Efficacy of Murdoch Bowel Protocol on Constipation among Patients with Hip and Pelvic Surgery

Abstract

background Constipation is a troubling condition that can happen to anyone, but it has much concern in patients with limited physical mobility as patient with orthopedic disorder. A im of the study was To evaluate the efficacy of Murdoch bowel protocol on constipation among patients with hip and pelvic surgery Study design : was Quasi-experimental. Setting : The study conducted in Tanta International Teaching Hospital. Subjects : The sample included 80 patients who were adults (21-60 years), conscious and newly admitted to orthopedic department. Tools : Three tools were enrolled in the study for data collection: Tool (I) patients' sociodemographic sheet and health relevant data ", Tool II: Bristol Stool Form Scale. Tool III : Constipation Assessment Scale. Results : shows that the majority of patients 86.4% in study group and three quarters 75% of control group patients had constipation at the beginning of the study but at the end of study period after application of Murdoch bowel protocol only 11.1 %of study group had constipation compared to less than three quarters of control group patient. Conclusion : The Murdoch bowel protocol had great effect in prevention and management of constipation for patients with hip or pelvic surgery with a highly statistically significant difference between study and control group through period of the study as P value =0.000*. Recommendation : implementation of Murdoch bowel protocol for all orthopedic patients in orthopedic department for assessment and management of constipation.