Observation of the Intervention Effect of Biofeedback Therapy Combined With Cluster Nursing on Perioperative Constipation in Patients With Thoracolumbar Fracture.

Jin Luo,Nan Xie,Liping Yang

doi:10.3389/fsurg.2022.847068

Jin Luo, Nan Xie + Show 1 more

Open Access

https://doi.org/10.3389/fsurg.2022.847068

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Abstract

PurposeTo discuss the intervention effect of biofeedback therapy combined with cluster nursing on perioperative constipation in patients with thoracolumbar fracture.MethodsFrom June 2019 to June 2020, a total of 482 patients with thoracolumbar fracture who were treated by surgery in our department were selected. The random number table method was used to divide into experimental group (n = 241) and control group (n = 241). The control group was given routine constipation care, the experimental group was given biofeedback therapy combined with cluster nursing based on the control group. The constipation score, Bristol stool scale score, the short health questionnaire (SF-36) scale score, and the satisfaction of two groups were observed.ResultsThe constipation scores of the experimental group were lower than those of the control group, while the Bristol stool scale score, SF-36 score, and satisfaction degree of the experimental group were higher than those of the control group (p < 0.05).ConclusionBiofeedback therapy combined with cluster nursing has a good intervention effect in perioperative constipation of patients with thoracolumbar fracture, which can reduce the degree of constipation, improve stool traits, improve the quality of life, and improve the satisfaction of patients.

Highlights

Thoracolumbar fracture is a kind of spinal injury disease in the transition region from thoracic segment to lumbar segment, this area is prone to stress concentration, which can lead to fracture [1]
Patients need to stay in bed for a long time, spend less time to get out of bed, and eat fewer fruits and vegetables, which leads to the decrease of systemic metabolism, weakened gastrointestinal activity, reduced colonic peristalsis, and excessive retention of colonic contents, which are closely related to constipation
When constipation occurs in patients with thoracolumbar fractures, feces stay in the intestinal cavity for a long time, and wastes and poisons cannot be excreted in time, which will lead to abdominal distension, nausea, and loss of appetite and increase the pain of patients [17]

Summary

Introduction

Thoracolumbar fracture is a kind of spinal injury disease in the transition region from thoracic segment to lumbar segment, this area is prone to stress concentration, which can lead to fracture [1]. The incidence of constipation can occur in 50–90% of patients with thoracolumbar fractures, which usually occur within 24 h after fracture and sometimes lasts for more than 7 d [6]. Constipation can lead to the poor nutritional status of patients, causing patients to have problems, such as irritability and anxiety. In severe cases, it may even affect fracture healing, prolong hospitalization time, and reduce patients’ quality of life [7–9]. Perioperative constipation in patients with thoracolumbar fracture requires attention and appropriate treatment

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