EFFECT OF NURSING INTERVENTION PROGRAM ON REDUCING OF CONSTIPATION AMONG PATIENTS WITH MULTIPLE SCLEROSIS
Fatma Mostafa Mahrous and Jackleen Faheem Gendy
Assistant Professor of Medical-Surgical Nursing Department, Faculty of Nursing, Ain Shams University, Egypt
Background: Constipation is one of the most common gastrointestinal complaints among patients with multiple sclerosis. Aim: The aim of this study was to evaluate the effect of nursing intervention program on reducing constipation among patients with multiple sclerosis. Design: The study was carried out using a quasi- experimental design. Setting: the study was conducted in Medical wards at Ain Shams University Hospital. Sample: A purposive sample consisted of 100 patients with multiple sclerosis and constipation randomly divided into two equal groups (50 a study group and 50 a control group). Tools for data collection: A structured interview questionnaire covering demographic characteristics, past medical history, dietary habits, elimination habits, knowledge and practice about constipation. A health education intervention program developed based on literature and identified needs was implemented and the program effect was evaluated through a post test. Results: The study findings revealed statistically significant improvements of the knowledge of patients with multiple sclerosis and constipation in the study group, with decreases in intake of anti-allergic, sedatives and hypnotics, and laxatives. They also had significant improvements in sleep, psychological problems, and exercise practice. They had significant increases in eating regular meals and brown bread, and improvements in elimination habits, and associated complaints. Conclusion: The study concluded that the health education intervention led to improvements the knowledge and practices regarding the constipation problem in patients with multiple sclerosis, with subsequent improvements in their complaints and complications. Recommendation: the study recommended that implementation of the developed health education program in similar settings, with future research to assess the long-term effect.