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Autor/inn/enRobertson, Janet; Baines, Susannah; Emerson, Eric; Hatton, Chris
TitelConstipation Management in People with Intellectual Disability: A Systematic Review
QuelleIn: Journal of Applied Research in Intellectual Disabilities, 31 (2018) 5, S.709-724 (16 Seiten)Infoseite zur Zeitschrift
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ZusatzinformationORCID (Robertson, Janet)
ORCID (Hatton, Chris)
Spracheenglisch
Dokumenttypgedruckt; online; Zeitschriftenaufsatz
ISSN1360-2322
DOI10.1111/jar.12426
SchlagwörterPhysiology; Intervention; Drug Therapy; Eating Habits; Health; Correlation; Staff Development; Research Reports; Food; Intellectual Disability; Knowledge Level; Death
AbstractBackground: Constipation can lead to serious health issues and death. This systematic review summarizes international research pertaining to the management of constipation in people with intellectual disability. Method: Studies published from 1990 to 2017 were identified using Medline, Cinahl, PsycINFO, Web of Science, email requests and cross-citations. Studies were reviewed narratively in relation to identified themes. Results: Eighteen studies were reviewed in relation to three themes: laxative receipt; interventions (dietary fibre, abdominal massage and macrogol); and staff issues (knowledge and training). Laxative polypharmacy was common. Studies report positive results for dietary fibre and abdominal massage although study quality was limited. Conclusion: The main management response to constipation in people with intellectual disability is laxative use despite limited effectiveness. An improved evidence base is required to support the suggestion that an individualized, integrated bowel management programme may reduce constipation and associated health conditions in people with intellectual disability. (As Provided).
AnmerkungenWiley-Blackwell. 350 Main Street, Malden, MA 02148. Tel: 800-835-6770; Tel: 781-388-8598; Fax: 781-388-8232; e-mail: cs-journals@wiley.com; Web site: http://www.wiley.com/WileyCDA
Erfasst vonERIC (Education Resources Information Center), Washington, DC
Update2020/1/01
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