社区老年人隐性便秘高危因素分析及对策

The analysis of the risk factors and countermeasures of recessive constipation of elderly in community

目的探讨引起社区老年人隐性便秘的高危因素以及制定相应的对策。方法选取2012年至2013年于社区门诊前来就诊时确诊的老年隐形便秘的患者80例为研究对象,通过研究其临床资料以及展开问卷调查、电话回访等形式,探讨引起社区老年人隐性便秘的高危因素,并根据上述分析制定相应的对策。结果生理衰老、饮食不当和疾病或手术影响是造成老年患者隐性便秘的主要原因,分别占总数的26.25%、23.75%和32.50%。上述3项因素占总人数的比例在与另外3项因素的比较中占据明显优势,有统计学意义(P<0.05)。结论老年隐性便秘的症状表现常常与其他消化系统疾病相混淆,如果长期保持阴性便秘,对患者的健康和安全,都是一种巨大威胁。生理衰老、饮食不当和疾病或手术影响作为引发老年人隐性便秘的高危因素,对存在上述因素的老年人来讲,应特别注意预防隐性便秘的发生,并采取相应的对策。

Objective To investigate the risk factors which caused recessive constipation in the elderly in community and explore the countermove.Methods Elderly patients（n = 80） with hidden constipation in the community,those werediagnosedfrom 2012 to 2013,were chosen as the research object.Findoutthe risk factors by study the the clinical data,questionnaires,telephone interviews and other forms,and explore the countermove.Results The physiological aging（26.25%）,improper diet（23.75%）,and disease/operation（32.50%） were the main causes for recessive constipation in elderly patients.The above 3 factors accounted for most proportion of risk factors（P〈0.05）.Conclusions The symptoms of senile recessive constipation is often confused with other digestive system diseases,long-term recessive constipation is a huge threat to health and safety of patients.The physiological aging,improper diet and disease/operation are risk factors forrecessive constipationoccurence in the elderly.It＇s very important to prevent the occurrence of recessive constipation and explore the countermove for the elderly.