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Factors Associated With Intestinal Constipation in Chronic Patients With Stroke Sequelae Undergoing Rehabilitation.
Engler, Tânia Mara Nascimento de Miranda; Aguiar, Márcia Helena de Assis; Furtado, Íris Aline Brito; Ribeiro, Samile Pereira; de Oliveira, Pérola; Mello, Paulo Andrade; Padula, Marcele Pescuma Capeletti; Beraldo, Paulo Sérgio Siebra.
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  • Engler TM; Tânia Mara Nascimento de Miranda Engler, PhD, RN, is Nurse, Universidade de Brasília-UnB, Brasília (DF), Brazil; and Rede SARAH de Hospitais de Reabilitação, Brasília (DF), Brazil. Márcia Helena de Assis Aguiar, RN, is Nurse, Rede SARAH de Hospitais de Reabilitação, Brasília (DF), Brazil. Íris Aline Brito Furtado, RN, is Nurse, Rede SARAH de Hospitais de Reabilitação, Brasília (DF), Brazil. Samile Pereira Ribeiro, RN, is Nurse, Rede SARAH de Hospitais de Reabilitação, Brasília (DF), Brazil. Péro
Gastroenterol Nurs ; 39(6): 432-442, 2016.
Article en En | MEDLINE | ID: mdl-27922514
The objective of this study was to define which stroke-related factors constitute independent variables in the incidence of intestinal constipation (IC) of chronic patients admitted to a hospital rehabilitation program. All patients consecutively admitted for rehabilitation were recruited for the study. In the Poisson multiple regression analysis using a hierarchical model, sociodemographic variables, comorbidities, medication, previous history of constipation, life habits, and stroke-related variables were considered for defining factors associated with IC. A 31% prevalence (95% confidence interval [CI]: 25.3-37.1) of IC was detected. Among the factors associated, female gender (adjusted prevalence ratio [PRadjusted] = 1.79; 95% CI: 1.20-2.68), intestinal complaints prior to stroke (PRadjusted = 3.71; 95% CI: 2.60-5.31), intake of less than 800 ml of fluid per day (PRadjusted = 1.72; 95% CI: 1.20- 2.45), age greater than 65 years at brain injury (PRadjusted = 1.67; 95% CI: 1.01-2.75), and partially impaired anterior brain circulation (PRadjusted = 3.35; 95% CI: 1.02-10.97) were associated with IC. Female gender, elderly, prior history of IC, low fluid intake, and partial impairment of anterior brain circulation were factors independently associated with IC in stroke survivors undergoing rehabilitation. These findings require further validation and may serve toward improving bowel retraining programs for this patient group.
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Estreñimiento / Accidente Cerebrovascular / Rehabilitación de Accidente Cerebrovascular Tipo de estudio: Diagnostic_studies / Etiology_studies / Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Límite: Aged / Aged80 / Female / Humans / Male / Middle aged País/Región como asunto: America do sul / Brasil Idioma: En Revista: Gastroenterol Nurs Asunto de la revista: ENFERMAGEM / GASTROENTEROLOGIA Año: 2016 Tipo del documento: Article Pais de publicación: Estados Unidos
Buscar en Google
Añadir a Mi BVS
Imprimir
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PubMed Links

Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Estreñimiento / Accidente Cerebrovascular / Rehabilitación de Accidente Cerebrovascular Tipo de estudio: Diagnostic_studies / Etiology_studies / Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Límite: Aged / Aged80 / Female / Humans / Male / Middle aged País/Región como asunto: America do sul / Brasil Idioma: En Revista: Gastroenterol Nurs Asunto de la revista: ENFERMAGEM / GASTROENTEROLOGIA Año: 2016 Tipo del documento: Article Pais de publicación: Estados Unidos