Self care in neurogenic intestine in subjects with spinal cord injury: an integrative review


Aim: To identify the nursing interventions that promote self-care in the neurogenic intestine in subjects with spinal cord injury, related to the nursing diagnoses listed as Risk of Constipation, Constipation and Intestinal Incontinence. Method: This study used the integrative review of electronic databases using descriptors. In the analysis of data, we used the Theory of Self-Care Deficit. Results: The most mentioned interventions of self-care were; nutritional orientation, consumption of liquids, going to the toilet at the same time every day, abdominal massage, decubitus change and Valsalva maneuver. Discussion: The gastrointestinal dysfunction can cause constraints and it can also harm interpersonal relationships. The nurse must evaluate the eliminatory standard of this clientele, prioritizing non-pharmacological and less invasive actions, considering dietary preferences, cultural habits and the economic resources of the subjects available to invest in a certain diet. Conclusion: Nurses can contribute to the promotion of self-care for patients with neurogenic intestine, and the Theory of Self-Care Deficit can be used as an important tool in this process.
HTML (Português (Brasil))
EPUB (Português (Brasil))
PDF (Português (Brasil))
PDF (Español (España))
HTML (Español (España))
EPUB (Español (España))


Venturini DA, Decésaro MN, Marconi SS. Alterações e expectativas vivenciadas pelos indivíduos com lesão raquimedular e suas famílias. Rev Esc Enferm USP. 2007;41(4):589-96.

Vasconcelos AS, França ISX, Coura AS, Sousa FS, Souto RQ, Cartaxo HGO. Nursing interventions on the needs of people with spinal cord injury: an integrative review. Online braz j nurs [Internet]. 2010 September [Cited 2013 Dec 10] 9 (2) . Available from: doi: [included in the review]

Samuel JC, Akinkuoto A, Vilaveces A, Charles AG, Lee CN, Hoffman IF, et al. Epidemiology of Injuries at a tertiary care center in Malawi. World j sur. 2009; 33(9): 1836-41.

Faro ACM. A reabilitação da pessoa com lesão medular: tendências da investigação no brasil. Enferm glob 2003;(3):1-6.

Utida C, Truzzi JC, Bruschini H, Simonetti R, Cedenho AP, Srougi M, et al. Male infertility in spinal cord trauma. Int braz j urol. 2008; 31(4):375-83.

Brito LMO, Chein MBC, Marinho SC, Duarte TB. Avaliação epidemiológica dos pacientes vítimas de traumatismo raquimedular. Rev Col Bras Cir. 2011; 38(5):304-9.

Furlan MLS, Caliri MHL, Defino HL. Intestino neurogênico: guia prático para pessoas com lesão medular. Coluna. 2005; 4(3 Pt 1):113-68.

Galvin LR, Godfrey HPD. The impact of coping on emotional adjustment to spinal cord injury (SCI): review of the literature and application of a stress appraisal and coping formulation. Spinal cord. 2001; 39(12):615-27.

Goetz LL, Nelson AL, Guihan M, Bosshart HT, Harrow JJ, Gerhart KD, et al. Provider adherence to implementation of clinical practice guidelines for neurogenic bowel in adults with spinal cord injury. J spinal cord med. 2005; 28(5):394-406. [included in the review]

Coggrave M, Norton C, Wilson-Barnett J. Management of neurogenic bowel dysfunction in the community after spinal cord injury: a postal survey in the United Kingdom. Spinal cord. 2009; 47(4):323-30.

Leite VBE, Faro ACM. O cuidar do enfermeiro especialista em reabilitação físico-motora. Rev Esc Enferm USP. 2005; 39(1): 92-6. [included in the review]

North American Nursing Diagnosis Association International (NANDA-I). Nursing diagnoses: definitions and classification 2009-2011. Indianapolis: Wiley-Blackwell; 2009.

Orem DE. Modelo de Orem. Nursing. Concepts of Practice. 6th ed. St. Louis: Mosby; 2001.

Lynch AC, Antony A, Dobbs BR, Frizelle FA. Bowel dysfunction following spinal cord injury. Spinal cord [Internet]. 2001 [cited 2013 Jan 24] 39(4):193-203. Available from:

Benevento BT, Sipski ML. Neurogenic bladder, neurogenic bowel, and sexual dysfunction in people with spinal cord injury. Phys ther [Internet]. 2002 [cited 2013 Jan 24] 82(6):601-12. Available from: [included in the review]

Bruni DS, Strazzieri KC, Gumieiro MN, Giovanazzi R, Sá VG, Faro ACM. Aspectos fisiopatológicos e assistenciais de enfermagem na reabilitação da pessoa com lesão medular. Rev Esc Enferm USP [Internet]. 2004 [cited 2013 Jan 24] 38(1):71-9. Available from:

Cafer CR, Barros ALBL, Lucena AF, Mahl MLS, Miche JLM. Diagnósticos de enfermagem e proposta de intervenções para pacientes com lesão medular. Acta paul enferm [Internet]. 2005. [cited 2013 Jan 24] 18(4):347-53. Available from: [included in the review]

Coggrave M, Wiesel PH, Norton C. Management of faecal incontinence and constipation in adults with central neurological diseases. Cochrane database syst rev [Internet]. 2006 [cited 2013 Jan 24] 19(2): [about 10.p]. Available from: [included in the review]

Scramin AP, Machado WCA. Cuidar de pessoas com tetraplegia no ambiente domiciliário: intervenções de enfermagem na dependência de longo prazo. Esc Anna Nery Rev Enferm. [Internet]. 2006 [cited 2013 Jan 24] 10(3):501-8. Available from: [included in the review]

Korsten MA, Singal AK, Monga A, Chaparala G, Khan AM, Palmon R, et al. Anorectal stimulation auses increased colonic motor activity in subjects with spinal cord injury. J spinal cord med [Internet]. 2007 [cited 2013 Jan 24]; 30(1):31-5. Available from: [included in the review]

Christensen P, Bazzocchi G, Coggrave M, Abel R, Hulting C, Krogh K, et al. Outcome of Transanal Irrigation for Bowel Dysfunction in Patients With Spinal Cord Injury. J spinal cord med [Internet]. 2008 [cited 2013 Jan 24] 31(5): 560–7. Available from: [included in the review]

Krassioukov A, Eng LL, Claxton G, Sakakibara BM, Shum S. Neurogenic bowel management after spinal cord injury: a systematic review of the evidence. Spinal cord [Internet]. 2010 [cited 2013 Jan 24] 48(10):718-33. Available from: [included in the review]

Potter PA, Perry AG. Fundamentos de enfermagem. Rio de janeiro: Elsevier; 2009.

Carpenito-Moyet LJ. Manual de Diagnósticos de Enfermagem. 10 ed. Porto Alegre: Artmed; 2009.