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[确定老年人便秘的患病率及其相关因素:一项养老院研究]

[Determining the Prevalence of Constipation and Relating Factors in Elderly People: A Nursing Home Study].

作者信息

Birimoğlu-Okuyan Canan, Bilgili Naile

机构信息

Mustafa Kemal Üniversitesi Hatay Sağlık Yüksekokulu, Hatay, Türkiye.

Gazi Üniversitesi Sağlık Bilimleri Fakültesi, Ankara, Türkiye.

出版信息

Florence Nightingale Hemsire Derg. 2019 Jun 1;27(2):157-165. doi: 10.26650/FNJN422104. eCollection 2019 Jun.

Abstract

AIM

This study was conducted to determine the prevalence of constipation and related factors based on the Rome II constipation criteria for diagnosis in the elderly.

METHOD

This cross-sectional study was carried out at a nursing home in Ankara. The present study was conducted with the participation of 160 elderly individuals who were living in the nursing home and who met the criteria for participation in the research. Data were collected by means of face-to-face interviews with the Introductory Characteristics Data Form and the Rome II constipation diagnostic criteria form. Descriptive statistics and chi-square test were used for data analysis.

RESULTS

The average age of the elderly individuals is 78±8.1 (min: 65, max: 95). 51.9% of elderly individuals have a constipation problem according to Rome II constipation diagnosis criteria. When the criteria for the diagnosis of Roma II constipation were examined, it was found that 44.4% of the elderly individuals experienced difficulty/intense straining while defecating, 29.4% had a hard stool, 53.8% had a feeling of inadequate stooling/full emptying, 30.2% had bowel movements twice a week or less. The results of this study concluded that there are more constipation problems in elderly individuals who do not have regular physical activity, consume less than 2 liters of water per day and have lived in a nursing home for more than 11 years (p<0.05).

CONCLUSION

According to the findings of our study slightly more than half of the elderly people living in nursing homes have problems with constipation. It is important to determine constipation and risk factors at an early stage and support regular exercise in elderly individuals.

摘要

目的

本研究旨在根据罗马II便秘诊断标准确定老年人便秘的患病率及相关因素。

方法

本横断面研究在安卡拉的一家养老院进行。本研究纳入了160名居住在养老院且符合研究参与标准的老年人。通过面对面访谈,使用基本特征数据表格和罗马II便秘诊断标准表格收集数据。采用描述性统计和卡方检验进行数据分析。

结果

老年人的平均年龄为78±8.1岁(最小65岁,最大95岁)。根据罗马II便秘诊断标准,51.9%的老年人存在便秘问题。在检查罗马II便秘诊断标准时发现,44.4%的老年人排便时感到困难/用力过度,29.4%的老年人大便干结,53.8%的老年人有排便不充分/未完全排空的感觉,30.2%的老年人每周排便次数少于两次。本研究结果表明,缺乏规律体育活动、每天饮水量少于2升且在养老院居住超过11年的老年人便秘问题更多(p<0.05)。

结论

根据我们的研究结果,居住在养老院的老年人中略超过一半存在便秘问题。早期确定便秘及其危险因素并支持老年人进行规律运动很重要。

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