Effect of Lifestyle Modification on Relieving Constipation Symptoms among Patients with Liver Cirrhosis | ||
| Egyptian Journal of Health Care | ||
| Article 103, Volume 12, Issue 4, December 2021, Pages 1594-1610 PDF (463.67 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejhc.2021.212774 | ||
| Authors | ||
| Amel Saeid Mahmoud* ; Safaa M. Hassanein | ||
| Assistant professors & Researchers of Medical-Surgical Nursing Faculty of Nursing-Cairo University-Egypt | ||
| Abstract | ||
| Background: Constipation in patients with liver cirrhosis is one of the key factors that might lead to hepatic encephalopathy. However, management of constipation stands on a balance between strategies for prevention and self-care/non-pharmacological perspective. Aim; Examine effect of Lifestyle Modification on constipation relieve among Patients with Liver Cirrhosis. Design: A quazi-experimental non-equivalent pre post-test time series control group. Setting; Medical departments at one of the Educational Hospital affiliated to Cairo-University hospital; Egypt.Hypothesis: H1: Study group who will receive life style modification will have a significant higher mean activity of daily living score compared to the control group who will receive routine hospital care. H2: Study group who will receive life style modification will have a significant lower mean Constipation-Symptoms score compared to the control group who will receive routine hospital care. H3: Study group who will receive life style modification will show improvement of the stool form compared to the control group who will receive routine hospital care. Sample: A purposive sample of 60 adult male & female patients. Tools: Tool I; Glasgow coma scale, Tool II; West Haven Criteria, Tool III: Demographic medical Information Form, Tool IV; Katz Index of Independence in Activities of Daily Living, Tool V; the Bristol Stool Form Scale, and Tool VI; PAC-SYM questionnaire. Results: Mean age of the study and the control groups were 55.80 ±12.73 and 52.33±12.42 respectively. The total score of activity of daily living were highly statistically significantly F(1.1.93, 56.14) =24.85 at P value=0.000 over the three readings within the study group. The total score of Assessment of Constipation-Symptoms were highly statistically significantly different than the control group as study group F (1.45, 42.19) =147.32 at P value=0.000. While; there was highly statistical significant difference between study and control groups at the 2nd and at the 3rd readings as independent t-test=(5.75, p=0.000), (7.17, p=0.000), respectively. Conclusion: The present study underlined the benefits of life style modification instructions to improve constipation symptoms of patients with Liver Cirrhosis Recommendations: Replicate the study on a larger study sample and to be followed for longer period. | ||
| Keywords | ||
| Life style modification; constipation; Liver Cirrhosis | ||
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