Socio-demographic and clinical predictors for initiation of rectal irrigation in patients with evacuation disorders.

British journal of nursing (Mark Allen Publishing) Pub Date : 2025-06-19 DOI:10.12968/bjon.2025.0040

Tanzeela Gala, Abigail Fernandes, Mehak Saini, Carlotta Sarzo, Noman Shahzad, Carlene Igbedioh, Sarah Ferdinand, Alexis Schizas, Linda Ferrari, Alison J Hainsworth

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引用次数: 0

Abstract

Background: Rectal irrigation is recommended in patients with evacuation disorders (EDs) that are resistant to preliminary conservative treatments.

Aim: This study aimed to determine the incidence and predictors of rectal irrigation.

Method: This study included patients treated for EDs from a prospectively maintained database.

Results: Out of 1618 patients with ED, irrigation was started in 594, of whom 399 (67%) were started on low-volume rectal irrigation (LVRI) and the remaining 195 (33%) on high-volume rectal irrigation (HVRI). LVRI was associated with patients aged >50 years and anal incontinence, while HVRI was associated with constipation and patients aged <50 years (P<0.001). The study also found that patients in the LVRI group were more likely to complete treatment than those in the HVRI group. No variability was found between gender, socio-economic status, ethnicity and the study findings when a comparison was made between patients who continued preliminary conservative treatments and those who started on irrigation.

Conclusion: This study provides predictors of rectal irrigation. Future research is needed to explore the outcome and barriers to irrigation.

查看原文本刊更多论文

排泄障碍患者开始直肠灌洗的社会人口学和临床预测因素。

背景：直肠冲洗推荐用于对初步保守治疗有抵抗的排空障碍（EDs）患者。目的：本研究旨在确定直肠冲洗的发生率和预测因素。方法：本研究纳入了前瞻性维护数据库中接受ed治疗的患者。结果：在1618例ED患者中，594例开始冲洗，其中399例（67%）开始使用低容量直肠冲洗（LVRI），其余195例（33%）开始使用高容量直肠冲洗（HVRI）。LVRI与bb0 ~ 50岁患者和肛门失禁相关，而HVRI与便秘和p岁患者相关。结论：本研究提供了直肠冲洗的预测因子。未来的研究需要探索灌溉的结果和障碍。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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British journal of nursing (Mark Allen Publishing)

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