McCague Yvonne, Hill Katie, Furlong Eileen, Somanadhan Suja
School of Nursing, Midwifery and Health Systems, University College Dublin, Dublin, Ireland. Regional Hospital Mullingar, Co. Westmeath, Ireland..
School of Nursing, Midwifery and Health Systems, University College Dublin, Dublin, Ireland.
J Pediatr Nurs. 2025 May-Jun;82:e142-e163. doi: 10.1016/j.pedn.2025.04.007. Epub 2025 Apr 18.
Constipation is a common and complex health issue among children that negatively affects multiple domains of children's and families' lives. Emotional, psychological, and behavioural problems in children, as well as anxiety, distress and frustration in parents, are some of the reported effects.
This manuscript presents a systematic scoping review synthesising current evidence on the psychosocial impact of childhood constipation on children and their families.
This review was guided by Arksey and O'Malley's five-stage framework, updated by Levac, Colquhoun and O'Brien and the Joanna Briggs Institute. Five databases were systematically searched: PUBMED, CINAHL, ASSIA, PsycINFO and Google Scholar, which yielded 2836 records. Following a systematic screening process, 32 articles met the inclusion criteria. Results were analysed, discussed and presented using the PAGER framework.
The four key patterns that emerged were the psychosocial impact of childhood constipation on children, their parents, and school and academic life, and parental factors associated with childhood constipation.
Childhood constipation significantly impacts the quality of life for both children and their parents, as well as the school life and academic performance. Various parental factors are linked to a higher prevalence of constipation in children.
Neglecting to assess and address psychosocial issues in children with constipation can prolong the condition and significantly reduce their overall quality of life, contributing to multimorbidity. Adopting a holistic approach to managing constipation in children and their families is essential for promoting overall well-being.
便秘是儿童中常见且复杂的健康问题，会对儿童及其家庭生活的多个方面产生负面影响。儿童的情绪、心理和行为问题，以及父母的焦虑、痛苦和沮丧，都是报告的一些影响。
本手稿进行了一项系统的范围综述，综合了关于儿童便秘对儿童及其家庭心理社会影响的现有证据。
本综述以Arksey和O'Malley的五阶段框架为指导，并由Levac、Colquhoun和O'Brien以及乔安娜·布里格斯研究所进行了更新。系统检索了五个数据库：PUBMED、CINAHL、ASSIA、PsycINFO和谷歌学术，共获得2836条记录。经过系统筛选过程，32篇文章符合纳入标准。使用PAGER框架对结果进行了分析、讨论和呈现。
出现的四个关键模式是儿童便秘对儿童、其父母、学校和学业生活的心理社会影响，以及与儿童便秘相关的父母因素。
儿童便秘对儿童及其父母的生活质量以及学校生活和学业成绩都有显著影响。各种父母因素与儿童便秘的较高患病率有关。
忽视对便秘儿童心理社会问题的评估和解决可能会延长病情，并显著降低他们的整体生活质量，导致多种疾病。采用整体方法管理儿童及其家庭的便秘对于促进整体健康至关重要。
