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Abstract：
Painful defecation, the passage of hard stools, unpleasant or irregular bowel deviation/movements from regular rate, and/or the feeling of not enough elimination of stool are common symptoms of functional constipation. The goals in treating constipation are to produce soft, painless stools and to prevent the re-accumulation of feces. This study looked at how the telerehabilitation home program (TRP) affected the symptoms of FC and the children who were constipated in terms of their quality of life. A randomized controlled trial included 400 children aging 4-18 years with functional constipation distributed in two groups: control group consisted of 200 children receiving pharmaceutical treatment and the intervention group consisted of 200 children receiving the telerehabilitation home program in addition to pharmaceutical treatment. Both groups received the interventions for 6 months. The outcomes in terms of functional constipation symptoms and quality of life are measured and compared pre- and post-interventions. Adding the telerehabilitation home program to pharmaceutical treatment of functional constipation in children results in prominent improvement in the condition; there is a significant difference between the intervention and control group in all Rome criteria which assess symptoms of functional constipation except rush to the bath-room to poop which showed non-significant difference; there is also a significant difference between the intervention and control group in all domains of the SF-36 questionnaire which assess quality of life except the mental health domain which showed non-significant difference.
CONCLUSIONS: Adding the telerehabilitation home program to pharmaceutical treatment of functional constipation in children results in prominent improvement in symptoms of functional constipation and quality of life.
BACKGROUND: Our study was registered retrospectively with Clinicaltrials.gov under the identifier NCT06207721 on 5 January 2024.
BACKGROUND: • Painful defecation, passage of hard stools, unpleasant or irregular bowel movements, feeling of incomplete stool elimination are common symptoms of functional constipation. • Goals in treating constipation include producing soft, painless stools and preventing re-accumulation of feces.
BACKGROUND: • Adding telerehabilitation home program to pharmaceutical treatment resulted in significant improvement in functional constipation symptoms and quality of life. • Significant differences between intervention group (200 children receiving telerehabilitation home program in addition to pharmaceutical treatment) and control group (200 children receiving pharmaceutical treatment) were observed in all Rome criteria except for rush to the bathroom to poop, and in all domains of SF36 questionnaire except for the mental health domain.
CONCLUSIONS: Adding the telerehabilitation home program to pharmaceutical treatment of functional constipation in children results in prominent improvement in symptoms of functional constipation and quality of life.
BACKGROUND: Our study was registered retrospectively with Clinicaltrials.gov under the identifier NCT06207721 on 5 January 2024.
BACKGROUND: • Painful defecation, passage of hard stools, unpleasant or irregular bowel movements, feeling of incomplete stool elimination are common symptoms of functional constipation. • Goals in treating constipation include producing soft, painless stools and preventing re-accumulation of feces.
BACKGROUND: • Adding telerehabilitation home program to pharmaceutical treatment resulted in significant improvement in functional constipation symptoms and quality of life. • Significant differences between intervention group (200 children receiving telerehabilitation home program in addition to pharmaceutical treatment) and control group (200 children receiving pharmaceutical treatment) were observed in all Rome criteria except for rush to the bathroom to poop, and in all domains of SF36 questionnaire except for the mental health domain.
摘要：
痛苦的排便，硬凳子的通道，不愉快或不规则的肠道偏离/运动与正常速度，和/或感觉排便不充分是功能性便秘的常见症状。治疗便秘的目标是产生柔软，无痛粪便和防止粪便的再积累。这项研究着眼于远程康复家庭计划（TRP）如何影响FC和便秘儿童的生活质量。一项随机对照试验包括400名年龄在4-18岁的功能性便秘儿童，分为两组：对照组包括200名接受药物治疗的儿童，干预组包括200名接受药物治疗的儿童。两组均接受为期6个月的干预措施。测量并比较干预前后功能性便秘症状和生活质量方面的结果。将远程康复家庭计划添加到儿童功能性便秘的药物治疗中，可以显着改善病情；在评估功能性便秘症状的所有罗马标准中，干预组和对照组之间都存在显着差异，除了急于去洗手间便便表现出无显着差异外；在SF-36问卷的所有领域中，干预组和对照组之间也存在显着差异，除了心理健康领域外，其评估生活质量的差异无统计学意义。
结论：将远程康复家庭计划添加到儿童功能性便秘的药物治疗中，可显著改善功能性便秘的症状和生活质量。
背景：我们的研究于2024年1月5日在Clinicaltrials.gov以NCT06207721的标识符进行了回顾性注册。
背景：•痛苦的排便，硬大便的通道，不愉快或不规则的排便，排便不完全的感觉是功能性便秘的常见症状。•治疗便秘的目标包括产生柔软，无痛的粪便和防止粪便的再积累。
背景：•将远程康复家庭计划添加到药物治疗中，可以显着改善功能性便秘症状和生活质量。•在所有罗马标准中观察到干预组（除药物治疗外，还接受远程康复家庭计划的200名儿童）和对照组（接受药物治疗的200名儿童）之间的显着差异，除了急于上厕所便便，以及SF36问卷的所有领域，除了心理健康领域。
结论：将远程康复家庭计划添加到儿童功能性便秘的药物治疗中，可显著改善功能性便秘的症状和生活质量。
背景：我们的研究于2024年1月5日在Clinicaltrials.gov以NCT06207721的标识符进行了回顾性注册。
背景：•痛苦的排便，硬大便的通道，不愉快或不规则的排便，排便不完全的感觉是功能性便秘的常见症状。•治疗便秘的目标包括产生柔软，无痛的粪便和防止粪便的再积累。
背景：•将远程康复家庭计划添加到药物治疗中，可以显着改善功能性便秘症状和生活质量。•在所有罗马标准中观察到干预组（除药物治疗外，还接受远程康复家庭计划的200名儿童）和对照组（接受药物治疗的200名儿童）之间的显着差异，除了急于上厕所便便，以及SF36问卷的所有领域，除了心理健康领域。
