Coronel Ana Lúcia Couto, Silva Helena Terezinha Hubert
Universidade Federal de Ciências da Saúde de Porto Alegre Programa de Pós-Graduação em Ensino na Saúde Porto Alegre (RS) Brasil Universidade Federal de Ciências da Saúde de Porto Alegre, Programa de Pós-Graduação em Ensino na Saúde, Porto Alegre (RS), Brasil.
Universidade Federal de Ciências da Saúde de Porto Alegre Departamento de Patologia e Medicina Legal e Programa de Pós-Graduação em Ensino na Saúde Porto Alegre (RS) Brasil Universidade Federal de Ciências da Saúde de Porto Alegre, Departamento de Patologia e Medicina Legal e Programa de Pós-Graduação em Ensino na Saúde, Porto Alegre (RS), Brasil.
Rev Panam Salud Publica. 2017 Mar 3;41:e19. doi: 10.26633/RPSP.2017.19. eCollection 2017.
To search the literature for evidence of a relationship between domestic violence and constipation.
An integrative review was conducted using the six-step approach and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). We examined articles published between 2005 and 2015 investigating the correlation between domestic violence and constipation. The search was performed in September and October of 2015 in PubMed, MEDLINE, Scopus, and Web of Science. The selection of articles was performed in three stages: search, pre-selection, and inclusion.
Of 177 articles identified, 11 were included in the review. Of these 11 articles, seven were quantitative, three were qualitative, and one was mixed. Four articles focused on children and adolescents, two investigated medical knowledge regarding the relationship between domestic violence and constipation, one reviewed digestive disorders in the elderly, one evaluated the results of biofeedback for the treatment of constipated individuals with or without a history of violence, and one evaluated evacuatory disorders and correlated the result of defecography with history of domestic violence. Finally, two studies were specialist reports. Level of evidence was 1B and recommendation grade A in three studies. All studies detected a relationship between domestic violence and intestinal constipation.
The results of the present review support a correlation between domestic violence and intestinal constipation. The investigation of this relationship is recommended in clinical practice.
检索文献以寻找家庭暴力与便秘之间关系的证据。
采用六步方法和系统评价与Meta分析的首选报告项目(PRISMA)进行综合评价。我们查阅了2005年至2015年间发表的研究家庭暴力与便秘之间相关性的文章。检索于2015年9月和10月在PubMed、MEDLINE、Scopus和科学网进行。文章的筛选分三个阶段进行:检索、预筛选和纳入。
在检索到的177篇文章中,11篇被纳入本评价。在这11篇文章中,7篇为定量研究,3篇为定性研究,1篇为混合研究。4篇文章关注儿童和青少年,2篇研究了关于家庭暴力与便秘关系的医学知识,1篇综述了老年人的消化系统疾病,1篇评估了生物反馈治疗有或无暴力史便秘患者的效果,1篇评估了排空障碍并将排粪造影结果与家庭暴力史相关联。最后,有2项研究为专家报告。3项研究的证据级别为1B,推荐等级为A。所有研究均发现家庭暴力与肠道便秘之间存在关联。
本评价结果支持家庭暴力与肠道便秘之间存在相关性。建议在临床实践中对这种关系进行调查。