中老年功能性便秘患者症状与生活质量的相关性

发布时间：2018-05-01 15:25

本文选题：功能性便秘 + 生活质量　；参考：《中国老年学杂志》2017年07期

【摘要】：目的探讨中老年功能性便秘(FC)患者症状与生活质量的相关性。方法 FC患者120例为观察组,另取120例健康体检人员为对照组。制定便秘症状调查表对FC患者症状进行调查统计,采用生活质量调查量表简表(SF-36)评价两组生活质量。结果 FC患者临床症状统计结果显示,排名前3的症状依次为排便用力,经常排便急迫,Bristol粪便分型为1、2、3型。观察组SF-36中生活质量8个维度的评分均低于对照组(P0.05)。排便用力与社会功能呈负相关,大便性状与总体健康呈负相关,排便次数与情感职能、躯体疼痛呈正相关(均P0.05);经常腹胀与生理职能、社会功能、情感职能、躯体疼痛、精神健康呈负相关,排便时长与总体健康、社会功能呈负相关(均P0.05)。结论 FC患者主要表现为排便用力、排便急迫、排便不尽、腹胀等症状,且其生活质量明显低于健康人群,对FC患者进行治疗及护理的过程中,应从生理功能、社会功能及精神心理等全方位进行干预。
[Abstract]:Objective to investigate the correlation between symptoms and quality of life (QOL) in middle and old patients with functional constipation. Methods 120 patients with FC as observation group and 120 healthy persons as control group. The constipation symptom questionnaire was made to investigate the symptoms of FC patients. The quality of life (QOL) was evaluated by SF-36. Results the clinical symptom statistics of FC patients showed that the top 3 symptoms were defecation exertion, and frequent stool urgency and Bristol fecal typing was 1 / 2 / 3 type. The scores of eight dimensions of quality of life in SF-36 in the observation group were lower than those in the control group (P 0.05). Defecation strength was negatively correlated with social function, defecation was negatively correlated with overall health, defecation frequency was positively correlated with emotional function, and somatic pain (all P 0.05); frequent abdominal distension was associated with physiological function, social function, emotional function and physical pain. Mental health was negatively correlated, defecation duration was negatively correlated with overall health and social function (all P 0.05). Conclusion the main symptoms of FC patients are defecation force, defecation urgency, defecation, abdominal distension and so on. The quality of life of FC patients is obviously lower than that of healthy people. During the treatment and nursing of FC patients, physiological function should be taken into account. Social function and mental and psychological intervention.
【作者单位】：河北医科大学第一医院普外科;
【基金】：河北省科技厅医学科技计划项目(152777177) 2015年省级临床重点专科建设项目(20150632)
【分类号】：R574.62

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