REVIEW
Constipation management in people with intellectual disability: A systematic review
Janet Robertson,
Susannah Baines,
Eric Emerson,
Chris Hatton,
Corresponding Author
Janet Robertson
Centre for Disability Research, Division of Health Research, Faculty of Health and Medicine, Lancaster University, Lancaster, UK
Correspondence
Janet Robertson, Centre for Disability Research, Division of Health Research, Faculty of Health and Medicine, Lancaster University, Lancaster, UK.
Email: [email protected]
Search for more papers by this authorSusannah Baines
Centre for Disability Research, Division of Health Research, Faculty of Health and Medicine, Lancaster University, Lancaster, UK
Search for more papers by this authorEric Emerson
Centre for Disability Research, Division of Health Research, Faculty of Health and Medicine, Lancaster University, Lancaster, UK
Centre for Disability Research and Policy, University of Sydney, Sydney, NSW, Australia
Search for more papers by this authorChris Hatton
Centre for Disability Research, Division of Health Research, Faculty of Health and Medicine, Lancaster University, Lancaster, UK
Search for more papers by this authorJanet Robertson,
Susannah Baines,
Eric Emerson,
Chris Hatton,
Corresponding Author
Janet Robertson
Centre for Disability Research, Division of Health Research, Faculty of Health and Medicine, Lancaster University, Lancaster, UK
Correspondence
Janet Robertson, Centre for Disability Research, Division of Health Research, Faculty of Health and Medicine, Lancaster University, Lancaster, UK.
Email: [email protected]
Search for more papers by this authorSusannah Baines
Centre for Disability Research, Division of Health Research, Faculty of Health and Medicine, Lancaster University, Lancaster, UK
Search for more papers by this authorEric Emerson
Centre for Disability Research, Division of Health Research, Faculty of Health and Medicine, Lancaster University, Lancaster, UK
Centre for Disability Research and Policy, University of Sydney, Sydney, NSW, Australia
Search for more papers by this authorChris Hatton
Centre for Disability Research, Division of Health Research, Faculty of Health and Medicine, Lancaster University, Lancaster, UK
Search for more papers by this authorAbstract
Background
Constipation can lead to serious health issues and death. This systematic review summarizes international research pertaining to the management of constipation in people with intellectual disability.
Method
Studies published from 1990 to 2017 were identified using Medline, Cinahl, PsycINFO, Web of Science, email requests and cross-citations. Studies were reviewed narratively in relation to identified themes.
Results
Eighteen studies were reviewed in relation to three themes: laxative receipt; interventions (dietary fibre, abdominal massage and macrogol); and staff issues (knowledge and training). Laxative polypharmacy was common. Studies report positive results for dietary fibre and abdominal massage although study quality was limited.
Conclusion
The main management response to constipation in people with intellectual disability is laxative use despite limited effectiveness. An improved evidence base is required to support the suggestion that an individualized, integrated bowel management programme may reduce constipation and associated health conditions in people with intellectual disability.
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