|
|
|
| Influencing Factors of Defecation Patten in Elderly Patients with Hip Fractures 2 Weeks after Surgery |
| JIN Li, YANG Lan-fen |
| Department of?Orthopedics, Traditional Chinese Medicine Hospital of Suining, Suining, Sichuan 629000, China |
|
|
|
Abstract 【Objective】To investigate the changes and influencing factors of defecation pattern and its influencing factors in elderly patients with hip fracture 2 weeks after operation.【Methods】Ninety-eight patients with hip fractures treated by surgery were studied. The changes and the influencing factors of defecation pattern were analyzed 2 weeks after surgery. Patients with constipation 2 weeks after operation were set as constipation group, those without constipation as control group, analysis of the influencing factors of constipation was conducted.【Results】From admission to the preoperation, 15.31% (15/98) in elderly patients (over 60 years old) reflected the presence of defecation 1~2, 47.96% (47/98) reflected the existence of varying degrees of defecation difficulties, 16.33% (16/98) had constipation; 2 weeks postoperation , defecation 1 ~ 2 increased to 36.73% (36/98). Defecation difficulty increased to 68.37% (67/98), and constipation incidence increased to 30.61% (30/98); 22.45% (22/98) defecation pattern did not return to normal 2 weeks after operation. Items like activity time ≤ 60 min, combined depression and anxiety, the use of opioids, incorrect defecation habits, incorrect diet , fruit and vegetable ≤ 2 species and the liquid intake ≤1.5 L of the constipation group were higher than those of the control group (P<0.05); Logistic regression analysis showed that the use of opioids was an independent risk factor for constipation in hip surgery patients. Activity time, eating fruits and vegetables, liquid intake were protective factors.【Conclusion】 The incidence of change of defecation pattern in patients with hip fracture 2 weeks after operation is relatively higher, which is closely related to the use of opioids, time of exercises and intake volume of fruits and vegetables.
|
|
Received: 01 August 2016
|
|
|
|
|
|
[1] 刘芳,欧菊兰.股骨颈骨折患者便秘的护理干预效果观察[J].临床合理用药杂志,2012,5(9):141-142.
[2] Lewis SJ, Heaton KW. Stool form scale as a useful guide to intestinal transit time[J].Scand J Gastroenterol,1997, 32(9):920-924.
[3] Rasmussen LS, Pedersen PU. Constipation and defecation pattern the first 30 days after thoracic surgery[J].Scand J Caring Sci,2010, 24(2): 244-250.
[4] 戴斌, 刘跃晖,宾捷.综合心理干预对老年习惯性便秘患者情绪和生活质量的影响[J].医学临床研究,2011,28(7):1346-1348.
[5] 张军红,戎瑞芳.骨科卧床患者便秘的护理[J].河北医药,2014,36(18):2879-2880.
[6] 刘慧龙.阿片类药物相关不良反应便秘的治疗进展[J].中国新药杂志,2015,24(18):2105-2109.
[7] 李之华.阿片类药物相关性便秘研究进展[J].护士进修杂志,2014,29(18):1688-1690.
[8] 姜伟娜.癌症患者便秘相关因素分析与护理进展[J].临床误诊误治,2010,23(7):692-693.
[9] 李雪莲,陈先文,王尚培,等.帕金森病患者便秘临床特点及相关因素分析[J].中华神经科杂志,2016,49(4):282-287.
[10] 张桂丽,姚丽文,张琪,等.穴位按压与收腹提肛锻炼对腹部手术后胃肠功能的影响[J].上海护理,2014,14(3):13-15.
[11] 郭秀琪,涂春兰.腹部按摩配合拍打治疗老年便秘的效果观察[J].护士进修杂志,2014,29(17):1619-1621.
[12] 刘瑞华,王素娟,王尚书,等.饮食干预治疗脑卒中后便秘的疗效[J].中国老年学杂志,2013,33(10):2352-2353.
|
|
|
|
2017, Vol. 34 
