Akademik Veri Yönetim Sistemi
Florence Nightingale journal of nursing (Online), cilt.28, sa.3, ss.321-332, 2020 (Hakemli Dergi)
Abstract
AIM: This study aimed to determine the effect of multidimensional training program on children with constipation and fecal incontinence
and their mothers on anxiety and their constipation management.
METHOD: The study had an experimental design with a pretest-posttest control group. The intervention group consisted of children
diagnosed with functional constipation (n=20) and fecal incontinence (n=21) and their mothers in the Pediatric Surgery Clinic. The
control group consisted of healthy (n=20) children who applied to two different Family Health Centers for any reason. Data were
collected between February 2016 and June 2017 using a descriptive questionnaire, a nutrient consumption frequency form, the Rome
III diagnostic criteria form, and the Trait Anxiety Scale for Children.
RESULTS: After the training program, the mean score of the Trait Anxiety Scale for Children decreased in both intervention groups
(p<0.01) and increased in the control group (p<0.05). In addition, the frequency of the consumption of milk, caffeinated drinks, and
white bread was reduced in the children of both intervention groups after the training program. The consumption of dried legumes,
vegetables, and whole wheat bread increased. According to the Rome III diagnostic criteria, it was determined that constipation
symptoms were not observed in 50% of the children.
CONCLUSION: The training program had a significant influence on the prevention and management of constipation and anxiety. Given
that constipation is associated with both physical and mental health outcomes, the approach for the treatment should be holistic in
nature, involving a multidisciplinary team.
Keywords: Child, constipation management, fecal incontinence, functional constipation, health professionals