PURPOSE
The purpose of this study was to identify the occurrences and the factors contributing to constipation in the post surgical period following major orthopedic surgery.
METHODS
The sample included 133 patients who had surgery of the hip, knee, or spine. Patients were excluded from the study if there was a history of bowel surgery or constipation from chart review. Data were collected using questionnaires such as Korean version of Modified Barthel index (K-MBI), Hospital Anxiety and Depression Scale, and Constipation Assessment Scale (CAS) before surgery and on the third postoperative day.
RESULTS
Reports of constipation occurred in 77 instances (57.9%). The first reported defecation was within 4.0±2.2 days following surgery. Mean days of first defecation of constipation group vs. non-constipation group was 5.5±1.7 days vs. 2.1±1.0 days. There were statistically significant differences between patients who reported than those who did not in terms of age, length of NPO period, postoperative ADL, and the reported incidents of preoperative and postoperative depressive symptoms. Postoperative ADL, age, and NPO period were significant influencing factors of constipation and explained 52.4% of the variance.
CONCLUSION
Constipation is a very common symptom for patients undergoing orthopedic surgery. These results indicate a need for improving patient's ADL after surgery to prevent constipation.

Citations

• The effect of kinesiophobia on gastrointestinal disorders in patients with lower extremity orthopedic surgery
  Huseyin Gunes, Semra Bulbuloglu, Serdar Saritas, Ahmet Ozdemir
  Frontiers in Surgery.2025;[Epub]     CrossRef
• Efficacy of an Iranian herbal medicine formula for postoperative constipation in trauma patients with hip and lower limb fractures: A triple-blind, placebo-controlled randomized clinical trial
  Rezvan Ghafarzadegan, Mohammadreza Zarei, Nahid Norouzi, Neda Mirbagher Ajorpaz, Seyedeh Mahsa Lotfi, Sayyed Mehdi Rasooli Manesh, Hossein Akbari, AliReza Abedi
  International Journal of Orthopaedic and Trauma Nursing.2025; 57: 101163.     CrossRef
• A Common Complication in Orthopedic Patients: Postoperative Constipation and Related Risk Factors
  Hesna G..rler, Fatma Tok Y..ld..z, Fatma Bekmez
  Journal of PeriAnesthesia Nursing.2023; 38(5): e15.     CrossRef
• Constipation After Elective Laparoscopy for Benign Gynecological Indications–A Prospective Observational Study
  Paul Berlund, Charlotte Reddington, Claudia Cheng, Martin Healey
  Journal of Minimally Invasive Gynecology.2023; 30(10): 827.     CrossRef
• Prevalence of Constipation and related Factors in Patients with Lower Extremity Fracture Surgery
  Ok-Hee Cho, Hyerim Seo, Jeongeun Yoon
  The Korean Journal of Rehabilitation Nursing.2023; 26(1): 8.     CrossRef
• Effect of Acupressure and Abdominal Massage on Constipation in Patients with Total Knee Arthroplasty: A Randomized Controlled Study
  Mahinur Durmuş İskender, Nurcan Çalışkan
  Clinical Nursing Research.2022; 31(3): 453.     CrossRef
• Randomized Controlled Trial of a Natural Food-Based Fiber Solution to Prevent Constipation in Postoperative Spine Fusion Patients
  Deborah Wittig-Wells, Pam Sapp, Melinda Higgins, Erica Davis, Jessica Carter, Ani Jacob
  Orthopaedic Nursing.2019; 38(6): 367.     CrossRef
• Opioid induced constipation management in orthopaedic and trauma patients: treatment and the potential of nurse-initiated management
  Olivia Sonneborn, Thuy Bui
  International Journal of Orthopaedic and Trauma Nursing.2019; 34: 16.     CrossRef

PURPOSE
The purpose of this study was to identify Compassion Fatigue (CF), Somatization, and Silencing Response (SR) among nurses and understand intermediate effects between the variables.
METHODS
The sample of 240 nurses who were working three shifts in medical and surgical wards, and emergency room were recruited in three hospitals with over 700 beds. A structured questionnaire was used which included CF, Somatization and SR scales. The data were analyzed using descriptive statistics, ANOVA, Pearson's correlation coefficients and stepwise multiple regression.
RESULTS
There were statistically significant differences in CF, Somatization and SR depending on perceived personal health condition, experience of turnover, co-worker support. There were significant correlations between those study variables. The result also indicated that burnout (beta=.81, p<.001) which is a part of Secondary Traumatic Stress and Somatization (beta=.79, p<.001) have the role of partial mediator in the relationship between Secondary Traumatic Stress and Silencing response.
CONCLUSION
The results of study show that an intermediary role by Burnout and Somatization in Silencing response of nurses is important for effective human resource management in hospital nursing staffs. Effective human resource management which includes mentoring and social support system can enhance the professional quality of life of nurses, which will eventually contribute to the quality of care by those care providers and counselors.

