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학습 자료 둘러보기 →The priority for a child with chronic constipation and encopresis is to break the withholding cycle. This is achieved by establishing a regular toileting schedule with positive reinforcement, not punishment.
Schedule toilet sits for 5–10 minutes after meals, especially breakfast and dinner, to capitalize on the gastrocolic reflex. The goal is to retrain the rectum's sensation and re-establish voluntary control.
Avoid immediate use of enemas or suppositories as a first-line nursing intervention without a comprehensive plan, as this can be psychologically traumatic and does not teach the child to overcome the fear of pain. Do not restrict fluids; adequate hydration is essential for softening stool.
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