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ID 113154
Title Alternative
Actual condition survey on difficulty in defecating during puerperal period
産褥期(入院中)の褥婦の排便困難の実態調査
Author
Saito, Hiroko Shikoku University
Kawanishi, Chiemi The University of Tokushima KAKEN Search Researchers
Keywords
排便困難
産褥期
日本語版便秘評価尺度
puerperal period
difficulty in defecating
Japanese version of Constipation Assessment Scale
Content Type
Journal Article
Description
本研究では,正期産で経膣分娩をした褥婦の妊娠末期の排便状態と,産褥期(入院期間)における排便状態を評価し,産褥期における妊産婦の排便困難の実態を明らかにすることを目的とした.排便状態を把握する指標として,日本語版便秘評価尺度(Constipation Assessment Scale:以下CAS)と研究者が作成した質問紙を用い調査した.質問紙は自記式で留め置き法にて回収した.研究に同意が得られた対象者は138名(初産婦97名,経産婦41名)で,平均年齢は28.5(SD=4.9)歳であった.
分娩後の平均初回排便日は2.6(SD=1.1)日で,産褥期の平均CAS得点は2.3~3.2(SD=2.4~2.9)点であった.産褥1日目から5日目までの間でCAS得点5点以上の便秘の割合は,産褥3日目が29.4%,また下剤を服用した時期も19.1%と最も多かった.産褥期において,3日以上連続して下剤を服用した褥婦は9名いた.
本研究は,産褥期の排便困難の実態を,数値を用いて初めて明らかにした.産褥3日目に便秘の割合が多く,下剤の服用者も多かったことより,産褥早期から自然排便を促す援助の必要があると考える.
Description Alternative
The aim of this research is an actual condition survey on the difficulty in defecating for pregnant women during the puerperal period. The Japanese version of Constipation Assessment Scale(referred to as CAS)as an indicator and a questionnaire prepared by the researchers were used. The number of the subjects giving their consent for the survey was 138 (97 of them were pregnant for the first time and 41 were parous). The average days until the first defecation after delivery were 2.6 days (SD=1.1). The average CAS points during the puerperal period were between 2.3 (SD=2.4) and 3.2 (SD=2.9). The ratio of developing constipation with 5 or more CAS points reached its highest percentage of 29.4on the third day of the puerperal period. The ratio of laxative use reached its highest percentage of 19.1 on the third day as well. For the first time, this research has clarified actual conditions of the difficulty in defecating during a puerperal period with the use of numerical values. Natural defecation aid at an early stage of the puerperal period is considered necessary.
Journal Title
The Journal of Nursing Investigation
ISSN
13483722
24342238
NCID
AA11937122
Publisher
徳島大学医学部
Volume
8
Issue
1-2
Start Page
31
End Page
37
Sort Key
31
Published Date
2010-01-31
EDB ID
FullText File
language
jpn
TextVersion
Publisher
departments
Medical Sciences