بررسی شیوع یبوست و عوامل مرتبط با آن در زنان یائسه شهرستان رودان در سال 1394

نوع مقاله : اصیل پژوهشی

نویسندگان

1 مربی گروه مامایی، مرکز تحقیقات مادر و کودک، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی هرمزگان، بندرعباس، ایران.

2 مربی گروه مامایی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی تهران، تهران، ایران.

3 کارشناسی ارشد اپیدمیولوژی، دانشکده بهداشت، دانشگاه علوم پزشکی هرمزگان، بندرعباس، ایران.

چکیده

مقدمه: تغییرات فیزیولوژیک جسمی و روانی مربوط به یائسگی، تمام سیستم‌های بدن زن از جمله دستگاه گوارش را تحت تأثیر قرار می‌دهدکه در واقعیکی از اختلالات گوارشی که در موارد شدید باعث کاهش کیفیت زندگی می‌شود یبوست می‌باشد، لذا مطالعه حاضر با هدف تعیین یبوست و عوامل مرتبط با آن در زنان یائسه شهرستان رودان انجام‌ شد.
روش‌کار: این مطالعه توصیفی مقطعی در سال 1394 بر روی 450 زن یائسه 65-46 ساله که به مراکز بهداشتی درمانی منتخب شهرستان رودان مراجعه کرده بودند، انجام شد. تشخیص یبوست با استفاده از پرسشنامه استاندارد بر اساس معیارهای رم III به صورت مصاحبه انجام گرفت. تجزیه و تحلیل داده‌ها با استفاده از نرم‌افزار آماری SPSS (نسخه 16) و آزمون­های تی تست، کای اسکوئر و رگرسیون لوجستیک انجام شد. میزان p کمتر از 05/0 معنی‌دار در نظر گرفته شد.
یافته‌ها: بر اساس معیارهای رم III، 168 نفر (3/37%) از زنان یائسه یبوست داشتند. بین بروز یبوست و عواملی نظیر سطح تحصیلات، وضعیت اشتغال، وضعیت تأهل، وضعیت اقتصادی، تعداد بارداری، تعداد زایمان طبیعی، سابقه جراحی کف لگن، فعالیت ورزشی روزانه، وعده‌های مصرف میوه و سبزی، وعده‌های مصرف شیر و لبنیات و ساعات خواب در شبانه روز ارتباط آماری معنی‌داری وجود داشت (05/0>p).
نتیجه‌گیری: شیوع یبوست در جمعیت زنان یائسه بالا است، با توجه به افزایش جمعیت زنان یائسه و از آنجایی که یبوست می‌تواند کیفیت زندگی افراد را به‌طور قابل توجهی تحت تأثیر قرار دهد، پیشنهاد می‌شود در برنامه‌های مراقبت میانسالان و سالمندان به اختلالات روده‌ای به‌ویژه یبوست توجه بیشتری صورت بگیرد.

کلیدواژه‌ها

عنوان مقاله [English]

A survey of prevalence of constipation and its associated factors in postmenopausal Women referred to health centers of Roudan -2015

نویسندگان [English]

  • Kobra Kamali 1
  • Shahnaz Glian Tehrani 2
  • Mojdeh Banaei 1
  • Mansoureh Jamshidi 2
  • Shokrollah Mohseni 3
1 Faculty Member of Midwifery, Faculty of Nursing and Midwifery, Mother and Child Welfare Research Center, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.
2 Faculty Member of Midwifery, Faculty of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
3 Master of Science university of Epidemiology, School of Health, Hormozgan of Medical Sciences, Tehran, Iran.
چکیده [English]

Introduction: Physical and mental physiological changes associated with menopause is affected all the female body systems including the gastrointestinal tract that In fact, one of digestive disorders are constipation which in severe cases quality of life reduced. So this study was performed with the aim to determine constipation and its associated factors in postmenopausal Women in Roudan.
Methods: Present study was cross sectional study. 450 postmenopausal subjects aging 46 to 65 years that referred to selected health centers in Roudan, were selected by convenience sampling in 2016. The data collection tools included a standard questionnaire based on the Rome III criteria by interviewing. The statistical analyses were performed using SPSS (version 16.0) software and data were analyzed using the dependent t-test‚ Chi-square tests and logistic regression.
Results: The average age of participants was 56.88±4.74 years. The prevalence of constipation based on the Rome III criteria was 33.7% (168 individuals). There was a significant statistical relationship between constipation and the variables of education level, occupational status, marital status, economic situation, number of pregnancies, number of natural childbirths, history of pelvic floor surgery, daily sports activities, number of fruits and vegetables servings, number of milk and dairy products servings, and amount of sleep per day (by hour) (P<0.05).
Conclusion: The prevalence of constipation in postmenopausal women is relatively high. Due to the increasing population of postmenopausal women and since constipation can significantly affect their quality of life. it is recommended that in aged care programs, more attention is paid to intestinal disorders (especially constipation).

کلیدواژه‌ها [English]

  • Menopausal women
  • Constipation
  • associated factor
  • Menopause

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مجله زنان، مامایی و نازایی ایران
دوره 20، شماره 7
مهر 1396
صفحه 25-35

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