{
  "abstract": "Aims: To evaluate the feasibility and acceptability of a nurse-delivered, self-administered acupressure protocol for psychiatric outpatients with constipation; to examine preliminary effects on constipation severity and constipation-related quality of life; and to document changes in laxative use and psychotropic medication during the intervention. Background: Constipation is common among psychiatric patients receiving second-generation antipsychotics. Pharmacological treatments may cause adverse effects, while existing non-pharmacological approaches are resource intensive. A safe, low-cost, patient-centred, self-administered intervention is needed. Design: This pilot study used a single-group pretest–posttest design with assessments at baseline and immediately post-intervention. Convenience sampling recruited Hong Kong Chinese psychiatric outpatients aged 18–60 years who met Rome IV criteria for constipation and were clinically stable. Methods: Participants attended a three-hour home training session, delivered by a Community Psychiatric Nurse, on a self-administered acupressure protocol, followed by a 10-day home practice period. Feasibility was assessed by adherence. Constipation severity was measured with the Chinese Constipation Assessment Scale, and constipation-related quality of life with the Chinese Patient Assessment of Constipation Quality of Life questionnaire. Laxative use and psychotropic regimens were recorded. Results: Seventy-two participants were recruited. Adherence to the 10-day protocol was 100%. Constipation Assessment Scale scores decreased by 2.28 points, while quality-of-life scores improved by 17.01 points. Reduced laxative reliance was observed without changes in psychotropic regimens. Conclusions: Nurse-delivered training in self-administered acupressure appears feasible, acceptable, and low-cost for managing constipation in psychiatric outpatients, with promising improvements in symptoms and quality of life.",
  "abstract_shown": true,
  "affiliations": [
    "School of Nursing and Health Sciences, Hong Kong Metropolitan University, Hong Kong.",
    "Hospital Authority Hong Kong, Hong Kong."
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 11,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Wai Kit Wong"
    },
    {
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        1
      ],
      "name": "Oi Yin Jessica Wong"
    },
    {
      "affs": [
        1
      ],
      "name": "Ching Chuen Law"
    },
    {
      "affs": [
        1
      ],
      "name": "King Leong Wong"
    },
    {
      "affs": [
        1
      ],
      "name": "Yuen Ling Man"
    },
    {
      "affs": [
        1
      ],
      "name": "Tak Shing Chun"
    },
    {
      "affs": [
        1
      ],
      "name": "Sek Lim Leong",
      "orcid": "0009-0000-5890-1264"
    },
    {
      "affs": [
        1
      ],
      "name": "Wai Ming Lee"
    },
    {
      "affs": [
        0
      ],
      "name": "Alex Chan"
    },
    {
      "affs": [
        0
      ],
      "name": "Ng Ka Yan"
    },
    {
      "affs": [
        1
      ],
      "name": "Pui Yu Tam"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/f4pksvqv1126y.bib",
  "cited_by": 0,
  "doi": "10.1016/j.ijnsa.2026.100712",
  "fulltext_url": "http://www.sciencedirect.com/science/article/pii/S2666142X26002341",
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  "issns": [
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  "landing_url": "https://doi.org/10.1016/j.ijnsa.2026.100712",
  "language": "en",
  "licence": "CC-BY-NC-ND",
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  "pdf_url": "https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13718671/pdf/?tool=EBI",
  "pmcid": "PMC13718671",
  "pmid": "42960242",
  "published": "2026-10-18",
  "publisher": "Elsevier",
  "ris": "https://research.draconitic.com/paper/f4pksvqv1126y.ris",
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  "subjects": [
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  "title": "Effectiveness of self-administered acupressure intervention in managing constipation of adult psychiatric out-patient – a pilot study",
  "title_text": "Effectiveness of self-administered acupressure intervention in managing constipation of adult psychiatric out-patient – a pilot study",
  "type": "peer-reviewed",
  "updated_at": "2026-11-02T12:22:39Z",
  "url": "https://research.draconitic.com/paper/f4pksvqv1126y",
  "venue": "International Journal of Nursing Studies Advances",
  "versions": []
}