Nursing Support for Constipation in Palliative Care Units in Japan: A Multisite Cross-Sectional Study.

IF 1.3 Q4 HEALTH CARE SCIENCES & SERVICES Palliative medicine reports Pub Date : 2025-01-08 eCollection Date: 2025-01-01 DOI:10.1089/pmr.2024.0087

Kimiko Nakano, Yusuke Kanno, Kohei Kajiwara, Masamitsu Kobayashi, Miharu Morikawa, Yoshinobu Matsuda, Jun Kako

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Abstract

Purpose: This study investigated the frequency with which nursing support for constipation is provided for patients with cancer during the prognostic months and weeks.

Methods: An online cross-sectional survey was conducted anonymously among registered nurses in palliative care units across Japan. The frequencies of providing six types of nursing support (abdominal massage with essential oils, abdominal acupressure, auricular acupressure, self-management education, abdominal massage, and warm compresses) were surveyed.

Results: Data were obtained from 539 nurses (response rate: 22.3%) from 162 facilities. The most frequently provided support was warm compression; the least frequently provided supports were auricular acupressure, abdominal massage with essential oils, and abdominal acupressure. In the prognostic weeks only, self-management education followed these support types.

Conclusion: The investigation found that the six types of support were rarely implemented for relieving constipation in patients with cancer. Future research should investigate the factors hindering the provision of these supports.

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日本姑息治疗单位对便秘的护理支持：一项多地点横断面研究。

目的：本研究旨在调查癌症患者在预后期间提供便秘护理支持的频率。方法：对日本各地姑息治疗单位的注册护士进行匿名在线横断面调查。调查6种护理支持（腹部精油按摩、腹部穴位按摩、耳穴穴位按摩、自我管理教育、腹部按摩、热敷）的使用频率。结果：对162家医院539名护士进行了问卷调查，回复率为22.3%。最常提供的支持是热压缩；最不常提供的支持是耳穴按摩、腹部精油按摩和腹部穴位按摩。仅在预测周，自我管理教育遵循这些支持类型。结论：调查发现，缓解癌症患者便秘的6种支持方式很少得到实施。未来的研究应调查阻碍提供这些支持的因素。

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