Abstract
DOI: 10.26650/FNJN422104
Amaç: Bu çalışma, huzurevinde kalan
yaşlılarda Roma II konstipasyon tanılama kriterlerine göre konstipasyon görülme
sıklığını ve ilişkili faktörleri belirlemek amacıyla yapılmıştır.
Yöntem: Kesitsel tipteki bu çalışma
Ankara’da bir huzurevinde yaşayan ve araştırmaya dahil edilme kriterlerine uyan
160 yaşlı birey ile gerçekleştirilmiştir. Veriler tanıtıcı özellikler bilgi
formu ve Roma II Konstipasyon Tanılama Kriterleri formu ile yüz yüze
görüşülerek toplanmıştır. Verilerin analizinde tanımlayıcı istatistikler ile
Ki-Kare testi kullanılmıştır.
Bulgular: Yaşlı bireylerin yaş ortalaması
78±8.1 (min: 65, max: 95) olup, %53.1’i erkektir. Yaşlı bireylerin %51.9’u Roma
II konstipasyon tanılama kriterlerine göre konstipasyon sorunu yaşamaktadır.
Roma II konstipasyon tanılama kriterleri incelendiğinde yaşlı bireylerin,
%44.4’ünün defekasyon yaparken zorlanma/yoğun ıkınma yaşadığı, %29.4’ünün dışkı
kıvamının sert olduğu, %53.8’inin yetersiz dışkılama hissi/tam boşalamama
problemi olduğu, %30.2’sinin bağırsak hareketinin haftada 2 kez ve daha az
olduğu belirlenmiştir. Düzenli fiziksel aktivite yapmayan, günlük 2 litreden az
su tüketen ve huzurevinde kalma süresi 11 yılın üzerinde olan yaşlı bireylerde
konstipasyon sorununun daha fazla olduğu belirlenmiştir (p<0.05).
Sonuç: Huzurevinde yaşayan yaşlı bireylerin
yarısından biraz fazlasının konstipasyon sorunu yaşadığı belirlenmiştir. Yaşlı
bireylerde konstipasyon ve risk faktörlerinin erken dönemde belirlenmesi,
düzenli olarak egzersiz yapmalarının desteklenmesi önem taşımaktadır.
Cite this article as: Birimoğlu-Okuyan, C.
ve Bilgili, N. (2019). Determining the prevalence of constipation and relating
Factors in elderly people: A nursing home study. FNJN Florence Nightingale
Journal of Nursing, 27(2), 157-165.
References
- Annells, M., & Koch, T. (2003). Constipation and the preached trio: Diet, fluid intake, exercise. International Journal of Nursing Studies, 40(8), 843-852. Bilgiç D. F., Avcı-Arslan, H. S. ve Ünal, A. (2016). Bir huzurevinde yaşayan yaşlıların konstipasyon durumları ve etkileyen faktörler. International Journal of Basic and Clinical Medicine, 4(1), 9-16. Bleser, S., Brunton, S., Carmichael, B., Olden, K., Rasch, R., & Steege, J. (2005). Management of chronic constipation. The Journal of Family Practice, 54(8), 691-698. Bouras, E.P., & Tangalos, E.G. (2009). Chronic constipation in the elderly. Gastroenterology Clinics of North America, 38(3), 463-480. Bub, S., Brinckmann, J., Cicconetti, G., & Valentine, B.(2006). Efficacy of an herbal dietary supplement (smooth move) in the management of constipation in nursing home residents: A randomized, double-blind, placebo-controlled study. Journal of American Medical Directors Association, 7(9), 556-561. Craven R. F., & Hirnle C. J. Fundamentals of Nursing Human Health and Function. 6th ed. China:Lippincott Williams&Wilkins; 2009. p.1072-1080. De Schryver, A. M., Keulemans, Y. C., Peters, H. P., Akkermans, L. M., Smout, A. J., De Vries, W.R., et al. (2005). Effects of regular physical activity on defecation pattern in middle-aged patientscomplaining of chronic constipation. Scandinavian Journal of Gastroenterology, 40(4), 422-429. Dennison, C., Prasad, M., Lloyd, A., Bhattacharyya, S. K., Dhawan, R., & Coyne, K. (2005). The Health-related quality of life and economic burden of constipation. Pharmacoeconomics, 23(5), 461-476. Forootan, M., Bagheri, N., & Darvishi, M. (2018). Chronic constipation. Medicine, 97, 20. Fosnes, G. S, Lydersen, S., & Farup, P. G. (2011). Effectiveness of laxatives in elderly - a cross sectional study in nursing homes. BMC Geriatrics, 11(76): 1-7. Gallagher, P., & O’Mahony, D. (2009). Constipation in old age. Best Practice & Research: Clinical Gastroenterology, 23(6), 875-887. Hakverdioğlu-Yönt, G., Türk, G., Khorshıd, L. ve Eşer, İ. (2011). Huzurevinde kalan yaşlı bireylerde konstipasyon tanısının değerlendirilmesi. İ.U.F.N. Hem. Dergisi, 19(2), 83-88. Hosia-Randell, H., Suominen, M., Muurinen S., & Pitkälä, K.H. (2007). Use of laxatives among older nursing home residents in Helsinki, Finland. Drugs & Aging, 24(2), 147-154. Hsieh, C. (2005). Treatment of constipation in older adults. American Family Physician, 72(11), 2277-2284. Kocaöz, S., Bilgili, N. ve Eroğlu, K. (2009).