Affiliations: [a] School of Nursing, Zhejiang Chinese Medical University, Hangzhou, China
| [b] Department of Geriatric Rehabilitation, Wuxi Central Rehabilitation Hospital, Wuxi, China
| [c] Department of Nursing, Zhejiang Provincial People’s Hospital (People’s Hospital of Hangzhou Medical College), Hangzhou, China
| [d] Jiangnan University Medical Center, Wuxi, China
Correspondence:
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Address for correspondence: Lu Wang, Department of Geriatric Rehabilitation, Wuxi Central Rehabilitation Hospital, No. 158 Qianrong Road, Wuxi City, Jiangsu 214151, China. E-mail: Wanglu_01102023@163.com and Yanjun Zhao, No.68 Zhongshan Road, Wuxi City, Jiangsu 214002, China. E-mail: 03zyj@163.com.
Abstract: BACKGROUND:Neurogenic bowel dysfunction (NBD) is a common complication in stroke patients. OBJECTIVE:To investigate the effect of rectal balloon ice water stimulation on the rehabilitation of patients with NBD after a cerebral stroke. METHODS:Forty stroke patients with NBD were selected between March and August 2022 and randomly divided into a study group (n = 20) and a control group (n = 20). Based on routine rehabilitation training, rectal balloon ice water stimulation or finger rectal stimulation were performed on the study or control group, respectively. After two weeks, the changes in the NBD, self-rating depression scale (SDS) and self-rating anxiety scale (SAS) scores were compared between the two groups. RESULTS:Before the intervention, there were no significant differences in age, sex ratio, and NBD, SDS and SAS scores between the two groups (p > 0.05). The NBD, SDS and SAS scores of both groups were significantly decreased following intervention (p < 0.05). After 2 weeks of intervention, the NBD score of the study group was significantly lower than that of the control group (5.50±1.28 vs 6.45±1.05; p = 0.014). The SDS score of the study group was lower than that of the control group, and the difference was statistically significant (32.30±2.81 vs 44.05±2.19; p = 0.014). The study group also had significantly lower SAS scores than the control group (p = 0.024). In addition, the incidence of dizziness, headaches, nausea, vomiting and abdominal pain and distension in the study group was significantly lower than in the control group (p < 0.05). CONCLUSION:Rectal balloon ice water stimulation can significantly improve stroke patients with NBD’s intestinal function and psychological status.
