장 기능 향상을 위한 복부-골반저 재활 프로그램이 기능성 변비가 있는 뇌졸중 환자의 배변 형태, 변비 증상, 삶의 질에 미치는 영향 : 사례 연구

다국어 초록 (Multilingual Abstract)

This study explored the clinical effects and feasibility of an abdominopelvic rehabilitation program for functional constipation in patients with stroke. Three inpatients in the rehabilitation phase who met the Modified Rome IV and Constipation Assessment Scale criteria for functional constipation and had Mini-Mental State Examination scores ≥24 received a six-week program consisting of education, abdominal massage, diaphragmatic breathing, and abdominopelvic coordination exercises (30 min, twice weekly) delivered under a standardized protocol in addition to usual rehabilitation. Outcomes were assessed before and after the intervention by the same examiner using the Bristol Stool Form Scale (BSFS), the Colorectal-Anal Distress Inventory-8 (CRADI-8), and the Patient Assessment of Constipation Quality of Life (PAC-QOL) questionnaire, selected to capture stool form, pelvic floor–related defecatory difficulty, and constipation-related quality of life, respectively. After the program, all participants showed a shift in BSFS from constipation-type stools to the normal range (types 3 and 4), marked reductions in CRADI-8 scores, and significant improvements in PAC-QOL total scores, satisfying the predefined MCID thresholds for all three measures. The participants also reported relief from evacuation delays and incomplete emptying, with a tendency toward shorter defecation times. These findings suggest that a conservative abdominopelvic rehabilitation program integrating education, abdominal stimulation, breathing, and neuromuscular coordination can improve stool form, pelvic floor–related defecatory difficulty, and constipation-related quality of life in stroke patients and can be implemented feasibly within routine inpatient rehabilitation.

목차 (Table of Contents)

• Abstract
• Ⅰ. 서론
• Ⅱ. 연구방법
• 1. 연구 대상
• 2. 중재 방법
• 3. 측정 도구 및 평가 방법
• 4. 통계 처리
• Ⅲ. 결과
• 1. 연구대상자의 일반적인 특성
• 2. 변비 증상·대변 형태 및 변비 관련 삶의 질의 변화
• Ⅳ. 고찰
• Ⅴ. 결론
• 인용문헌