Constipation: What Does the Patient Mean?

Moore‐Gillon, Victoria

doi:10.1177/014107688407700207

Cited by 50 publications

(19 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The results reported here indicate that as with constipation (Cox and Mead, 1975;Moore-Gillon, 1984;, diarrhoea is defined very variably amongst adults of working age in the general public compared with definitions stated in medical textbooks; over half of the sample described passing a single soft stool as diarrhoea and almost a third of respondents described an increased frequency of defaecation as diarrhoea. Persons in professional and managerial positions and younger respondents, were more in agreement with the medical viewpoint.…”

Section: Discussionmentioning

confidence: 64%

“…Clinical experience suggests though, that diarrhoea is poorly understood, and that patients can be inappropriately managed if terminology about gastrointestinal complaints is not appropriately used and interpreted (Moore-Gillon, 1984;Kingham et al, 1983;MacDonald and Freeling, 1986). Previous papers concerned with bowel habits of the adult population have found for example, that constipation is not well understood (MacDonald and Freeling, 1986;, and that there are significant differences in the perceptions between age, sex and social class groups .…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Perceptions and Reactions of The Public to Diarrhoea

Philipp

Wood²,

Heaton

et al. 1993

Journal of the Royal Society of Health

View full text Add to dashboard Cite

A questionnaire about diarrhoea and how people react to it was answered by 400 people aged 16-70 years, most of whom were in employment (77% of respondents). There was wide variation in perceptions and reactions. Older persons and people in skilled trades were more likely to consider any increased bowel looseness or frequency of their usual bowel habit as diarrhoea, compared to younger persons and people in professional and managerial positions. Over half the respondents rated a single soft stool as diarrhoea, and almost a third accepted likewise an increased frequency of defaecation. The most unpleasant aspect of diarrhoea was considered to be incontinence with soiling of underclothes. At the onset of diarrhoea, 16% of respondents would not wait even a day or two but would go straight to a pharmacist, and 8% would go direct to a doctor. Persons in professional and managerial positions were less likely to attend their doctor straight away than people in other occupational groups. The findings show that for improved clinical management and public health surveillance, health professionals should not accept the term when it is used by patients, but seek details of their defaecation patterns and the form of their stools. Improved public education is needed as to self-help, appropriate treatment and when to seek pharmaceutical and medical advice.

show abstract

Section: Discussionmentioning

confidence: 64%

Section: Introductionmentioning

confidence: 99%

Perceptions and Reactions of The Public to Diarrhoea

Philipp

Wood²,

Heaton

et al. 1993

Journal of the Royal Society of Health

View full text Add to dashboard Cite

show abstract

“…About one-quarter of patients believed in the benefit of purgation. 19 Multivariate analysis of a recent Japanese population survey of bowel conditions found that frequency of bowel movements was of highest importance to older people. 20 Similarly, an Australian qualitative study of 90 older people reported that frequency of evacuation (not defecating for a number of days; mode three or more days) was the most often cited description of constipation by study participants.…”

Section: Frequency Of Bowel Evacuationmentioning

confidence: 99%

“…P: "I'm much less active, yes I was a very active person." (Patient 19) It appears that most participants were aware about the current professional advice and healthpromotion messages regarding the benefits of a fibre-rich diet for maintaining healthy bowel functioning.…”

Section: Diet and Eating Habitsmentioning

confidence: 99%

Stepped treatment of older adults on laxatives. The STOOL trial

Mihaylov¹,

Stark²,

McColl³

et al. 2008

Health Technol Assess

View full text Add to dashboard Cite

Non-UK purchasers will have to pay a small fee for post and packing. For European countries the cost is £2 per monograph and for the rest of the world £3 per monograph.You can order HTA monographs from our Despatch Agents:-fax (with credit card or official purchase order) -post (with credit card or official purchase order or cheque) -phone during office hours (credit card only).Additionally the HTA website allows you either to pay securely by credit card or to print out your order and then post or fax it. Contact details are as follows: Payment methods Paying by chequeIf you pay by cheque, the cheque must be in pounds sterling, made payable to Direct Mail Works Ltd and drawn on a bank with a UK address. Paying by credit cardThe following cards are accepted by phone, fax, post or via the website ordering pages: Delta, Eurocard, Mastercard, Solo, Switch and Visa. We advise against sending credit card details in a plain email. Paying by official purchase orderYou can post or fax these, but they must be from public bodies (i.e. NHS or universities) within the UK.We cannot at present accept purchase orders from commercial companies or from outside the UK. How do I get a copy of HTA on CD?Please use the form on the HTA website (www.hta.ac.uk/htacd.htm). Or contact Direct Mail Works (see contact details above) by email, post, fax or phone. HTA on CD is currently free of charge worldwide.The website also provides information about the HTA Programme and lists the membership of the various committees. HTAStepped treatment of older adults on laxatives. The STOOL trial NIHR Health Technology Assessment ProgrammeT he Health Technology Assessment (HTA) Programme, part of the National Institute for Health Research (NIHR), was set up in 1993. It produces high-quality research information on the effectiveness, costs and broader impact of health technologies for those who use, manage and provide care in the NHS. 'Health technologies' are broadly defined as all interventions used to promote health, prevent and treat disease, and improve rehabilitation and long-term care. The research findings from the HTA Programme directly influence decision-making bodies such as the National Institute for Health and Clinical Excellence (NICE) and the National Screening Committee (NSC). HTA findings also help to improve the quality of clinical practice in the NHS indirectly in that they form a key component of the 'National Knowledge Service'. The HTA Programme is needs-led in that it fills gaps in the evidence needed by the NHS. There are three routes to the start of projects. First is the commissioned route. Suggestions for research are actively sought from people working in the NHS, the public and consumer groups and professional bodies such as royal colleges and NHS trusts. These suggestions are carefully prioritised by panels of independent experts (including NHS service users). The HTA Programme then commissions the research by competitive tender. Secondly, the HTA Programme provides grants for clinical trials for researchers who identify...

