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Effects of bowel training and defecation posture on chronic constipation in older adults with dementia: A randomized controlled trial
http://hdl.handle.net/10271/0002000108
http://hdl.handle.net/10271/0002000108e2869eab-4d0b-4664-9bb3-893ad574729d
| 名前 / ファイル | ライセンス | アクション |
|---|---|---|
DT_936ronbun.pdf (1.9 MB)
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| Item type | 学位論文 / Thesis or Dissertation(1) | |||||||||||
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| 公開日 | 2024-03-11 | |||||||||||
| タイトル | ||||||||||||
| タイトル | Effects of bowel training and defecation posture on chronic constipation in older adults with dementia: A randomized controlled trial | |||||||||||
| 言語 | en | |||||||||||
| 言語 | ||||||||||||
| 言語 | eng | |||||||||||
| キーワード | ||||||||||||
| 主題 | constipation | |||||||||||
| キーワード | ||||||||||||
| 主題 | dementia | |||||||||||
| キーワード | ||||||||||||
| 主題 | non-pharmacological intervention | |||||||||||
| キーワード | ||||||||||||
| 主題 | long-term care | |||||||||||
| 資源タイプ | ||||||||||||
| 資源タイプ識別子 | http://purl.org/coar/resource_type/c_db06 | |||||||||||
| 資源タイプ | doctoral thesis | |||||||||||
| アクセス権 | ||||||||||||
| アクセス権 | open access | |||||||||||
| アクセス権URI | http://purl.org/coar/access_right/c_abf2 | |||||||||||
| その他のタイトル | ||||||||||||
| その他のタイトル | 認知症高齢者の慢性便秘に対するbowel trainingと排便姿勢の効果：ランダム化比較試験 | |||||||||||
| 著者 |
内藤, 智義
× 内藤, 智義
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| 書誌情報 |
en : American Journal of Gastroenterology 巻 118, 号 3, p. 531-538, 発行日 2023-03 |
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| 出版者 | ||||||||||||
| 出版者 | Wolters Kluwer Health | |||||||||||
| 言語 | en | |||||||||||
| 権利 | ||||||||||||
| 言語 | en | |||||||||||
| 権利情報 | This is a non-final version of an article published in final form in (provide complete journal citation). | |||||||||||
| 抄録 | ||||||||||||
| 内容記述タイプ | Abstract | |||||||||||
| 内容記述 | INTRODUCTION: Chronic constipation (CC), which can cause behavioral and psychiatric symptoms of dementia (BPSDs) and related caregiver distress, is common in older adults admitted to care facilities with dementia. This study aimed to examine the effect of defecation care on CC and related problems. METHODS: This study compared bowel training and a defecation posture intervention (intervention group) with general care (control group) as treatment for CC among older adults with dementia in six long-term care facilities. The primary outcomes were the number of spontaneous bowel movements (SBMs) and complete SBMs (CSBMs). The secondary outcomes were Patient Assessment of Constipation Quality of Life Questionnaire (PAC-QOL), Constipation Scoring System (CSS), constipation symptoms, and Neuropsychiatric Inventory Nursing Home Version (NPI-NH) scores. The differences were analyzed using two-way analysis of variance with repeated measures. RESULTS: The data of 30 (14 intervention, 16 control group) patients were analyzed. Weekly mean CSBMs increased from 0.53 times at baseline to 1.58 times at eight weeks in the intervention group compared with a change from 0.56 to 0.43 times in the control group (interaction p<0.001). PAC-QOL, CSS, BPSD, and caregiver distress scores showed significant improvement after eight weeks of defecation care intervention. CONCLUSION: Defecation care, including bowel training and appropriate defecation posture, is effective for CC among older adults with dementia, improving patient mental health, and reducing the burden on caregivers. |
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| 言語 | en | |||||||||||
| 学位名 | ||||||||||||
| 学位名 | 博士（医学） | |||||||||||
| 学位の区分 | ||||||||||||
| 内容記述 | dotoral | |||||||||||
| 学位の分野 | ||||||||||||
| 内容記述 | 医学系研究科 | |||||||||||
| 学位授与機関 | ||||||||||||
| 学位授与機関識別子Scheme | kakenhi | |||||||||||
| 学位授与機関識別子 | 13802 | |||||||||||
| 学位授与機関名 | 浜松医科大学 | |||||||||||
| 学位授与年月日 | ||||||||||||
| 学位授与年月日 | 2023-03-16 | |||||||||||
| 学位授与番号 | ||||||||||||
| 学位授与番号 | 甲第936号 | |||||||||||
| ISSN | ||||||||||||
| 収録物識別子タイプ | PISSN | |||||||||||
| 収録物識別子 | 0002-9270 | |||||||||||
| EISSN | ||||||||||||
| 収録物識別子タイプ | EISSN | |||||||||||
| 収録物識別子 | 1572-0241 | |||||||||||
| NII書誌ID | ||||||||||||
| 収録物識別子タイプ | NCID | |||||||||||
| 収録物識別子 | AA00520662 | |||||||||||
| PubMed番号 | ||||||||||||
| 関連タイプ | isVersionOf | |||||||||||
| 識別子タイプ | PMID | |||||||||||
| 関連識別子 | 36066478 | |||||||||||
| 出版社DOI | ||||||||||||
| 関連タイプ | isVersionOf | |||||||||||
| 識別子タイプ | DOI | |||||||||||
| 関連識別子 | https://doi.org/10.14309/ajg.0000000000001986 | |||||||||||
| 著者版フラグ | ||||||||||||
| 出版タイプ | AM | |||||||||||
| 出版タイプResource | http://purl.org/coar/version/c_ab4af688f83e57aa | |||||||||||
