J Korean Acad Nurs. 2011 Apr;41(2):269-275. Korean.
Published online Apr 30, 2011.
© 2011 Korean Society of Nursing Science
Original Article

Effects of Carbonated Water Intake on Constipation in Elderly Patients Following a Cerebrovascular Accident

Jae-Hee Mun,1 and Seong Sook Jun2
    • 1Project Manager, Medical Department, Sillajen Co., Ltd., Busan, Korea.
    • 2Professor, College of Nursing, Pusan National University, Yangsan, Korea.
Received August 09, 2010; Accepted April 15, 2011.

Abstract

Purpose

This study was done to identify effects of carbonated water intake on constipation in elders who have experienced a cerebrovascular accident (CVA) and are bed-ridden.

Methods

Forty elderly patients with CVA were randomly assigned to one of two groups in a double-blind study. Patients in the experimental group drank carbonated water and those in the control group drank tap water for two weeks. Six patients dropped out during the study period. Data were analyzed by repeated measured ANCOVA and the covariance was the dose of laxatives used for the two weeks.

Results

Frequency of defecation increased significantly and symptoms of constipation decreased significantly for patients in the experimental group.

Conclusion

The study results suggest that the intake of carbonated water is an effective method for the intervention of constipation in elderly patients with CVA.

Keywords
CVA (Cerebrovascular Accident); Constipation; Carbonated water

Figures

Figure 1
Mean frequency of defecation per day between groups.

Tables

Table 1
Homogeneity Test for General Characteristics between Groups

Table 2
Homogeneity Test for Outcome Variables between Groups

Table 3
Comparison of Frequency of Defecation per Week between Groups

Table 4
Comparison of Constipation Symptom between Groups

Notes

This article is a condensed form of the first author's master's thesis from Pusan National University

References

    1. Aydogdu I, Ertekin C, Tarlaci S, Turman B, Kiylioglu N, Secil Y. Dysphagia in lateral medullary infarction (Wallenberg's Syndrome): An acute disconnection syndrome in premotor neurons related to swallowing activity. Stroke 2001;32:2081–2087.
    1. Bae SS, Choi JW, Lee KH, Kim JS, Kim SM, Kim BJ, et al. Diagnosis and treatment of connective tissue massage. Journal of Korean Society of Physical Therapy 2002;14:231–239.
    1. Charles HK, Marion EA. Level of classification performance of KESS (symptom scoring system for constipation) validated in a prospective series of 105 patients. Diseases of the Colon & Rectum 2002;45:1419–1426.
    1. Choi JY. Effects of a constipation intervention program on inpatient's defecation. Journal of Korean Academy of Nursing 2004;34:72–80.
    1. Choi JY, Kim HO. A comparison of side effects according to the nutritional methods in the naso-gastric nutrition patients. Korean Nurse 2001;40:64–79.
    1. Choi KW, Roe IH, Jhon MS. The therapeutic effect of the alkaline ionized water in the patients with chronic idiopathic constipation. The Korean Journal of Gastroenterology 1990;22:802–808.
    1. Cuomo R, Grasso R, Sarnelli G, Capuano G, Nicolai E, Nardone G, et al. Effects of carbonated water on functional dyspepsia and constipation. European Journal of Gastroenterology & Hepatology 2002;14:991–999.
    1. Hwa WC. In: Effects of abdominal meridian massage on the constipation of CVA patients. Pusan National University: Busan; 2004.
      Unpublished master's thesis.
    1. Jeong SY, Jung HM. The effects of abdominal meridian massage on constipation among CVA patients. Journal of Korean Academy of Nursing 2005;35:135–142.
    1. Kim DS, Choi IJ, Hwa WC, Lee HZ, Park NH. The effect of abdominal meridian massage on constipation and depression of hemiplegic patients. Clinical Nursing Research 2004;10:70–81.
    1. Kim JY, Kim OY, Yoo HJ, Kim TI, Kim WH, Yoon YD, et al. Effects of fiber supplements on functional constipation. The Korean Journal of Nutrition 2006;39:35–43.
    1. Kim MJ, Park HS, Choi SH, Song KA, Kim HS, Nam JJ, et al. In: Fundamentals of nursing. Seoul: Hyunmunsa; 2005.
    1. Knowles CH, Dinning PG, Pescatori M, Rintala R, Rosen H. Surgical management of constipation. Neurogastroenterology and Motility 2009;21:62–71.
    1. Knowles CH, Eccersley AJ, Scott SM, Walker SM, Reeves B, Lunniss PJ. Linear discriminant analysis of symptoms in patient with chronic constipation: Validation of a new scoring system (KESS). Diseases of the Colon and Rectum 2000;4:1419–1426.
    1. Lee IJ. A study on the factors affecting late-life disability. Seoul: Korea Institute for Health and Social Affairs; 2010 [Retrieved December 30, 2010].
    1. McMillan SC, Williams FA. Validity and reliability of the constipation assessment scale. Cancer Nursing 1989;12:183–188.
    1. Nam GW, Bae SS, Lee HO, Kim SM. A study on therapeutic approach of constipation with connective tissue massage. Journal of Korean Society of Physical Therapy 2000;12:475–489.
    1. Otegbayo JA, Talabi OA, Akere A, Owolabi MO, Owolabi LF, Oguntoye OO. Gastrointestinal complications in stroke survivors. Tropical gastroenterology 2006;27:127–130.
    1. Park UC. Biofeedback therapy in patients with functional evacuation disorders. Journal of the Korean Society of Coloproctology 2003;19:260–269.
    1. Pouderoux P, Friedman N, Shirazi P, Ringelstein JG, Keshavarzian A. Effect of carbonated water on gastric emptying and intragastric meal distribution. Digestive Diseases and Sciences 1997;42:34–39.
    1. Shin JR. In: Effects of yogurt drinking on defecation improving and relationships between constipation and lifestyle including dietary habit in female college students. Daejon: Chungnam National University; 2003.
      Unpublished master's thesis.
    1. Song MS, Ha YS, Yoo SJ, Park YH. In: Geriatric nursing. Seoul: Seoul National University Press; 2006.
    1. Thompson WG, Longstreth GF, Drossman DA, Heaton KW, Irvine EJ, Müller-Lissner SA. Functional bowel disorders and functional abdominal pain. Gut 1999;45:II43–II47.

Metrics
Share
Figures

1 / 1

Tables

1 / 4

PERMALINK