Retrospective Study
Copyright ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Feb 6, 2021; 9(4): 784-791
Published online Feb 6, 2021. doi: 10.12998/wjcc.v9.i4.784
Effect of biofeedback combined with high-quality nursing in treatment of functional constipation
Xiu Zhao, Jin Meng, Jin Dai, Zhi-Tao Yin
Xiu Zhao, Jin Meng, Department of Anorectal Disease, Shenyang Coloproctology Hospital, Shenyang 110000, Liaoning Province, China
Jin Dai, Department of Constipation, Shenyang Coloproctology Hospital, Shenyang 110000, Liaoning Province, China
Zhi-Tao Yin, Department of Anorectal Disease, Shenyang Hospital of Traditional Chinese Medicine, Shenyang 110000, Liaoning Province, China
Author contributions: Yin ZT conceived and designed the study; Zhao X wrote the manuscript; Meng J performed the statistical analyses; Dai J collected the data; All authors read and approved the final manuscript.
Institutional review board statement: This study was approved by the Ethics Committee of the Shenyang Coloproctology Hospital, Liaoning Province, China and carried out in accordance with the Helsinki Declaration.
Informed consent statement: All subjects participating in the study signed the informed consent statement form.
Conflict-of-interest statement: There is no conflict interest issue.
Data sharing statement: Please contact author for data requests.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Zhi-Tao Yin, MSc, Chief Physician, Department of Anorectal Disease, Shenyang Hospital of Traditional Chinese Medicine, No. 23 Sanhao Street, Shenyang 110000, Liaoning Province, China. yinzitao@163.com
Received: October 25, 2020
Peer-review started: October 25, 2020
First decision: November 20, 2020
Revised: November 30, 2020
Accepted: December 17, 2020
Article in press: December 17, 2020
Published online: February 6, 2021
Abstract
BACKGROUND

Functional constipation (FC) is a common functional gastrointestinal disease with various clinical manifestations. It is a physical and mental disease, which seriously affects patient physical and mental health and quality of life. Biofeedback therapy is the treatment of choice for FC, especially outlet obstructive constipation caused by pelvic floor dysfunction. High-quality nursing is a new nursing model in modern clinical work and a new concept of modern nursing service.

AIM

To explore the effect of biofeedback combined with high-quality nursing in the treatment of FC.

METHODS

A total of 100 patients with FC admitted to our hospital from March 2015 to July 2019 were selected for clinical observation. These patients were randomly divided into two groups of 50: Experimental group (biofeedback combined with high-quality nursing treatment group) and control group (biofeedback group).

RESULTS

The constipation symptom score of the experimental group was significantly lower than that of the control group, and the difference was statistically significant (P < 0.05). The anal canal resting pressure and initial defecation threshold of the experimental group were significantly lower than those of the control group, and the maximum squeeze systolic pressure of the anal canal of the experimental group was significantly higher than that of the control group (P < 0.05). The Self-Rating Anxiety Scale and Zung’s Self-Rating Depression Scale scores of the two groups were significantly lower than before treatment. The Self-Rating Anxiety Scale and Self-Rating Depression Scale scores of the experimental group were significantly lower than those of the control group (P < 0.05). The patient satisfaction score of the experimental group was significantly higher than that of the control group (P < 0.05).

CONCLUSION

The application of biofeedback combined with high-quality nursing in the treatment of FC has significant advantages over pure biofeedback treatment, and it is worthy of promotion in clinical work.

Keywords: High quality care, Functional constipation, Biofeedback, Pelvic floor dysfunction, Self-rating anxiety scale, Self-rating depression scale

Core Tip: One-hundred patients with functional constipation were selected for clinical observation. The constipation symptom score, anorectal pressure measurement, Anxiety Scale and Zung’s Self-Rating Depression Scale scores, and the patient satisfaction score of the experimental group (biofeedback combined with high-quality nursing) were significantly higher than those of the control group (pure biofeedback treatment).