“Prevalence and risk factors of urinary ıncontinence in Turkish nursing homes: A cross-sectional study”, Pakistan Journal of Medical Sciences, 25(1), 18-25. Larkin, P.J., Sykes, N.P., Centeno, C., Ellershaw, J.E., Elsner, F., & Eugene, B., et al. (2008). The management of constipation in palliative care: Clinical practice recommendations. Palliative Meicine, 22(7), 796-807. Leung, F. W. (2007). Etiologic factors of chronic constipation: Review of the scientific evidence. Digestive Diseases and Sciences, 52(2), 313-316. McCrea, G. L., Miaskowski, C., Stotts, N. A., Macera, L., & Madhulika G. V. (2008). Pathophysiology of constipation in the older adult. World Journal of Gastroenterology, 14(17), 2631-2638. Marples, G. (2011). Diagnosis and management of slow transit constipation in adults. Nursing Standard, 26(8), 41-48. Morad, M., Nelson, N.P., Merrick, J., Davidson, P.W., & Carmeli, E. (2007). Prevalence and risk factors of constipation in adults with intellectual disability in residential care centers in Israel. Research in Developmental Disabilities, 28(6), 580-586. Mounsey, A., Raleigh, M., & Wilson, A. (2015). Management of Constipation in Older Adults. American Family Physician, 92(6), 500-504. Mugie, S., Benninga, M. A., & Lorenzo, C. D. (2011). Epidemiology of constipation in children and adults: A systematic review. Best Practice & Research: Clinical Gastroenterology, 25(1), 3-18. Orozco, J., Orenstein, A., Sterler, S., & Stoa, J. (2012). Chronic constipation in the elderly, The American Journal of Gastroenterology, 107(5), 18-25. Papatheodoridis, G. V., Vlachogiannakos, J., Karaitianos I., & Karamanolis D.G. (2010). A greek survey of community prevalence and characteristics of constipation. European Journal of Gastroenterology & Hepatology, 22(3), 354-60. Picetti, D., Foster, S, Amanda, K. Pangle, Schrader, A., & George, M., et al. (2017). Hydration health literacy in the elderly. Nutrition and Healthy Aging, 4(3), 227-237. Rao, S.S.C., & Go, J. T. (2010). Update on the management of constipation in the elderly: New treatment options. Clinical Interventions in Aging, 9(5), 163-171. Richmond, J.P., & Wright, M.E. (2005). Development of a constipation risk assessment scale. Clinical Effectiveness in Nursing, 9(2), 37-48. Thompson, W. G., Longstreth, G., Drossman, D. A., Heaton K., Irvine E., & Muller-Lissner S. (1999). Functional bowel disorders. IN: Rome II: The functional gastrointestinal disorders, 2 nd edition, Drossman DA, Corazziari E, Talley NJ (Eds),ve ark, Degnon Associates, McLean, VA 2000, p.355. Tufan, A. ve Akın, S. (2015). Yaşlıda konstipasyon ve fonksiyonel dispepsi. Turkiye Klinikleri Journal of Geriatric Special Topics, 1(1), 95-99. Uysal, N., Khorshid, L. ve Eşer, İ. (2010). The identification of constipation problem in healthy young individuals, TAF Preventive Medicine Bulletin, 9(2), 127-132. Uz, B., Türkay, C., Bavbek, N., Işık, A., Erbayrak, M. ve Erkmen Uyar, M. (2006). Konstipasyon saptanan olgularımızın değerlendirilmesi. Akademik Gastroenteroloji Dergisi, 5(1): 56-59. Wald, A. (2016). Constipation: Advances in diagnosis and treatment. JAMA, 315(2), 185-191. Wald, A., Scarpignato, C., Mueller-Lissner, S., Kamm, M. A., Hinkel, U., & Helfrich, I., et al. (2008). A Multinational survey of prevalence and patterns of laxative use among adults with self-defined constipation. Alimentary Pharmacology & Therapeutics, 28, 917-930. Wang, C. P., & Tsai, P, Y. (2012). Efficacy of spinal magnetic stimulation in elderly persons with chronic constipation. Journal of the Chinese Medical Association, 75(3), 127-131. Werth, B. L., Williams, K. A., & Pont, L. G. (2015). A longitudinal study of constipation and laxative use in a community dwelling elderly population. Archives of Gerontology and Geriatrics, 60(3), 418-424. Zizza, C. A., Ellison, K. J., & Wernette, C. M. (2009). Total water ıntakes of community-living middle-old and oldest-old adults. The Journals of Gerontology Series A Biological Sciences and Medical Science, 64(4), 481-486.
