Murdoch Bowel Protocol and its Effect on the Occurrence of Constipation among Open Heart Surgery Patients | ||
Minia Scientific Nursing Journal | ||
Volume 017, Issue 1, June 2025, Pages 101-113 PDF (492.63 K) | ||
Document Type: Original articles | ||
DOI: 10.21608/msnj.2025.352969.1155 | ||
Authors | ||
Randa Moustafa Ali* 1; Jehan Sayyd Ali2; Shady Eid Mousa Elwany3; Marwa Mohammad Abdelbaky4; Sherif Nesnawy5 | ||
1Assistant lecturer, Medical-Surgical Nursing, Faculty of Nursing - Minia University | ||
2Professor, Medical-Surgical Nursing, Faculty of Nursing – Minia University | ||
3Professor of Cardiothoracic Surgery Department, Faculty of Medicine - Minia University | ||
4Assistant Professor, Medical-Surgical Nursing, Faculty of Nursing - Minia University | ||
5PhD, Medical-Surgical Nursing, Faculty of Nursing - Minia University | ||
Abstract | ||
Background: Constipation is a common complication among patients undergoing open-heart surgery, often prolonging hospital stays and contributing to significant morbidity, with rare cases leading to mortality. The Murdoch Bowel Protocol provides a straightforward and validated approach for managing constipation. Aim of the study: To evaluate the effect of implementing the Murdoch Bowel Protocol on constipation among open-heart surgery patients. Research design: A quasi-experimental research design was utilized. Subjects: A purposive sample including (90) adult post-open-heart surgery patients classified into two equal groups of 45 each (study and control group). Setting: Conducted at Cardiothoracic Surgery Hospital of Minia University in Minia governorate. Tools: Three tools were utilized to collect data, the first tool is a structured interview assessment sheet for demographic and medical data, and the second tool includes a bowel assessment sheet divided into 2 parts: part I: Constipation Assessment Scale, part II: Bristol Stool Form Scale, the third tool include: Intake and Output chart. Results: The study group demonstrated a statistically significant difference in preventing constipation occurrence compared to the control group on the tenth day. Conclusion: The study findings indicate that patients who received the Murdoch bowel protocol have a lower incidence rate of constipation than those patients who didn't receive the Murdoch bowel protocol. Recommendation: Application of Murdoch bowel protocol to reduce the occurrence of constipation among critically ill patients in the intensive care unit. | ||
Keywords | ||
Constipation; Murdoch Bowel Protocol; Open-Heart Patients | ||
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