RESUMO
PURPOSE: To identify nonpharmacological clinically effective interventions for constipation in adults. METHODS: A systematic review of experimental studies of nonpharmacological interventions addressing participants' management of constipation using samples of adults over 18 years of age was conducted. In evaluating the methodological quality of the eligible studies, we used the assumptions of the Cochrane Collaboration, and for the reporting of items in the systematic review we used the Model of Preferential Reporting Items for Systematic Reviews and Meta-Analyses. The protocol of this review was recorded in the International Prospective Register of Systematic Reviews of the University of York under number 43693. RESULTS: This review included 12 randomized controlled trials. Nonpharmacological effective interventions for the resolution of constipation were identified: individualized intervention based on the participant's modifiable risk factors of constipation promoting literacy in health; educational measures in dietary modification and lifestyle; and abdominal massage. CONCLUSIONS: Specific nonpharmacological interventions are crucial for nurses' clinical practice and of major importance for clients and families. Evidence on these interventions in resolving constipation is still scarce and fails to provide evidence-based data to support nursing clinical practice. CLINICAL RELEVANCE: Personal lifestyles, comorbidities, medication, and sedentary habits are likely to be risk factors in constipation. Thus, it is important to invest in nonpharmacological interventions that promote changes in behavior regarding prevention or resolution of constipation. Moreover, nursing researchers worldwide should conduct research for clinical practice regarding the fundamentals of care.
Assuntos
Constipação Intestinal/enfermagem , Adulto , Humanos , Massagem/enfermagem , Ensaios Clínicos Controlados Aleatórios como Assunto , Fatores de Risco , Resultado do TratamentoRESUMO
Os focos dos cuidados de enfermagem têm vindo a apresentar configurações diferentes face às mudanças sociais que exigem novas necessidades de saúde. O ciclo vital da família caracteriza-se por padrões de regularidade funcional, associados às funções, estrutura e processos interacionais. Nesta perspectiva a compreensão destes padrões na última etapa do ciclo vital, que se caracteriza pela adaptação ao envelhecimento, permitirá interacções mais ajustadas à promoção da saúde familiar...
The focus of nursing care has been presenting different configurations due to the social changes that require new health requirements. The family life cycle is characterized by functional regular patterns, associated to the functions, structure and interactional processes. In this perspective, understanding these patterns in the last stage of the lifecycle, which is characterized by the adaptation to aging, allowing interactions more adjusted to the promotion of family health...
Assuntos
Humanos , Idoso , Idoso , Envelhecimento , Relações Familiares , Cuidados de Enfermagem , Família , Promoção da SaúdeRESUMO
Os focos dos cuidados de enfermagem têm vindo a apresentar configurações diferentes face às mudanças sociais que exigem novas necessidades de saúde. O ciclo vital da família caracteriza-se por padrões de regularidade funcional, associados às funções, estrutura e processos interacionais. Nesta perspectiva a compreensão destes padrões na última etapa do ciclo vital, que se caracteriza pela adaptação ao envelhecimento, permitirá interacções mais ajustadas à promoção da saúde familiar.(AU)
The focus of nursing care has been presenting different configurations due to the social changes that require new health requirements. The family life cycle is characterized by functional regular patterns, associated to the functions, structure and interactional processes. In this perspective, understanding these patterns in the last stage of the lifecycle, which is characterized by the adaptation to aging, allowing interactions more adjusted to the promotion of family health.(AU)