Determining the Prevalence of Constipation and Relating Factors in Elderly People: A Nursing Home Study
Abstract
DOI: 10.26650/FNJN422104
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.
Cite this article as: Birimoğlu-Okuyan, C.
ve Bilgili, N. (2019). Determining the prevalence of constipation and relating
Factors in elderly people: A nursing home study. FNJN Florence Nightingale
Journal of Nursing, 27(2), 157-165.
References
- Annells, M., & Koch, T. (2003). Constipation and the preached trio: Diet, fluid intake, exercise. International Journal of Nursing Studies, 40(8), 843-852. Bilgiç D. F., Avcı-Arslan, H. S. ve Ünal, A. (2016). Bir huzurevinde yaşayan yaşlıların konstipasyon durumları ve etkileyen faktörler. International Journal of Basic and Clinical Medicine, 4(1), 9-16. Bleser, S., Brunton, S., Carmichael, B., Olden, K., Rasch, R., & Steege, J. (2005). Management of chronic constipation. The Journal of Family Practice, 54(8), 691-698. Bouras, E.P., & Tangalos, E.G. (2009). Chronic constipation in the elderly. Gastroenterology Clinics of North America, 38(3), 463-480. Bub, S., Brinckmann, J., Cicconetti, G., & Valentine, B.(2006). Efficacy of an herbal dietary supplement (smooth move) in the management of constipation in nursing home residents: A randomized, double-blind, placebo-controlled study. Journal of American Medical Directors Association, 7(9), 556-561. Craven R. F., & Hirnle C. J. Fundamentals of Nursing Human Health and Function. 6th ed. China:Lippincott Williams&Wilkins; 2009. p.1072-1080. De Schryver, A. M., Keulemans, Y. C., Peters, H. P., Akkermans, L. M., Smout, A. J., De Vries, W.R., et al. (2005). Effects of regular physical activity on defecation pattern in middle-aged patientscomplaining of chronic constipation. Scandinavian Journal of Gastroenterology, 40(4), 422-429. Dennison, C., Prasad, M., Lloyd, A., Bhattacharyya, S. K., Dhawan, R., & Coyne, K. (2005). The Health-related quality of life and economic burden of constipation. Pharmacoeconomics, 23(5), 461-476. Forootan, M., Bagheri, N., & Darvishi, M. (2018). Chronic constipation. Medicine, 97, 20. Fosnes, G. S, Lydersen, S., & Farup, P. G. (2011). Effectiveness of laxatives in elderly - a cross sectional study in nursing homes. BMC Geriatrics, 11(76): 1-7. Gallagher, P., & O’Mahony, D. (2009). Constipation in old age. Best Practice & Research: Clinical Gastroenterology, 23(6), 875-887. Hakverdioğlu-Yönt, G., Türk, G., Khorshıd, L. ve Eşer, İ. (2011). Huzurevinde kalan yaşlı bireylerde konstipasyon tanısının değerlendirilmesi. İ.U.F.N. Hem. Dergisi, 19(2), 83-88. Hosia-Randell, H., Suominen, M., Muurinen S., & Pitkälä, K.H. (2007). Use of laxatives among older nursing home residents in Helsinki, Finland. Drugs & Aging, 24(2), 147-154. Hsieh, C. (2005). Treatment of constipation in older adults. American Family Physician, 72(11), 2277-2284. Kocaöz, S., Bilgili, N. ve Eroğlu, K. (2009).“Prevalence and risk factors of urinary ıncontinence in Turkish nursing homes: A cross-sectional study”, Pakistan Journal of Medical Sciences, 25(1), 18-25. Larkin, P.J., Sykes, N.P., Centeno, C., Ellershaw, J.E., Elsner, F., & Eugene, B., et al. (2008). The management of constipation in palliative care: Clinical practice recommendations. Palliative Meicine, 22(7), 796-807. Leung, F. W. (2007). Etiologic factors of chronic constipation: Review of the scientific evidence. Digestive Diseases and Sciences, 52(2), 313-316. McCrea, G. L., Miaskowski, C., Stotts, N. A., Macera, L., & Madhulika G. V. (2008). Pathophysiology of constipation in the older