衢州市社区老年人功能性便秘的患病率及心理健康状况研究

摘要

Objective To study the prevalence of functional constipation and mental health of the elderly in communities of Quzhou City,and to explore their correlation.Methods Cluster stratified sampling method was uesd.1241 cases of elderly patients were chosen from six communities of Quzhou City from April to November 2016.Rome Ⅲ diagnostic criteria was used for the diagnosis of functional constipation.Wexner scale was adopted for classification of severity of functional constipation.The mental health status was evaluated by the elderly mental health questionnaire.Results The prevalence of functional constipation of the elderly was 8.38％ in communities of Quzhou City.The difference in the prevalence of functional constipation was statistically significant among different ages (P ＜ 0.05).The mental health scores of normal elderly were significantly higher than those of functional constipation patients,the differences were statisti cally significant (P ＜ 0.05).The differences in mental health scores were statistically significant among different degree functional constipation patients (P ＜ 0.05).Conclusion There is a high prevalence of functional constipation in commu nities of Quzhou City,and the prevalence of functional constipation has a significant correlation with the mental health.%目的 研究衢州市社区老年人功能性便秘的患病率及心理健康状况,探讨功能性便秘与心理健康状况的相关性.方法 采用整群分层抽样方法,2016年4～11月选取衢州市6个社区的1241名老年人为研究对象,采用罗马Ⅲ功能性便秘诊断标准对其进行功能性便秘诊断,功能性便秘的严重程度分级参考Wexner量表分级法,采用老年心理健康问卷对心理健康状况进行评价.结果 衢州市社区老年人功能性便秘的患病率高达8.38％,不同年龄老年人功能性便秘的患病率差异有统计学意义(P＜0.05);无功能性便秘老年人心理健康得分显著高于功能性便秘患者,差异有统计学意义(P＜0.05);不同程度功能性便秘患者的心理健康得分差异有统计学意义(P＜0.05).结论 衢州市社区老年人功能性便秘患病率较高,并且与心理健康状况具有相关性.