Rodrigues-Fisher L, Bourguignon C, Good B V
Clin Nurs Res. 1993 Nov;2(4):464-77. doi: 10.1177/105477389300200408.
Constipation is a major complaint of older adults. Approximately 30% of older adults use laxatives at least once weekly, and laxatives account for 1% of physician prescriptions in addition to approximately 700 over-the-counter preparations. This study evaluated the efficacy of a fiber and fluid nursing intervention on the maintenance of bowel movements and elimination aid withdrawal in residents of a long-term health care facility. The findings indicated that the number of bowel movements reached a peak at 3 months and returned to baseline values at the 6-month point while the use of both laxatives and stool softeners decreased significantly. Enema and suppository use was so infrequent at baseline and throughout the study that changes in these variables were statistically insignificant. The results demonstrate that a natural means of maintaining bowel movements using a fiber and fluid nursing intervention can significantly decrease the number of laxatives and stool softeners needed by residents of a long-term facility.
便秘是老年人的一个主要问题。约30%的老年人每周至少使用一次泻药，泻药占医生处方的1%，此外还有约700种非处方制剂。本研究评估了纤维和液体护理干预对长期保健机构居民维持排便和停用辅助排便药物的疗效。研究结果表明，排便次数在3个月时达到峰值，并在6个月时恢复到基线值，而泻药和大便软化剂的使用则显著减少。灌肠剂和栓剂在基线时以及整个研究过程中使用频率很低，因此这些变量的变化在统计学上不显著。结果表明，通过纤维和液体护理干预这种维持排便的自然方法，可以显著减少长期保健机构居民所需的泻药和大便软化剂的数量。
