Effect of systematic rehabilitation training on constipation and related symptoms in patients with hematological malignancies undergoing chemotherapy

Objective To observe the effect of systematic rehabilitation training on constipation and constipation related symptoms in patients with hematological malignancies undergoing chemotherapy.

Methods A total of 82 inpatients with constipation induced by chemotherapy of malignant tumor were randomly divided into two groups, with 41 cases in each group. The control group was given routine care, while the observation group was given systematic rehabilitation training on basis of the control group. The improvement of constipation-related symptoms of the two groups was compared, and the Bristol Stool Form Scale (BSFS) score, Wexner constipation score, compliance score, Self-rating Anxiety Scale (SAS) score, Self-rating Depression Scale (SDS) score, Patient Assessment of Constipation Quality of Life scale (PAC-QOL) score and root mean square value (RMS) of abdominal muscle group electromyography before and after intervention were recorded, and nursing satisfaction of patients was measured.

Results Compared with the control group, the improvement rates of constipation-related symptoms (defecation weakness, incomplete defecation, pain sensation of defecation, texture of stool and abdominal distension) in the observation group were significantly improved, and the time to the first defecation, the time for defecation every time and the return to time of returning normal texture of stool were shortened, the number of weekly bowel movements increased, the differences were statistically significant (P < 0.05). After nursing, the Wexner score, SAS score, SDS score, and PAC-QOL score of the observation group were significantly lower than those of the control group, while the BSFS score and compliance score were significantly higher than those of the control group (P < 0.05). After nursing, only RMS of rectus abdominis in the control group was higher than before intervention, RMS of abdominal muscle group in the observation group was significantly higher than that before intervention and the control group(P < 0.05). The nursing satisfaction in the observation group was significantly higher than that in the control group (P < 0.05). There were no obvious diarrhea, abdominal pain and other discomfort symptoms in the two groups during the intervention.

Conclusion Systematic rehabilitation training can improve constipation and constipation relatedsymptoms in hematological malignancies patients with chemotherapy, and improve the quality of life.