How do older persons define constipation?: Implications for therapeutic management

被引：35

作者：

Harari D. ^{[1
,6
]}

Gurwitz J.H. ^{[2
,3
,4
]}

Avorn J. ^{[5
]}

Bohn R. ^{[5
]}

Minaker K.L. ^{[1
]}

机构：

[1] General Internal Medicine Unit, Division of Aging, Harvard Medical School, Boston, MA

[2] Meyers Primary Care Institute, Univ. of Massachusetts Med. Center, Worcester, MA

[3] Fallon Healthcare System, Department of Medicine, Univ. of Massachusetts Med. Center, Worcester, MA

[4] Section for Health Services Research, Department of Medicine, Univ. of Massachusetts Med. Center, Worcester, MA

[5] Gerontology Division, Brigham and Women's Hospital, Harvard Medical School, Boston, MA

[6] Massachusetts Gen. Hosp. G., 100 Charles River Plaza, Boston, MA 02114

来源：

Journal of General Internal Medicine | 1997年 / 12卷 / 1期

基金：

美国国家卫生研究院;

关键词：

aged; bowel movements; constipation; rectal evacuation; straining;

D O I：

10.1007/s11606-006-0009-z

中图分类号：

学科分类号：

摘要：

This study examined the relation between bowel-related symptoms and self-report of constipation in 10,875 subjects aged 60 years and over, who participated in the 1959 National Health Interview Survey. Subjects reporting constipation 'always' or 'mostly' over the past 12 months (n = 594) were compared with those who reported never having the symptom (n = 4,192). Straining (adjusted odds ratio 66.7; 95% confidence interval 31.5, 142.4) and hard bowel movements (25.6; 16.7, 38.7) were most strongly associated with self-report of constipation. These findings suggest that treatment for constipation in the older population should be directed as much or more at facilitating comfortable rectal evacuation, as increasing bowel movement frequency.

引用

页码：63 / 66

页数：3

共 20 条

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