Noiesen Eline, Trosborg Ingelise, Bager Louise, Herning Margrethe, Lyngby Christel, Konradsen Hanne
Medical Department F, Gentofte University Hospital, Copenhagen, Denmark.
J Clin Nurs. 2014 Aug;23(15-16):2295-302. doi: 10.1111/jocn.12511. Epub 2013 Dec 26.
To examine the prevalence and incidence of patient-reported symptoms of constipation in acutely hospitalised medical patients.
Constipation is a common medical problem with severe consequences, and most people suffer from constipation at some point in their lives. In the general population, constipation is one of the most common complaints and is a significant personal and public health burden. Alteration in patients' patterns of elimination while in hospital has long been identified as either a potential or an actual problem that requires attention. Knowledge of the prevalence and incidence of constipation during hospitalisation is only sporadic.
The study was descriptive and a prospective cohort design was chosen.
The Constipation Assessment Scale was translated into Danish and was used for the assessment of patient-reported bowel function. Five nurses made the assessments at admission to the acute medical ward and three days after admission. Three hundred and seventy-three patients participated in this study.
Thirty-nine percent of the patients showed symptoms of constipation at admission. Of the patients who did not have the symptoms at admission, 43% developed the symptoms during the first three days of their stay in hospital. Significantly more of the older patients developed symptoms of moderate constipation. The incidence rate was 143 new cases per 1000 patient days.
In this study, symptoms of constipation were common among patients acutely admitted to hospital due to different medical conditions. Symptoms of constipation were also developed during the first three days of the stay in hospital.
The study highlights the need to develop both clinical guidelines towards treating constipation, and preventive measures to ensure that patients do not become constipated while staying in hospital.
调查急性住院内科患者中患者报告的便秘症状的患病率和发病率。
便秘是一个常见的医学问题，后果严重，大多数人在生命中的某个阶段都会遭受便秘之苦。在普通人群中，便秘是最常见的主诉之一，是个人和公共卫生的重大负担。长期以来，患者住院期间排便模式的改变一直被视为一个潜在或实际需要关注的问题。关于住院期间便秘患病率和发病率的了解只是零星的。
本研究为描述性研究，采用前瞻性队列设计。
将便秘评估量表翻译成丹麦语，用于评估患者报告的肠道功能。五名护士在患者入住急性内科病房时及入院三天后进行评估。373名患者参与了本研究。
39%的患者入院时出现便秘症状。入院时没有这些症状的患者中，43%在住院的前三天出现了这些症状。老年患者出现中度便秘症状的明显更多。发病率为每1000患者日143例新病例。
在本研究中，因不同医疗状况急性入院的患者中便秘症状很常见。在住院的前三天也会出现便秘症状。
该研究强调需要制定治疗便秘的临床指南以及预防措施，以确保患者在住院期间不会便秘。
