Department of Community Healthcare & Geriatrics, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Sanei Clinic, Komaki, Japan.
Geriatr Gerontol Int. 2019 Apr;19(4):277-281. doi: 10.1111/ggi.13610. Epub 2019 Jan 9.
The prevalence of constipation and prevalence of pollakisuria among older patients receiving home medical care have not been reported, and risk factors for these symptoms are not clear in this setting. The present study sought to determine the prevalence and risk factors of constipation and pollakisuria among older patients receiving home medical care in Japan.
This study utilized data from patients in the Observational Study of Nagoya Elderly with Home Medical Care (n = 153). We carried out univariate and multivariate logistic regression analyses with the presence of constipation or pollakisuria as the dependent variable to evaluate the relationships between constipation or pollakisuria and several covariates.
The prevalence of constipation and pollakisuria were 56.9% and 15.7%, respectively. Multivariate logistic analysis showed that constipation was associated with Charlson Comorbidity Index score, polypharmacy and pollakisuria, and pollakisuria was associated with constipation and insomnia. Cardiovascular disease was inversely associated with constipation.
The prevalence of constipation among home-care patients was as high as that reported for nursing home residents and higher than that among community-dwelling individuals. Clinicians should be aware of increased constipation risk among home-care patients, particularly for those with a high Carlson Comorbidity Index score, polypharmacy and/or pollakisuria. Geriatr Gerontol Int 2019; 19: 277-281.
接受家庭医疗护理的老年患者中便秘和多尿的患病率尚未报道，并且这种情况下这些症状的危险因素尚不清楚。本研究旨在确定日本接受家庭医疗护理的老年患者中便秘和多尿的患病率和危险因素。
本研究利用名古屋老年家庭医疗护理观察研究（n=153）中的患者数据。我们进行了单变量和多变量逻辑回归分析，以便秘或多尿的存在为因变量，评估便秘或多尿与几个协变量之间的关系。
便秘和多尿的患病率分别为 56.9%和 15.7%。多变量逻辑分析表明，便秘与 Charlson 合并症指数评分、多药治疗和多尿有关，多尿与便秘和失眠有关。心血管疾病与便秘呈负相关。
家庭护理患者的便秘患病率与养老院居民报告的患病率一样高，且高于社区居住者。临床医生应意识到家庭护理患者便秘风险增加，尤其是那些 Charlson 合并症指数评分高、多药治疗和/或多尿的患者。老年医学杂志 2019; 19: 277-281。