adult. World Journal of Gastroenterology, 14(17), 2631-2638. Marples, G. (2011). Diagnosis and management of slow transit constipation in adults. Nursing Standard, 26(8), 41-48. Morad, M., Nelson, N.P., Merrick, J., Davidson, P.W., & Carmeli, E. (2007). Prevalence and risk factors of constipation in adults with intellectual disability in residential care centers in Israel. Research in Developmental Disabilities, 28(6), 580-586. Mounsey, A., Raleigh, M., & Wilson, A. (2015). Management of Constipation in Older Adults. American Family Physician, 92(6), 500-504. Mugie, S., Benninga, M. A., & Lorenzo, C. D. (2011). Epidemiology of constipation in children and adults: A systematic review. Best Practice & Research: Clinical Gastroenterology, 25(1), 3-18. Orozco, J., Orenstein, A., Sterler, S., & Stoa, J. (2012). Chronic constipation in the elderly, The American Journal of Gastroenterology, 107(5), 18-25. Papatheodoridis, G. V., Vlachogiannakos, J., Karaitianos I., & Karamanolis D.G. (2010). A greek survey of community prevalence and characteristics of constipation. European Journal of Gastroenterology & Hepatology, 22(3), 354-60. Picetti, D., Foster, S, Amanda, K. Pangle, Schrader, A., & George, M., et al. (2017). Hydration health literacy in the elderly. Nutrition and Healthy Aging, 4(3), 227-237. Rao, S.S.C., & Go, J. T. (2010). Update on the management of constipation in the elderly: New treatment options. Clinical Interventions in Aging, 9(5), 163-171. Richmond, J.P., & Wright, M.E. (2005). Development of a constipation risk assessment scale. Clinical Effectiveness in Nursing, 9(2), 37-48. Thompson, W. G., Longstreth, G., Drossman, D. A., Heaton K., Irvine E., & Muller-Lissner S. (1999). Functional bowel disorders. IN: Rome II: The functional gastrointestinal disorders, 2 nd edition, Drossman DA, Corazziari E, Talley NJ (Eds),ve ark, Degnon Associates, McLean, VA 2000, p.355. Tufan, A. ve Akın, S. (2015). Yaşlıda konstipasyon ve fonksiyonel dispepsi. Turkiye Klinikleri Journal of Geriatric Special Topics, 1(1), 95-99. Uysal, N., Khorshid, L. ve Eşer, İ. (2010). The identification of constipation problem in healthy young individuals, TAF Preventive Medicine Bulletin, 9(2), 127-132. Uz, B., Türkay, C., Bavbek, N., Işık, A., Erbayrak, M. ve Erkmen Uyar, M. (2006). Konstipasyon saptanan olgularımızın değerlendirilmesi. Akademik Gastroenteroloji Dergisi, 5(1): 56-59. Wald, A. (2016). Constipation: Advances in diagnosis and treatment. JAMA, 315(2), 185-191. Wald, A., Scarpignato, C., Mueller-Lissner, S., Kamm, M. A., Hinkel, U., & Helfrich, I., et al. (2008). A Multinational survey of prevalence and patterns of laxative use among adults with self-defined constipation. Alimentary Pharmacology & Therapeutics, 28, 917-930. Wang, C. P., & Tsai, P, Y. (2012). Efficacy of spinal magnetic stimulation in elderly persons with chronic constipation. Journal of the Chinese Medical Association, 75(3), 127-131. Werth, B. L., Williams, K. A., & Pont, L. G. (2015). A longitudinal study of constipation and laxative use in a community dwelling elderly population. Archives of Gerontology and Geriatrics, 60(3), 418-424. Zizza, C. A., Ellison, K. J., & Wernette, C. M. (2009). Total water ıntakes of community-living middle-old and oldest-old adults. The Journals of Gerontology Series A Biological Sciences and Medical Science, 64(4), 481-486.
Details
| Primary Language | English |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Research Articles |
| Authors | |
| Publication Date | June 1, 2019 |
| Published in Issue | Year 2019 Volume: 27 Issue: 2 |