Citations

• Nurse Staffing, Work Hours, Mandatory Overtime, and Turnover in Acute Care Hospitals Affect Nurse Job Satisfaction, Intent to Leave, and Burnout: A Cross-Sectional Study
  Sung-Heui Bae
  International Journal of Public Health.2024;[Epub]     CrossRef
• The relationship between psychological resilience and professional quality of life among mental health nurses: a cross-sectional study
  Ohoud Alonazi, Amira Alshowkan, Emad Shdaifat
  BMC Nursing.2023;[Epub]     CrossRef
• Factors Affecting Secondary Traumatic Stress of Nurses Caring for COVID-19 Patients in South Korea
  Mee Sun Lee, Sujin Shin, Eunmin Hong
  International Journal of Environmental Research and Public Health.2021; 18(13): 6843.     CrossRef
• Factors Influencing Depression of Nurses among Comprehensive Nursing Care Service Ward
  Eliza Lee, Sung Sook Chang
  Korean Journal of Occupational Health Nursing.2016; 25(4): 340.     CrossRef
• Effects of emotional labor, job stress and burnout on somatization in nurses : In convergence era
  Yun Jung Oh, Young Hee Choi
  Journal of Digital Convergence.2015; 13(10): 415.     CrossRef

PURPOSE
This study was designed to develop, to implement and evaluate a fever management nursing protocol for adult patients.
METHODS
This study was conducted through seven steps following both the guideline development procedures of the Scottish Intercollegiate Guidelines Network and the Model of the Asan Medical Center Evidence-Based Practice, as follows: 1) identifying the clinical needs and composition of the protocol development group; 2) identifying and evaluating the evidence; 3) assessing the level of evidence and grading recommendations; 4) forming a protocol; 5) evaluating the protocol using an expert group validity test and identifying barriers to its implementation; 6) protocol development; and 7) evaluation of practical improvement measures following implementation of the protocol.
RESULTS
The evidence-based protocol for fever management in adult patients was completed and includes five domains and 15 items. The protocol had good content validity (CVI=.90) and nursing practice could be improved after implementation of the protocol.
CONCLUSION
This nursing protocol can be used as a guide for nursing in febrile adult patients. We recommend that further guidelines be updated in an interdisciplinary manner in order to foster local adaptation of the best clinical practices.

Citations

• Comparison of Clinical Outcomes between Rebound Hyperthermia and Non-Rebound Hypertherma Groups in Postcardiac Arrest Syndrome Patients Undergoing Targeted Temperature Management
  Ha Na Rhee, Jeong Yun Park
  Journal of Korean Critical Care Nursing.2023; 16(3): 99.     CrossRef
• Development and Effectiveness of Practice Application Program of Intravenous Infusion Evidence-Based Nursing Practice Guideline - for Small and Medium Sized Hospitals
  Inhwa Hong, Young Eun
  Journal of Korean Academy of Nursing.2020; 50(6): 863.     CrossRef
• Performance and Influencing Factors of Evidence‐Based Pressure Ulcer Care Among Acute Care Hospital Nurses
  Ji‐Kyo Kim, Sung‐Hee Yoo, Ju‐Hee Nho, Jae‐Kyun Ju
  Worldviews on Evidence-Based Nursing.2019; 16(1): 29.     CrossRef
• Critical Review I to Standardize the Textbooks of Fundamentals of Nursing: Vital Sign Assessment, Body Temperature Regulation, Oxygenation
  YunHee Shin, Seung Kyo Chaung, Hyun-Ju Kim
  Journal of Korean Academy of Fundamentals of Nursing.2019; 26(4): 282.     CrossRef
• Tepid massage for febrile children: A systematic review and meta‐analysis
  Junghee Lim, Juyoung Kim, Bora Moon, Gaeun Kim
  International Journal of Nursing Practice.2018;[Epub]     CrossRef
• Schools’ Response to MERS(MERS-CoV) Outbreak: Schools’ Discretionary Response in Absence of Control Tower
  In Sook Lee, Jae Hee Yoon, Eun Joo Hong, Chae Yoon Kim
  Journal of the Korean Society of School Health.2015; 28(3): 188.     CrossRef