Tharani M, X Emerensia, Santhi Sujatha Mary and Suja Santosh
Constipation is a prevalent gastrointestinal disorder affecting individuals of all ages, characterized by infrequent, difficult, or painful bowel movements. This quasi-experimental study assessed the effectiveness of a structured intervention package on the quality of life among chronic constipation clients in Coimbatore, India. A total of 60 clients aged 40–70 years were purposively sampled, with 30 each in experimental and control groups. The structured intervention package included video-assisted teaching, personalized dietary plans, daily self-abdominal massage, and exercise routines, implemented over 30 days. Pre-intervention, all clients reported very poor quality of life across physical, psychological, and social domains. Post-intervention, 93.3% of the experimental group reported a very good quality of life, compared to no improvement in the control group. Mean quality of life scores significantly improved in the experimental group from 107.30 (SD = 4.32) to 12.36 (SD = 4.11), with a highly significant between-group difference (P = 0.000). Domain-specific improvements were observed: physical quality of life improved for all experimental clients, psychological QoL improved by 100%, and 93.3% achieved very good social quality of life post-intervention. No significant association was found between quality of life and demographic variables in the experimental group. The findings affirm the structured intervention's efficacy in enhancing the quality of life for chronic constipation clients, highlighting the role of non-pharmacological, cost-effective strategies in community settings. The study underscores the importance of integrating dietary modifications, physical activity, and self-massage into routine nursing care. This research also emphasizes the potential for nurses to implement holistic, evidence-based interventions to improve the well-being of clients with chronic constipation.
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