Outcome of preventive interventions on the prevalence of constipation in hip fracture patients admitted in orthopaedic ward of a tertiary care hospital in eastern India

Authors

  • Jayant Kumar Manipal Tata Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, India
  • Vijay Kumar Department of Physiotherapy, Tata Main Hospital, Jamshedpur, Jharkhand, India
  • Kumar Rahul Manipal Tata Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, India
  • Kanishk Shankar Department of Joint Replacement and Orthopaedics, Tata Main Hospital, Jamshedpur, Jharkhand, India
  • Manoj Kumar Rajak Department of Joint Replacement and Orthopaedics, Tata Main Hospital, Jamshedpur, Jharkhand, India

DOI:

https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20232618

Keywords:

Constipation, Hip fractures, Flatulence, Abdominal distention

Abstract

Background: Orthopedic patients admitted with hip fractures are prone to developing constipation due to pain and immobility in bed. The reported incidence for constipation in orthopaedic patients varies from 44 % after thoracolumbar fusion surgery to 18-72% after hip replacement surgery to 39-43%.

Methods: This study was conducted for the admitted patients with hip fracture in orthopaedic ward of a tertiary care hospital. The study period was divided into first 3 months where prevalence was measured while administering the present standard nursing care, without any active preventive interventions and next 3 months where the prevalence was measured after adding implementation of active preventive interventions.

Results: The study had 78 % incidence of constipation in the former group compared to 26 % in intervention group. This was found to be significant statistically.

Conclusions: It was safely concluded that implementation of our preventive intervention protocol in all our admitted patients with hip fractures the prevalence of constipation could be significantly reduced.

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Published

2023-08-28

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Original Research Articles