Intermittent colonic exoperistalsis for chronic constipation in spinal cord-injured individuals. A long-term structured patient feedback survey to evaluate home care use.

IF 0.7 Q4 CLINICAL NEUROLOGY
Jana Bremer, Jörn Bremer, Maike König, Peter Koßmehl, Ines Kurze, Jeannette Obereisenbuchner, Elisabeth Weinschenk, Immaculada Herrero-Fresneda
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引用次数: 0

Abstract

Study design: Structured patient feedback survey evaluating real-world home care use.

Objectives: To assess the long-term effectiveness, tolerability, and satisfaction with the intermittent colonic exoperistalsis (ICE) treatment device MOWOOT in spinal cord-injured (SCI) individuals with chronic constipation.

Setting: Four specialized German hospitals.

Methods: SCI individuals with chronic constipation were invited to use MOWOOT 10-20 min daily and answer a questionnaire about their bowel situation before treatment (feedback 1, F1) and after ≥10 months of use (feedback 2, F2). Collected variables were device use, bowel function effectiveness, chronic constipation symptoms, concomitant use of laxatives and evacuation aids, and satisfaction with bowel function and management, which were compared between time points. At F2, participants reported efficacy, tolerability/side effects, and ease of use.

Results: Eleven participants used the device for a mean (SD) of 13.27 (4.03) months. From F1 to F2, mean time per evacuation decreased by 24.5 min (p = 0.0076) and the number of failed attempts to evacuate/week, by 1.05 (p = 0.0354) with a tendency toward increased bowel movements and softer stool consistency, and decreased incomplete bowel movements. Participants experienced decreased difficulty/strain (p = 0.0055), abdominal pain (p = 0.0230), bloating (p = 0.0010), abdominal cramps (p = 0.0019), and spasms (p = 0.0198), without significant changes in the use of laxatives and evacuation aids. Satisfaction with bowel function and management improved (p = 0.0095) and more participants reported being very satisfied/satisfied (p = 0.0300). Most reported tolerability, efficacy, and ease of use as very good/good.

Conclusion: Long-term in-home ICE treatment improved bowel function and chronic constipation symptoms in SCI individuals, providing clinical benefits to this population.

Sponsorship (mowoot devices lending): 4 M Medical GmbH, Norderstedt, Germany.

Abstract Image

间歇性结肠外蠕动治疗脊髓损伤患者的慢性便秘。一项评估家庭护理使用的长期结构化患者反馈调查。
研究设计:结构化的患者反馈调查,评估真实世界的家庭护理使用情况。目的:评价间歇性结肠外肠(ICE)治疗装置MOWOOT对脊髓损伤(SCI)慢性便秘患者的长期疗效、耐受性和满意度。环境:四家德国专科医院。方法:邀请慢性便秘的SCI患者每天使用MOWOOT 10-20分钟,并回答治疗前(反馈1,F1)和使用≥10个月后(反馈2,F2)的肠道情况问卷。收集的变量包括器械使用情况、肠功能有效性、慢性便秘症状、同时使用泻药和排便辅助剂、肠功能和管理满意度,并在不同时间点之间进行比较。在F2时,参与者报告了疗效、耐受性/副作用和易用性。结果:11名参与者使用该设备的平均(SD)为13.27(4.03)个月。从F1到F2,平均每次排便时间减少了24.5分钟(p = 0.0076),排便失败次数减少了1.05 (p = 0.0354),排便增加,大便粘稠度变软,排便不完全减少。参与者经历了困难/紧张(p = 0.0055)、腹痛(p = 0.0230)、腹胀(p = 0.0010)、腹部痉挛(p = 0.0019)和痉挛(p = 0.0198)的降低,在使用泻药和排泄辅助剂方面没有显著变化。对肠道功能和管理的满意度提高(p = 0.0095),更多的参与者报告非常满意/满意(p = 0.0300)。大多数报告的耐受性,疗效和易用性为非常好/好。结论:长期在家ICE治疗可改善脊髓损伤患者的肠功能和慢性便秘症状,为该人群提供临床益处。赞助(mowoot设备出借):4 M Medical GmbH, Norderstedt, Germany。
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来源期刊
Spinal Cord Series and Cases
Spinal Cord Series and Cases Medicine-Neurology (clinical)
CiteScore
2.20
自引率
8.30%
发文量
92
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