Efficacy of Murdoch Bowel Protocol on Constipation among Patients with Hip and Pelvic Surgery

Bedawy, Fatma . Mamdouh; El- Meligy, Om Ebrahim Ali.; Mahmoud, Ashraf Atef.; .Abdalla, Amany Kamal

doi:10.21608/tsnj.2023.306356

Efficacy of Murdoch Bowel Protocol on Constipation among Patients with Hip and Pelvic Surgery

Document Type : Original Article

Authors

¹ Demonstrator, Medical –Surgical Nursing, Faculty of Nursing, Tanta University, Egypt.

² Professor of Medical- Surgical Nursing, Faculty of Nursing, Tanta University, Egypt.

³ Professor of Orthopedic Surgery, Faculty of Medicine, Tanta University, Egypt.

⁴ Assist Professor of Medical- Surgical Nursing, Faculty of Nursing, Tanta University, Egypt.

10.21608/tsnj.2023.306356

Abstract

background Constipation is a troubling condition that can happen to anyone, but it has much
concern in patients with limited physical mobility as patient with orthopedic disorder. Aim of
the study was To evaluate the efficacy of Murdoch bowel protocol on constipation among
patients with hip and pelvic surgery Study design: was Quasi- experimental. Setting: The
study conducted in Tanta International Teaching Hospital. Subjects: The sample included 80
patients who were adults (21- 60 years), conscious and newly admitted to orthopedic
department. Tools: Three tools were enrolled in the study for data collection: Tool (I)
patients' sociodemographic sheet and health relevant data ", Tool II: Bristol Stool Form
Scale. Tool III: Constipation Assessment Scale. Results: shows that the majority of patients
86.4% in study group and three quarters 75% of control group patients had constipation at the
beginning of the study but at the end of study period after application of Murdoch bowel
protocol only 11.1 %of study group had constipation compared to less than three quarters of
control group patient. Conclusion: The Murdoch bowel protocol had great effect in
prevention and management of constipation for patients with hip or pelvic surgery with a
highly statistically significant difference between study and control group through period of
the study as P value =0.000*. Recommendation: implementation of Murdoch bowel protocol
for all orthopedic patients in orthopedic department for assessment and management of
constipation