Nursing interventions in the rehabilitation of people with neurogenic bowel: integrative review

Keywords: Neurogenic Bowel; Nursing; Rehabilitation Nursing

Abstract

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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Author Biographies

Dielly Carvalho do Amaral, Universidade Federal de São Paulo - UNIFESP

Enfermeira. Especialista. Assistente Técnico de Ensino, Faculdade de Ciências Médicas da Santa Casa de São Paulo.

Antenor Bispo dos Santos Silva, Universidade Federal de São Paulo - UNIFESP

Enfermeiro. Mestre em Ciências. Coordenador de Enfermagem no Instituto de Reabilitação Lucy Montoro e docente na Faculdade de Medicina da Universidade de São Paulo. 

Rennan Martins Ribeiro, Universidade Federal de São Paulo - UNIFESP

Enfermeiro. Mestrando. Consultor, TeleStroke Project. 

Edvane Birelo Lopes De Domenico, Universidade Federal de São Paulo - UNIFESP

Enfermeira. Livre Docente no Departamento de Enfermagem Clínica e Cirúrgica da UNIFESP. 

Rita Simone Lopes Moreira, Universidade Federal de São Paulo - UNIFESP

Enfermeira. Doutor em Ciências. Professor Associado no Departamento de Enfermagem Clínica e Cirúrgica da UNIFESP. 

Eliana Cavalari Teraoka, Universidade Federal de São Paulo - UNIFESP

Enfermeira. Doutor em Ciências. Enfermeira Técnica Administrativa em Educação. Departamento de Enfermagem Clínica e Cirúrgica da UNIFESP. 

References

Deng Y, Dong Y, Liu Y, Zhang Q, Guan X, Chen X, et al. A systematic review of clinical studies on electrical stimulation therapy for patients with neurogenic bowel dysfunction after spinal cord injury. Medicine (Baltimore). 2018; 97(41):e12778. DOI: 10.1097/MD.0000000000012778.

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.

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.

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

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

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

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

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

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

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

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.

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

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

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

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

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

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

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

McClurg D, Norton C. What is the best way to manage neurogenic bowel dysfunction? BMJ. 2016;354:i3931. DOI: 10.1136/bmj.i3931

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

Organização Pan-Americana da Saúde. Cuidados inovadores para condições crônicas: organização e prestação de atenção de alta qualidade às 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.

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

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.

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

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

Published
2022-11-29
How to Cite
Carvalho do Amaral, D., Bispo dos Santos Silva, A., Martins Ribeiro, R., Birelo Lopes De Domenico, E., Simone Lopes Moreira, R., & Cavalari Teraoka, E. (2022). Nursing interventions in the rehabilitation of people with neurogenic bowel: integrative review. Ciência, Cuidado E Saúde, 21. https://doi.org/10.4025/ciencuidsaude.v21i0.61197
Section
Review articles