62例糖尿病患者便秘发生情况及其影响因素分析

Influencing Factors of Constipation in Patients with Diabetes

目的探讨糖尿病患者便秘发生情况及其相关因素,以便有针对性地实施护理干预,预防糖尿病患者便秘的发生。方法采用自行设计的调查表,对62例糖尿病患者进行调查,评估其便秘发生情况及程度,对导致便秘的因素进行多因素Logistic回归分析。结果糖尿病患者便秘发生率为48%,以轻度便秘为主;Logistic回归分析显示,便秘与严格限制饮食、自服通便药、补充钙剂有关(P<0.01或P<0.05)。结论糖尿病患者便秘发生率高,且与饮食、用药等情况相关。护理中应做好健康教育,教会患者合理安排进食,正确选择通便药物,在补充钙剂时需注重便秘的预防。

Objective To understand the prevalence of constipation in patients with diabetes and its risk factors and to provide specific nursing intervention.Methods A self-designed questionnaire about the influencing factors and degree of constipation was applied in the survey of 62 patients with diabetes.Results The incidence of constipation reached 48% among diabetic patients,who mainly suffered from slight constipation.Food intake,laxative drugs and calcium supplementation exerted influence on constipation（P〈0.01 or P〈0.05）.Conclusion There is high incidence of constipation in patients with diabetes.Health education,such as reasonable diet,correct choice of laxative drugs and appropriate calcium supplementation to prevent constipation should be promoted.