022; 60:435-443. DOI: https://doi.org/10.1038/s41393-022-00786-x
21. Organização Pan-Americana da Saúde. Cuidados inovadores para condições crônicas: organização e prestação de atenção de alta qualidade à s doenças crônicas não transmissíveis nas Américas. Washington, DC: OPAS, 2015. 1. Doença Crônica. 2. Assistência à Saúde. 3. Inovação. 4. Américas. I. Título. II. Organização Mundial da Saúde. ISBN 978-92-75-71738-7.
22. Kayikçi EE, Kocatepe V, Akyuz F, Can G. The effects of abdominal massage on the management of constipation: a systematic review of randomised controlled trials. Bezmialem Science. 2020;8(3):311-7. DOI: 10.14235/bas.galenos.2020.2832
23. Johns J, Krogh K, Rodriguez GM, Eng J, Haller E, Heinen M, et al. Management of neurogenic bowel dysfunction in adults after spinal cord injury: clinical practice Guideline for healthcare providers. Journal of Spinal Cord Med. 2021;44(3):442-510. DOI: 10.1080/10790268.2021.1883385.
24. Santos LT, Matos GSR, Nogueira PC, Simis M. Effect of transcutaneous abdominal electrical stimulation in people with constipation due to spinal cord injuries: a pilot study. RevEscEnferm USP. 2022;56(spe):e20210449. DOI: https://doi.org/10.1590/1980-220X-REEUSP-2021-0449en
25. Todd C, Woodward S. Experience of nurses caring for patients with neurogenic Bowel Dysfunction. JWOCN. 2018;45(2):163–167. DOI:10.1097/won.0000000000000413
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Published
2022-11-29
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Review articles
How to Cite
Nursing interventions in the rehabilitation of people with neurogenic bowel: integrative review. (2022). Ciência, Cuidado E Saúde, 21. https://doi.org/10.4025/ciencuidsaude.v21i0.61197
