지역사회 노인의 변비로 인한 스트레스 및 영양상태가 변비에 미치는 영향
Effects of Stress due to Constipation and Nutritional Status on Degree of Constipation among Community-dwelling Elders
2
조회
0
다운로드
5
인용
0
참고문헌
키워드
초록
Purpose: The purpose of this study was to identify the degree of constipation, stress due to constipation, nutritional status and factors affecting constipation among community-dwelling elders. Methods: The participants were 94 elders from G city. Data were collected from September 6 to 17, 2019. Self-report questionnaires were used to collect data on general characteristics, degree of constipation, stress due to constipation, and nutritional status. Data were analyzed using descriptive statistics, t-test, ANOVA, Spearman correlation coefficient, and multiple regression analysis. Results: The average degree of constipation was 3.48±3.52 points and 36 elders(38.3%) reported constipation. Factors influencing the degree of constipation were subjective recognition of constipation (β=2.87, p<.001), nutritional status(β=-0.28, p=.018), and stress due to constipation (β=0.26, p=.024). These variables explained 33.1% of the degree of constipation. Conclusion: More than 30% of elders reported constipation. Subjective recognition about constipation, stress due to constipation, and nutritional status influenced the degree of constipation. Management programs for constipation prevention and constipation interventions should be developed for community-dwelling elders so that they can assess constipation and recognize it as a health problem. Also, programs should include ways to manage stress due to constipation and maintain good nutritional status.
Abstract
Purpose: The purpose of this study was to identify the degree of constipation, stress due to constipation, nutritional status and factors affecting constipation among community-dwelling elders. Methods: The participants were 94 elders from G city. Data were collected from September 6 to 17, 2019. Self-report questionnaires were used to collect data on general characteristics, degree of constipation, stress due to constipation, and nutritional status. Data were analyzed using descriptive statistics, t-test, ANOVA, Spearman correlation coefficient, and multiple regression analysis. Results: The average degree of constipation was 3.48±3.52 points and 36 elders(38.3%) reported constipation. Factors influencing the degree of constipation were subjective recognition of constipation (β=2.87, p<.001), nutritional status(β=-0.28, p=.018), and stress due to constipation (β=0.26, p=.024). These variables explained 33.1% of the degree of constipation. Conclusion: More than 30% of elders reported constipation. Subjective recognition about constipation, stress due to constipation, and nutritional status influenced the degree of constipation. Management programs for constipation prevention and constipation interventions should be developed for community-dwelling elders so that they can assess constipation and recognize it as a health problem. Also, programs should include ways to manage stress due to constipation and maintain good nutritional status.
참고문헌 (29)
- Tae Hee Lee, "Non-pharmacologic Treatment for Elderly Constipation: Lifestyle Modification", Korean Journal of Clinical Geriatrics, 19(1), pp.16~22 (2018), The Korean Academy of Clinical Geriatrics[DOI]
- Roque MV, "Epidemiology and management of chronic constipation in elderly patients", Clinical Interventions in Aging, 10, pp.919~930 (2015)[DOI]
