Werth Barry L, Williams Kylie A, Pont Lisa G
Barry L. Werth, MBA, BPharm(Hons), is a PhD candidate, Sydney Nursing School, University of Sydney, Sydney, New South Wales, Australia. Kylie A. Williams, PhD, BPharm, Dip Hosp Pharm, is Associate Professor, Discipline of Pharmacy, Graduate School of Health, University of Technology Sydney, Sydney, New South Wales, Australia. Lisa G. Pont, PhD, BSc, BPharm, is Senior Lecturer, Sydney Nursing School, University of Sydney, Sydney, New South Wales, Australia.
Gastroenterol Nurs. 2017 Mar/Apr;40(2):134-141. doi: 10.1097/SGA.0000000000000144.
The objectives of this study were to (1) determine the prevalence of laxative use and self-reported constipation and (2) identify risk factors associated with constipation in a community-dwelling elderly population. A retrospective cross-sectional survey using data from the Australian Longitudinal Study of Ageing was used to explore laxative use and constipation in a cohort of community-dwelling older persons. The prevalence of laxative use was 15% and the prevalence of self-reported constipation was 21%. Females were more likely to report constipation and use laxatives. Of those using laxatives, men were more likely to have their laxatives prescribed by a doctor whereas women were more likely to self-medicate. Poor self-rated health and a higher need for assistance with activities of daily living were identified as risk factors for constipation. Constipation is a common condition affecting the community-dwelling elderly. There is a need to optimize the management of constipation and use of laxatives in such populations.
(1)确定缓泻剂使用情况及自我报告的便秘患病率;(2)识别社区居住老年人群中与便秘相关的风险因素。采用澳大利亚老龄化纵向研究的数据进行回顾性横断面调查,以探究一组社区居住老年人的缓泻剂使用情况和便秘情况。缓泻剂使用率为15%,自我报告的便秘患病率为21%。女性更有可能报告便秘并使用缓泻剂。在使用缓泻剂的人群中,男性更有可能由医生开处方,而女性更有可能自行用药。自我健康评分差和日常生活活动需要更多帮助被确定为便秘的风险因素。便秘是影响社区居住老年人的常见病症。有必要优化此类人群便秘的管理及缓泻剂的使用。