脑卒中后急性应激障碍患者发生便秘的影响因素

目的:了解脑卒中急性应激障碍(ASD)患者发生便秘的现状,探讨其发生便秘的影响因素,为采取应对措施提供依据。方法:由经过培训的调查员对符合入选标准的349名脑卒中ASD患者进行问卷调查,并进行单因素分析以及Logistic回归分析。结果:单因素分析显示,年龄≥60周岁(χ~2=34.000,P0.01)、小学及以下文化程度(χ~2=7.282,P0.01)、性格趋于内向(χ~2=8.826,P0.01)、口味偏咸(χ~2=8.580,P0.01)、食用辛辣食品(χ~2=6.394,P0.05)、吃蔬菜种类在6种以下(χ~2=3.602,P0.05)、不食用粗粮(χ~2=4.253,P0.05)、日饮水量在1000ml以下(χ~2=27.303,P0.01)、吸烟(χ~2=7.264,P0.01)、饮酒(χ~2=7.950,P0.01)、入院后主要在床上活动(χ~2=12.626,P0.01)、住院期间每日床下活动小于30分钟(χ~2=16.088,P0.01)、无退休金(χ~2=4.709,P0.05)、收入入不敷出(χ~2=6.715,P0.05)、经济负担大(χ~2=8.891,P0.01)家庭的患者发生便秘的危险性更大;多因素分析显示,年龄大、文化程度低、性格类型趋向内向、食用辛辣食品、食用蔬菜种类低于6种、不食用粗粮、日饮水量小于1000ml、吸烟、饮酒、入院后锻炼方式、住院床下活动时间小于30分钟、无退休金、家庭经济负担重是影响卒中ASD患者发生便秘的主要影响因素(P0.05)。结论:年龄、文化程度、性格、饮食及生活习惯、经济状况是脑卒中ASD患者发生便秘的主要因素。

The Influencing Factors of Constipation in Patients with Acute Stress Disorder after Stroke

Objective:To description the current situation of constipation in stroke patients with acute stress disor-der,to explore the influencing factors of constipation,for providing the basis for taking measures.Methods:A total of 349 stroke patients with ASD who met the inclusion criteria were questioned by a trained investigator and were sub-jected to single factors analysis and logistic regression analysis.Results:Single factors analysis showed that patients with less than 60 years of age (χ2 = 34.000,P < 0.01 ),primary school and the following educational level(χ2 =7.282,P <0.01),personality tends to be introverted(χ2 =8.826,P <0.01),taste salty(χ2 =8.580,P <0.01 ),spicy food consumption(χ2 =6.394,P < 0.05 ),eating vegetables in 6 species (χ2 = 3.602,P < 0.05 ),do not eat coarse grains(χ2 =4.253,P < 0.05 ),daily drinking water in 1000ml(χ2 = 27.303,P < 0.01 ),smoking(χ2 = 7.264,P <0.01),drinking(χ2 =7.950,P <0.01),Mainly in bed after admission activities(χ2 = 12.626,P <0.01 ),hospital bed less than 30 minutes under the daily activities(χ2 =16.088,P <0.01),no pension(χ2 =4.709,P <0.05),make ends meet the family(χ2 =6.715,P <0.05),the economic burden(χ2 =8.891,P <0.01 )had greater risk of constipation than others.Older age,low education level,introverted personality type,edible spicy food,less than 6 kinds of edible vegetables,not eating coarse grains,drinking water less than 1000ml,smoking,drinking,post-hospital exercise,the less time of hospital bed activity,no pension,family economic burden were the impact of constipation in stroke pa-tients with ASD(P < 0.05 ).Conclusion:Age,educational level,character,diet and living habits,economic status of stroke patients with ASD are the main factors of constipation.