The Effect of Patient-Centered Care Combined with Abdominal Massage Program on Constipation in Frail Older Adults in an Orthopedic ward
Keywords:
Patient-centered care, abdominal massage, constipation, frailty, Older Adults in an Orthopedic wardAbstract
This quasi-experimental study aimed to evaluate the effect of patient-centered care combined with abdominal massage program on constipation in frail older adults in an Orthopedic ward. The sample consisted of 48 patients aged 60 years or older, selected using purposive sampling. The participants were divided into two groups: 24 patients in the experimental group and 24 in the control group. The experimental group received the program for 8 days, while the control group received routine nursing care. The research instruments included screening tools such as the FRAIL scale, Mini-CogTM, and a Constipation Risk Assessment Form. The data collection tools comprised a demographic questionnaire and a Bowel Pattern Assessment Form. The experimental intervention included the patient-centered care combined with abdominal massage program. Additionally, the monitoring tool used was a record-keeping form for bowel movements. Data were analyzed using descriptive statistics and independent t-tests.
The results revealed that the experimental group had a significantly lower average constipation score after the program compared to before and compared to the control group (p < .05). The findings indicate that the patient-centered care combined with abdominal massage program effectively reduced constipation in frail older adults in an orthopedic ward.
Downloads
References
Ministry of Public Health. Guidelines for elderly care in health facilities. 2021. (in Thai)
Sommongkol S, Jareonsinsup W, Litthong-in M, & Panphuekrak W. Nursing care for recovery after urgent abdominal surgery in older persons. Journal of Nursing and Health care. 2016; 34(3):12-9. (in Thai)
Gurler H. Care requirements of patients undergoing surgical intervention due to femur fracture according to Functional Health Patterns Model. Journal of Education and Research in Nursing. 2021;18(4):415–22.
Celik B, & Bilik O. Postoperative constipation incidence and effects of selected risk factors on constipation development in elderly patients with hip fracture. Orthopaedic Nursing. 2022; 41(6):397-405.
Elkader AIA, & Youssef N. Constipation prevalence and related risk factors among orthopedic patients. International Egyptian Journal of Nursing Sciences and Research. 2022;2(2): 202-11.
Thanyarat O. Frailty in the elderly: a case study. Thai Journal of Nursing Council. 2018;33(3): 5-19. (in Thai)
Leelayutthoyothin J. Effectiveness of a constipation prevention program in elderly patients undergoing knee arthroplasty. Vajira Nursing Journal. 2016;18(1):1-11. (in Thai)
Sirindhorn National Medical Rehabilitation Institute. Nursing care for patients with urinary/ fecal incontinence. Rehabilitation nursing course for patients/disabled/elderly in the subacute phase. Bangkok: Arun Printing; 2019. (in Thai)
Arco S, Saldaña E, Serra-Prat M, Palomera E, Ribas Y, Font S, et al. Functional constipation in older adults: prevalence, clinical symptoms and subtypes, association with frailty, and impact on quality of life. Gerontology. 2022;68(4):397-406.
Lim J, Park H, Lee H, Lee E, Lee D, Jung HW, et al. Higher frailty burden in older adults with chronic constipation. BioMed Central gastroenterology. 2021;21(1):1-8.
Botaen S, Phannawadee P, & Suparp A. Prevention and management of constipation in adults and older adults. Ramathibodi Nursing Journal. 2007;13(2):106-23. (in Thai)
Cunha AIL, Veronese N, de Melo Borges S, & Ricci NA. Frailty a predictor of adverse outcomes in hospitalized older adults: a systematic review and meta-analysis. Ageing Research Reviews.
;56 :1-16.
Elshamy KF, Othman WN, & Hassan AA. Effect of implementing nursing programs on minimizing constipation among immobilized patients at Mansoura University Hospitals. Nature and Science Journal. 2018;16(9):103-10.
Gu X, Zhang L, Yuan H, & Zhang M. Analysis of the efficacy of abdominal massage on functional constipation: A meta-analysis. Heliyon. 2023;9(7):1-14.
Fekri Z, Aghebati N, Sadeghi T, & Taghi Farzadfard M. The effects of abdominal “I LOV U” massage along with lifestyle training on constipation and distension in the elderly with stroke. Complementary Therapies in Medicine. 2021;57(6):1-9.
Hasmi H, Waluyo A, & Ohorella UB. The beneficial effects of abdominal massage on constipation and quality of life: a literature review. Indonesian Contemporary Nursing Journal. 2020;72(4):72-82.
Wanwisa P, Jiraporn K, & Pachanan N. Effects of nursing combined with abdominal massage on constipation in stroke patients. Vajira Medical Journal. 2021;65(5):415-24. (in Thai)
Siriphan S. Scope and competencies of advanced practice nursing in geriatric nursing. In: Common problems in geriatric nursing and care guidelines. 6th ed. Chulalongkorn University Press; 2023; 298-301. (in Thai)
Stewart M, Brown JB, Weston WW, McWhinney IR, McWilliam CL, & Freeman TR. Patient-centered medicine: transforming the clinical method. 2nd ed. Oxon (UK): Radcliffe Medical Press Ltd; 2003.
Lundberg V, Boström AM, Gottberg K, & Konradsen H. Healthcare professionals’ experiences of assessing, treating, and preventing constipation among older patients during hospitalization: an interview study. Journal of Multidisciplinary Healthcare. 2020;13(2020):1573-82.
Sriwong T, Mahavisessin W, Srinonprasert V, Siriussawakul A, Aekplakorn W, Limpawattana P, et al. Validity and reliability of the Thai version of the simple frailty questionnaire (T-FRAIL) with modifications to improve its diagnostic properties in the preoperative setting. BioMed Central gastroenterology. 2022;22(161):1-8. (in Thai)
Somdej Phra Sangharach Yannasangworn Institute for the Elderly. Elderly screening/ assessment manual. 1st ed. Office of the Printing Bureau for Veterans Affairs; 2014. (in Thai)
Piyawan K, Narirat J, Wiraporn W, & Orapan T. Predicting factors on functional recovery post-operative hip fracture in older persons. Journal of the Royal Thai Army Nurses. 2018; 19(2):143-51. (in Thai)
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Journal of The Royal Thai Army Nurses
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
บทความหรือข้อคิดเห็นใดใดที่ปรากฏในวารสารพยาบาลทหารบกเป็นวรรณกรรมของผู้เขียน ซึ่งบรรณาธิการหรือสมาคมพยาบาลทหารบก ไม่จำเป็นต้องเห็นด้วย
บทความที่ได้รับการตีพิมพ์เป็นลิขสิทธิ์ของวารสารพยาบาลทหารบก
The ideas and opinions expressed in the Journal of The Royal Thai Army Nurses are those of the authors and not necessarily those
of the editor or Royal Thai Army Nurses Association.