- Gallegos-Orozco JF, "Chronic constipation in the elderly", The American Journal of Gastroenterology, 107(1), pp.18~25 (2012)[DOI]
- Wald A, "The burden of constipation on quality of life : results of a multinational survey", Alimentary Pharmacology & Therapeutics, 26(2), pp.227~236 (2007)[DOI]
- 강호숙, "생활습관 중재가 요양병원 입원 노인의 변비에 미치는 효과", 재활간호학회지, 20(1), pp.52~60 (2017), 한국재활간호학회[DOI]
- 김명숙, "발-반사 마사지가 지역사회 재가노인의수면, 우울 및 변비에 미치는 효과", 디지털융복합연구, 15(9), pp.249~259 (2017), 한국디지털정책학회[DOI]
- 김형준, "노인의 기능성 변비 유병률 및 위험인자 -서울 시내 3개 복지관 이용 노인을 대상으로-", Korean Journal of Family Medicine, 27(9), pp.693~698 (2006), 대한가정의학회
- 이지아, "복부온지압법 적용이 지역사회 거주 노인의 변비에 미치는 효과", 노인간호학회지, 16(3), pp.181~188 (2014), 한국노인간호학회[DOI]
- 박경식, "노인 변비", 대한내과학회지, 78(3), pp.309~313 (2010), 대한내과학회
- Cherniack EP, "Use of complementary and alternative medicine to treat constipation in the elderly", Geriatrics & Gerontology International, 3(3), pp.533~538 (2013)[DOI]
- 한규상, "한국 노인의 식습관 및 영양섭취 실태 평가: 국민건강영양조사 2013∼2015 데이터를 이용하여", 동아시아식생활학회지, 28(4), pp.258~271 (2018), 동아시아식생활학회[DOI]
- A.W.G. Walls, "The relationship between oral health and nutrition in older people", Mechanisms of Ageing and Development, 125(12), pp.853~857 (2004), Elsevier BV[DOI]
- Bouras EP, "Chronic constipation in the elderly", Gastroenterology Clinics of North America, 38(3), pp.463~480 (2009)[DOI]
- 정혜영, "일 지역 노인의 구강 건조증, 구강건강 삶의 질, 수분 관련 지식과의 상관관계", 재활간호학회지, 20(2), pp.164~170 (2017), 한국재활간호학회[DOI]
- 이기남, "노인의 변비관련 요인 - 요양시설 거주 노인을 중심으로-", 지역사회간호학회지, 19(4), pp.575~586 (2008), 한국지역사회간호학회
- 김윤영, "성인 여성의 변비에 따른 한열(寒熱)증상, 생활습관, 스트레스, 삶의 질과의 관계", 디지털융복합연구, 12(9), pp.423~431 (2014), 한국디지털정책학회[DOI]
- 박애자, "요양시설노인의 변비관리 실태와 변비 위험 정도", 동서간호학연구지, 17(1), pp.57~65 (2011), 동서간호학연구소
- Kim HR, "Prevalence of constipation among elderly patients", Master, pp.2008
- Cline ME, "Standardization of the visual analogue scale", Nursing Research, 41(6), pp.378~380 (1992)
- Guigoz Y, "Assessing the nutritional status of the elderly: the Mini Nutritional Assessment as part of the geriatric evaluation", Nutrition Reviews, 54(1 Pt 2), pp.S59~S65 (1996)[DOI]
- 이금숙, "Mini Nutritional Assessment(MNA)를 이용한 노인위암 수술환자의 입원시 영양상태와 수술 후 회복관련요인", 석사, 간호학, pp.2004
- Phillips MB, "Nutritional screening in community-dwelling older adults : a systematic literature review", Asia Pacific Journal of Clinical Nutrition, 19(3), pp.440~449 (2010)
- Park HK, "Verification of the appropriateness when a shortened version of the Mini Nutritional Assessment(MNA)is applied for determining the malnutrition state of elderly patients", Journal of Clinical Nutrition, 2(1), pp.13~18 (2009)[DOI]
- McMillan SC, "Validity and reliability of constipation assessment scale", Cancer Nursing, 12(3), pp.183~188 (1989)[DOI]
- Yang S, "Effect of dietary fiber supplement on antidepressant induced constipation in depressed inpatients", Journal of Korean Academy of Psychiatric and Mental Health Nursing, 5(1), pp.13~26 (1996)
- 양동원, "Korean Dementia Screeing Questionnaire (KDSQ)의 개발과 타당도 및 신뢰도의 평가", 대한신경과학회지, 20(2), pp.135~141 (2002), 대한신경과학회
- 유정순, "인천지역 대학생의 변비유병률, 배변습관 및 영양소섭취", Journal of Nutrition and Health, 42(8), pp.702~713 (2009), 한국영양학회
- 최영진, "노년기 영양교육의 방향제시를 위한동해시 노인의 영양 및 식생활실태와 삶의 질에 관한 연구", 학습자중심교과교육연구, 18(17), pp.1~26 (2018), 학습자중심교과교육학회[DOI]
- 이혜옥, "MNA (Mini Nutritional Assessment)를 이용한 건강증진센터 내원 노인의 영양상태 판정", 대한영양사협회 학술지, 16(2), pp.122~132 (2010), 대한영양사협회