Objectives. This study evaluates the prevalence and certain variables associated with chronic constipation in 376 elderly institutionalized in six Nursing Homes. Methods. Data were collected through an interview to patients and, if not possible, to staff assistance. For each patient were recorded, in addition to the demographic, data about autonomy and mobility, the Body Mass Index, the comorbidity and a number of variables related to constipation. Results. We found that 47% of patients had constipation and 15% had stool consistency increased compared to the normal. In addition, constipation correlated significantly with the major risk factors, such as the reduced mobility (64% was the prevalence of constipation among the embedded and 72% among those who used a wheelchair), the low hydration (67%, in patients with oral hydration <500 ml/day), the use of physical restraints (77%). Moreover, the prevalence of constipation was 77% in patients non self-sufficiently for alimentation and 56% among those with low dietary fiber content. Sixty percent of patients routinely used oral laxatives and 33% every day. Constipation affects the probability of assumption of laxatives (OR 1.2, 95% CI 0,9-1,4) but is not decisive the fact of not being constipated to prevent the use of laxatives (OR 0.9, CI 95% 0,7-1). Conclusions. Constipation is a critical care frequently found in RSA but often underestimated that, to avoid inappropriate clinical practice and drug abuse, requires to implement educational programs targeted to both the personal care and the elderly to improve the lifestyles of the patient and activities in welfare benefits.
|Translated title of the contribution||Prevalence and risk factors of constipation among the elderly in nursing homes|
|Number of pages||9|
|Journal||Giornale di Gerontologia|
|Publication status||Published - Apr 2009|
ASJC Scopus subject areas
- Geriatrics and Gerontology