Comparison of the Effectiveness of Two Bowel Programs for CVA Patients

Authors

  • Joan F. Munchiando BSN RN CRRN,

    nurse manager, Corresponding authorSearch for more papers by this author
    • Joan F. Munchiando is a nurse manager and Kay Kendall is a staff nurse in the rehabilitation unit at William Beaumont Hospital in Royal Oak, MI.

  • Kay Kendall RN CRRN

    staff nurseSearch for more papers by this author
    • Joan F. Munchiando is a nurse manager and Kay Kendall is a staff nurse in the rehabilitation unit at William Beaumont Hospital in Royal Oak, MI.


Rehabilitation Unit 7C, William Beaumont Hospital, 3601 W. 13 Mile Road, Royal Oak, MI 48073-6769

Abstract

The purpose of the study described in this article was to compare the effectiveness of two bowel training programs for patients who had experienced a cerebrovascular accident (CVA) and to determine the length of time required to establish a regulated program. A quasi-experimental design was used to compare the existing bowel program that incorporated every-other-day digital stimulation (DS) with a program using daily DS. The convenience sample of 48 CVA patients included 23 in the control group who had DS every other day and 25 in the experimental group who had daily DS. Demographic data showed no significant differences between the two groups. The t-test showed that more subjects in the experimental group established regularity; however, the subjects in the control group who did achieve regularity took less time to do it. Subjects with right-side hemiplegia and less mobility required more time to become established. As a result of these findings, the routine protocol for bowel training in this rehabilitation unit has been changed to include daily digital stimulation.

Ancillary