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首页> 外文期刊>Gastroenterology nursing: the official journal of the Society of Gastroenterology Nurses and Associates >Factors Associated With Intestinal Constipation in Chronic Patients With Stroke Sequelae Undergoing Rehabilitation
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Factors Associated With Intestinal Constipation in Chronic Patients With Stroke Sequelae Undergoing Rehabilitation

机译：慢性中风后遗症接受康复治疗的肠道便秘相关因素

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摘要

The objective of this study was to define which stroke-related factors constitute independent variables in the incidence of intestinal constipation (IC) of chronic patients admitted to a hospital rehabilitation program. All patients consecutively admitted for rehabilitation were recruited for the study. In the Poisson multiple regression analysis using a hierarchical model, sociodemographic variables, comorbidities, medication, previous history of constipation, life habits, and stroke-related variables were considered for defining factors associated with IC. A 31% prevalence (95% confidence interval [CI]: 25.3-37.1) of IC was detected. Among the factors associated, female gender (adjusted prevalence ratio [PRadjusted] 1.79; 95% CI: 1.20-2.68), intestinal complaints prior to stroke (PRadjusted = 3.71; 95% CI: 2.60-5.31), intake of less than 800 ml of fluid per day (PRadjusted = 1.72; 95% CI: 1.20 2.45), age greater than 65 years at brain injury (PRadjusted = 1.67; 95% CI: 1.01-2.75), and partially impaired anterior brain circulation (PRadjusted = 3.35: 95% CI: 1.02-10.97) were associated with IC. Female gender, elderly, prior history of IC, low fluid intake, and partial impairment of anterior brain circulation were factors independently associated with IC in stroke survivors undergoing rehabilitation. These findings require further validation and may serve toward improving bowel retraining programs for this patient group.
机译：这项研究的目的是确定哪些中风相关因素构成住院康复计划的慢性患者肠道便秘（IC）发生率的独立变量。招募了所有连续接受康复治疗的患者进行研究。在使用分层模型的Poisson多元回归分析中，考虑了社会人口统计学变量，合并症，药物治疗，便秘的既往史，生活习惯和中风相关变量，以定义与IC相关的因素。检测到IC患病率为31％（95％置信区间[CI]：25.3-37.1）。在相关因素中，女性（调整后的患病率[PR-调整后] 1.79; 95％CI：1.20-2.68），中风前肠主诉（PR调整后= 3.71; 95％CI：2.60-5.31），摄入少于800 ml每天的液体量（PR调整后= 1.72; 95％CI：1.20 2.45），年龄在脑损伤时大于65岁（PR调整后= 1.67; 95％CI：1.01-2.75），部分前脑循环受损（PR调整后= 3.35： 95％CI：1.02-10.97）与IC相关。女性，老年人，IC的既往史，低液体摄入量以及前脑循环的部分损害是接受康复治疗的卒中幸存者中与IC独立相关的因素。这些发现需要进一步验证，并可能有助于改善该患者组的肠再训练计划。

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