社区老年人隐性便秘的影响因素分析

Influencing factors of recessive constipation in the elderly in community

目的探讨社区老年人隐性便秘的发生率及影响因素。方法应用排便情况调查问卷调查60岁以上的社区老年人,依据罗马Ⅲ便秘的诊断标准,筛选出隐性便秘者,采用logistic回归分析对影响社区老年人隐性便秘的影响因素进行分析。结果社区老年人隐性便秘的发生率为45.65%,其中男性为36.8%,女性为51.9%。隐性便秘的症状主要表现为：排便费力（88.1%）和大便干结（73.8%）。排便习惯为社区老年人隐性便秘的一个独立影响因素（P〈0.05）,性别、文化程度、社区分布是隐性便秘的伴随因素或间接因素（P〉0.05）,隐性便秘的发生与年龄无相关性。结论正确评估老年人便秘情况,帮助老年人正确识别便秘及养成定时排便的的习惯对降低老年人隐性便秘的发生具有十分重要意义。

Objective To investigate the incidence of hidden constipation of the elderly and the risk factors by way of a defecation diary. Methods The elderly people aged more than 60 years participated in the investigation by self-designed constipation questionnaire. Those without constipation from the survey were asked to write defication diaries within two weeks. Rome Ⅲ Constipation Inventory was used to screen those with hidden constipation. Descriptive statistics,chi-square tests and multivariate logistic regression were used to analyze data. Results The total incidence of hidden constipation in the elderly in the community was an 45.65%. It was 36.8 % for males,and 51.9 % for females. However,the manifestations in hidden symptoms of constipation were exertion in defecation（88.1%） and dry stool（73.8%） . The defecation habit was an independent risk factor（P 0.05） . Sex,education and community distribution were hidden factors or indirect factors（P 0.05） . But hidden constipation was not related to age. Conclusions The incidence of hidden constipation is higher among the community-dwelling elderly and the symptoms of hidden constipation are exertion in defecation and dry stool. Defecation habit is an independent factor for hidden constipation. Therefore,it is very important to evaluate constipation conditions in the elderly and help them to develop good habits to facilitate regular defecation.