Author/Authors :
Alijanpour, Shayan Education- Research and Planning Unite - Pre-hospital Emergency Organization and Emergency Medical Service Center - Babol University of Medical Sciences - Babol, Iran , Alimohamadi, Nasrollah Nursing and Midwifery Care Research Center - Faculty of Nursing and Midwifery - Isfahan University of Medical Sciences - Isfahan, Iran , Khafri, Soraya Department of Biostatistics and Epidemiology - Babol University of Medical Sciences - Babol, Iran , Khorvash, Fariborz Isfahan Neurosciences Research Center - Isfahan University of Medical Sciences - Isfahan, Iran
Abstract :
The impacts of new-onset constipation outcomes in stroke clients have
remained unclear. It seems helpful to update the structure planning with nursing-led
intervention.
Objective: The current study aimed to present a protocol and methods of Caspian Nursing
Process Projects in new-onset constipation by nursing-led intervention considering the
experts’ point of view.
Materials and Methods: The current multi-stage evolutionary study describes the
protocol and methods of Caspian Nursing Process Projects, which were conducted
on stroke constipation, such as new-onset constipation. The study was conducted in
several phases, including searching for scientific sources, formal-content validity, RAND
and Delphi methods, and changes made at the Delphi stage and the experts’ panel. We
selected 21 studies published between January 2004 and December 2019 in the Cochran
database, Medline, Science Direct, PubMed, Elsevier, and Scopus. The PRISMA (Preferred
Reporting Items for Systematic Reviews and Meta-Analyses) and AGREE II (The Appraisal
of Guidelines for Research & Evaluation) were used to evaluate the articles and guidelines.
Results: After considering the inclusion and exclusion criteria, 14 articles and guidelines were
entered. Most of the authorities were 16 men (72.7%), 11 cases had MD degrees (50%), and 4
(18.2%) were neurologists. Regarding the priority, the highest agreement was found on patient
and companion education (98%) and the lowest on disability in daily activity (75.6%). In terms
of benefits, patient education again achieved the highest agreement with 97.2%, and use
of the Bartel index with 73.6% obtained the lowest agreement. Regarding the applicability,
registration, and reporting, the water and electrolyte impairment and educational booklet
obtained the highest agreement with 93.6%.
Conclusion: All recommendations had reached over 70% agreement in all four areas of the
initial draft, and some care should be taken only by stroke nurses or critical care nursing. The
study results can be used for developing national guidelines or criteria.
