Consensus of Chinese experts on defecation management during perioperative period of benign anal diseases / 中华胃肠外科杂志

The significant increase in the incidence of benign anal diseases is related to the fast-paced life style, the change of dietary structure, the increase of work pressure and social psychological factors. Surgery is one of the most important treatments for benign anal diseases, while perioperative defecation management is closely related to the efficacy of surgery. In current clinical practice, there is no consensus on the management of perioperative defecation for benign anal diseases. Hence a discussion was held by the Professional Committee of Colorectal Diseases of Chinese Society of Integrated Chinese and Western Medicine, concerning the causes of perioperative defecation difficulties in perioperative anal benign diseases, the importance and specific strategy of defecation management. A consensus was consequently formed, aiming to provide a guideline for the clinical practice.

Clinical application of comprehensive defecation management on female inpatients with mental illness / 中国实用护理杂志

Objective To investigate the clinical effect of comprehensive defecation management on female inpatients with mental illness. Methods By setting up an integrated defecation management team, formulating defecation management system and process, organizing knowledge training on defecation management, nurses used Constipation Assessment Scale(CAS) and Bristol Stool Form Scale(BSFS) to evaluate defecation to screen key patients, then implement standardized defecation management to the patients. Results Patients'satisfaction with comprehensive defecation management was 97.14％(34/35). The risk assessment rate of constipation was 100％, 35 cases with high risk of constipation and 13 cases with high risk of intestinal obstruction were jointly managed by nurses, family members of the patients and doctors. Patients' defecation disorder was improved. Conclusions Comprehensive defecation management improves defecation disorder, reduces the incidence of constipation and intestinal obstruction, improves patient'satisfaction, strengthens the role of nurses in defecation management, and promotes professional development of nursing.