In this study, we aimed to determine gastrointestinal problems associated with neurogenic bowel dysfunction in spinal cord injury patients and to assess the efficacy of bowel program on gastrointestinal problems and t...In this study, we aimed to determine gastrointestinal problems associated with neurogenic bowel dysfunction in spinal cord injury patients and to assess the efficacy of bowel program on gastrointestinal problems and the severity of neurogenic bowel dysfunction. Fifty-five spinal cord injury patients were included in this study. A bowel program according to the characteristics of neurogenic bowel dysfunction was performed for each patient. Before and after bowel program, gastrointestinal problems（constipation, difficult intestinal evacuation, incontinence, abdominal pain, abdominal distension, loss of appetite, hemorrhoids, rectal bleeding and gastrointestinal induced autonomic dysreflexia） and bowel evacuation methods（digital stimulation, oral medication, suppositories, abdominal massage, Valsalva maneuver and manual evacuation） were determined. Neurogenic bowel dysfunction score was used to assess the severity of neurogenic bowel dysfunction. At least one gastrointestinal problem was identified in 44（80%） of the 55 patients before bowel program. Constipation（56%, 31/55） and incontinence（42%, 23/55） were the most common gastrointestinal problems. Digital rectal stimulation was the most common method for bowel evacuation, both before（76%, 42/55） and after（73%, 40/55） bowel program. Oral medication, enema and manual evacuation application rates were significantly decreased and constipation, difficult intestinal evacuation, abdominal distention, and abdominal pain rates were significantly reduced after bowel program. In addition, mean neurogenic bowel dysfunction score was decreased after bowel program. An effective bowel program decreases the severity of neurogenic bowel dysfunction and reduces associated gastrointestinal problems in patients with spinal cord injury.展开更多
Aim: The purpose of the study was to assess the musculoskeletal pain frequency and intensity, to pinpoint the factors affecting the pain and to research their effect on patients’ quality of life. Methods: 203 patient...Aim: The purpose of the study was to assess the musculoskeletal pain frequency and intensity, to pinpoint the factors affecting the pain and to research their effect on patients’ quality of life. Methods: 203 patients over 65 who came to our Physical Therapy and Rehabilitation clinic were included in the study. Intensity of comorbid diseases were calculated by using Cumulative Illness Rating Scale (CIRS). Geriatric Pain Measure-24 (GPM) was used to assess the pain intensity, Geriatric Depression Scale-15 (GDS) was used to detect the presence of depression and Short Form-36 (SF-36) was used to determine quality of life. Results: The median age of the patients was 72.9 ± 6.36 (65 - 92) years. 97% of patients complained of pain. GPM total value mean of the patients was 61.9 (0 - 99.9). GPM scores were significantly higher in patients who were female (p Conclusions: Low education, being single, presence of comorbidities and being a housewife all relates to pain intensity, yet the most important factors are being female and presence of depression. Pain intensity is connected to low quality of life. We think this study will show a path to program geriatric population’s healthcare needs.展开更多
文摘In this study, we aimed to determine gastrointestinal problems associated with neurogenic bowel dysfunction in spinal cord injury patients and to assess the efficacy of bowel program on gastrointestinal problems and the severity of neurogenic bowel dysfunction. Fifty-five spinal cord injury patients were included in this study. A bowel program according to the characteristics of neurogenic bowel dysfunction was performed for each patient. Before and after bowel program, gastrointestinal problems（constipation, difficult intestinal evacuation, incontinence, abdominal pain, abdominal distension, loss of appetite, hemorrhoids, rectal bleeding and gastrointestinal induced autonomic dysreflexia） and bowel evacuation methods（digital stimulation, oral medication, suppositories, abdominal massage, Valsalva maneuver and manual evacuation） were determined. Neurogenic bowel dysfunction score was used to assess the severity of neurogenic bowel dysfunction. At least one gastrointestinal problem was identified in 44（80%） of the 55 patients before bowel program. Constipation（56%, 31/55） and incontinence（42%, 23/55） were the most common gastrointestinal problems. Digital rectal stimulation was the most common method for bowel evacuation, both before（76%, 42/55） and after（73%, 40/55） bowel program. Oral medication, enema and manual evacuation application rates were significantly decreased and constipation, difficult intestinal evacuation, abdominal distention, and abdominal pain rates were significantly reduced after bowel program. In addition, mean neurogenic bowel dysfunction score was decreased after bowel program. An effective bowel program decreases the severity of neurogenic bowel dysfunction and reduces associated gastrointestinal problems in patients with spinal cord injury.
文摘Aim: The purpose of the study was to assess the musculoskeletal pain frequency and intensity, to pinpoint the factors affecting the pain and to research their effect on patients’ quality of life. Methods: 203 patients over 65 who came to our Physical Therapy and Rehabilitation clinic were included in the study. Intensity of comorbid diseases were calculated by using Cumulative Illness Rating Scale (CIRS). Geriatric Pain Measure-24 (GPM) was used to assess the pain intensity, Geriatric Depression Scale-15 (GDS) was used to detect the presence of depression and Short Form-36 (SF-36) was used to determine quality of life. Results: The median age of the patients was 72.9 ± 6.36 (65 - 92) years. 97% of patients complained of pain. GPM total value mean of the patients was 61.9 (0 - 99.9). GPM scores were significantly higher in patients who were female (p Conclusions: Low education, being single, presence of comorbidities and being a housewife all relates to pain intensity, yet the most important factors are being female and presence of depression. Pain intensity is connected to low quality of life. We think this study will show a path to program geriatric population’s healthcare needs.
