老年人便秘的原因分析及应对措施

Causes and Solutions of Constipation in the Elderly (review)

老年人便秘已成为临床常见症状之一。饮食、生理性老化、缺乏锻炼、用药不当、精神心理因素、肛周疾病等均可引起便秘的发生。采取健康宣教、心理干预、饮食干预、用药指导、加强功能锻炼、重视排便训练及腹部被动按摩等个体化的、针对性的、综合性的护理干预措施可使老年人便秘的发生率降低,减少便秘带来的各种并发症和不良后果,提高老年人的生活质量有重要的临床意义。

Constipation has become a common clinical symptom in the elderly. Many factors can result in constipation, including diet, physiological aging, lack of exercise, inappropriate medication, psychological factors, perianal disease, and so on. If the individualized, tar- geted and comprehensive care interventions that consist of health education, psychological intervention, dietary intervention, medication guide, functional exercise, passive attention to bowel training and abdominal massage etc. are done well, it can decrease the incidence of constipation, reduce a variety of complications and adverse effects caused by the constipation and improve the quality of life in the elderly. So it has important clinical significance.