show abstract

“…INTRODUÇÃO O termo constipação intestinal descreve dificuldades na defecação, seja pelo emprego de força, e/ou diminuição na freqüência da passagem das fezes (14) . Sintomas de constipação são extremamente comuns e sua prevalência tem sido relatada em torno de 20% (2) , embora a real prevalência seja difícil de ser estimada, devido à dificuldade em se definir exatamente o que seja constipação (9) .…”

Section: Arqga/1154unclassified

Prevalência e fatores associados à constipação intestinal em mulheres na pós-menopausa

Oliveira

Pinto‐Neto

Góes

et al. 2005

Arq. Gastroenterol.

View full text Add to dashboard Cite

ARTIGO ORIGINAL / ORIGINAL ARTICLE ARQGA/1154INTRODUÇÃO O termo constipação intestinal descreve dificuldades na defecação, seja pelo emprego de força, e/ou diminuição na freqüência da passagem das fezes (14) . Sintomas de constipação são extremamente comuns e sua prevalência tem sido relatada em torno de 20% (2) , embora a real prevalência seja difícil de ser estimada, devido à dificuldade em se definir exatamente o que seja constipação (9) . Existem vários fatores associados à constipação. Idade, sexo feminino, baixo nível socioeconômico, baixa escolaridade, inatividade física, baixa ingestão calórica e o estilo de vida dos países industrializados são alguns desses fatores (3,9) . A constipação intestinal (CI) é mais prevalente entre mulheres (25,26) . Estudo epidemiológico realizado nos Estados Unidos (25) , envolvendo 10.018 participantes de ambos os sexos, observou prevalência de 16% de constipação entre mulheres. Em outro estudo, realizado na Austrália, verificou-se que 42% a mais de mulheres idosas referiram constipação em relação aos homens (26) . Entre os fatores que podem explicar essa maior prevalência em mulheres citamse os danos causados aos músculos pélvicos e suas inervações, decorrentes de partos e cirurgias ginecológicas, e os prolapsos genitais, mais freqüentes após a menopausa (4) . A menopausa é definida como a ausência de menstruação por pelo menos 12 meses, ocorrendo geralmente entre 45 e 55 anos (29) . Nessa fase, instala-se um quadro de hipoestrogenismo associado a mudanças anatômicas e fisiológicas, que comprometem o assoalho pélvico e os esfíncteres (18) . São raros os estudos que avaliaram a CI e os distúrbios da fisiologia anorretal em mulheres durante os anos climatéricos. Em estudo de corte transversal, TRIADAFILOPOULOS et al.(27) compararam a prevalência de sintomas gastrointestinais em mulheres na pré e pós-menopausa. Estes autores verificaram que 38% das mulheres na pós-menopausa e 14% na pré-menopausa referiram alterações intestinais. Também o uso de laxativos aumentou de 3,4% na pré-menopausa, para 9,4% após a menopausa. A seguir, realizou-se exame físico para avaliação de distopias genitais e do tônus do esfíncter anal. A análise estatística foi realizada por meio de média, desvio-padrão, mediana, freqüências relativas e absolutas e através da razão de prevalência com intervalo de confiança de 95% e regressão logística múltipla. Resultados -A média etária das participantes foi de 58,9 ± 5,9 anos, com média de idade à menopausa de 47,5 ± 5,4 anos. A prevalência de constipação intestinal foi de 37%, sendo o sintoma mais freqüente o esforço ao evacuar (91,9%), seguido da sensação de evacuação incompleta (83,8%), fezes endurecidas ou fragmentadas (81,1%), menos que três evacuações por semana (62,2%), sensação de obstrução à evacuação (62,2%) e manobras digitais para facilitar a evacuação (45,9%). A análise bivariada mostrou como fatores associados à constipação o tônus do esfíncter anal diminuído e o antecedente de cirurgia perianal. Após análise de regressão múltipla, o anteceden...

show abstract

Constipation: What Does the Patient Mean?

Cited by 50 publications

References 3 publications

Perceptions and Reactions of The Public to Diarrhoea

Perceptions and Reactions of The Public to Diarrhoea

Stepped treatment of older adults on laxatives. The STOOL trial

Prevalência e fatores associados à constipação intestinal em mulheres na pós-menopausa

Contact Info

Product

Resources

About