60세 이상의 성인에서 기능성 변비와 삶의 질
The Impact of Functional Constipation on the Quality of Life in the Elderly over 60 Years
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연구배경: 변비는 임상에서 가장 흔히 접하는 소화기 증상 중하나이다. 변비에 대한 사회적, 경제적 영향에 대한 관심이 증가하고 삶의 질과의 관련성에 대한 연구가 많아지고 있지만,국내에서는 변비에 대한 유병률에 대한 연구 외에 삶의 질에관한 연구는 없는 실정이다. 이에 저자들은 변비와 삶의 질과의 관련성에 대한 연구를 시행하였다. 방법: 2008년 3월부터 6월까지 서울시와 충주시의 노인 복지관 두 곳과 일개 보건소, 서울시와 충주시의 일개 2차 병원을조사 대상 지역으로 하였으며, 60세 이상의 노인 844명을 대상으로 하여 설문 조사를 실시하였다. 변비의 진단은 2006년 발표된 로마기준 III를 사용하였고, 삶의 질은 36-Item Short-Form Health Survey (SF-36)으로 측정하였다. 결과: 평균 연령은 73.6세였고, 변비의 유병률은 20.3%였다. SF-36 점수의 전체 평균은 100점을 만점으로 할 때 63.5점이었고, 변비군에서의 평균은 57.9점이었고, 정상군에서의 평균은64.9점으로 관련요인이 통계적으로 유의한 차이를 보였다. 결론: 변비는 유의하게 삶의 질을 저하시킨다. 향후 개인의삶의 질이 변비의 심한 정도와 치료에 따라 변화하거나 차이가 있는 지에 대한 연구와 우리나라 실정에 맞게 사용될 수 있는 질병 특이적인 측정도구를 이용하여 삶의 질을 평가하는연구가 필요할 것으로 생각된다.
Abstract
Background: Constipation is one of the most common digestive complaints. Although, there are increased interest on the socioeconomic effect of constipation and studies associated with quality of life on constipation, there is no study about the infl uence of constipation onto quality of life (QOL) in Korea. We studied the impact of functional constipation on QOL. Methods: Between March to June 2008, person to person survey with 844 elderly aged over 60 years was performed at two senior care centers, a public health center, and secondary hospital in Seoul metrocity and Chung-ju city. The diagnosis of functional constipation was based on the Rome III criteria and QOL was measured by the Medical Outcomes Study (MOS)36-Item Short-Form Health Survey (SF-36). Results: The average age was 73.6 years and the prevalence rate of constipation was 20.3%. The average SF-36 score was 63.5 in total population, 57.9 in constipation group, and 64.9 in normal group. Conclusion: These results suggest that the constipation lowers QOL in adults aged over 60 years old. Further study will be necessary to explore if QOL changes according to the severity of constipation and its treatment and to assess QOL using a disease-specifi c measurement tool that can be used for Korean environment.
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