Prevalence of constipation and associated factors in university hospital inpatients

Autor: Yuka Sano, Junko Sugama, Hiroe Koyanagi, Ryoko Murayama, Takuma Ishihara, Masushi Kohta, Keiko Mano
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Fujita Medical Journal, Vol 10, Iss 4, Pp 98-105 (2024)
Druh dokumentu: article
ISSN: 2189-7247
2189-7255
DOI: 10.20407/fmj.2024-006
Popis: Objectives: We aimed to determine (1) the prevalence of constipation among inpatients, (2) the prevalence and symptoms of difficult defecation among constipated inpatients, and (3) the factors associated with constipation. Methods: We performed a retrospective cohort study over a single day at one university hospital. We analyzed the nursing records for inpatients who had been hospitalized for at least 3 days. The survey items included the symptoms associated with defecation difficulty and nutritional intake. The symptoms of difficult defecation were defined as (1) fewer than three spontaneous bowel movements per week; (2) lumpy or hard stools (Bristol stool form scale types 1–2); (3) straining during defecation; and (4) the sensation of incomplete evacuation during defecation, based on the Roma-IV diagnostic criteria. Constipation was defined as the presence of two or more symptoms of defecation difficulty. Univariate and multivariate analyses were performed to determine the constipation status of the patients. Results: The prevalence of constipation in the university hospital was 12.2%, and the department with the highest prevalence of difficulty with defecation was the Psychiatry Department (64.1%). Of the patients with constipation, 36.8% exhibited symptoms of defecation difficulty other than low frequency of defecation. The factor that was significantly associated with constipation after admission was pre-admission constipation (odds ratio=8.92, p
Databáze: Directory of Open Access Journals