Effectiveness of Individualized Intervention on Elderly Residents with Constipation in Nursing Home: A Randomized Controlled Trial

Purpose:

To develop and examine the effectiveness of individualized intervention reduce constipation amongst elderly adults in nursing homes. 

Methods:

A prospective, randomized control trial conducted in northern Taiwan. Nursing home residents (n =43) were randomly assigned to either the control group (CG) or the experimental group (EG). The CG received no extra care by the researcher while the EG received an individualized intervention and an 8-week follow-up. Participants were assessed using the Bristol Stool Form Scale, the Patient Assessment of Constipation Symptoms, types and dosages of laxative, and by observing bowel sounds. Data was taken at baseline, 4 weeks in, as well as 8 weeks after the intervention. 

Results:

The participants in the EG had significantly higher frequency of defecation, bowel sound, and less numbers of laxative use than those in the control group. The participants in both groups had less constipation symptoms at posttests. The two groups did not differ significantly in Bristol Stool Form. 

Conclusion:

The results of this trial suggest that the individualized intervention decreased the constipation among nursing home residents.