Abstract：
AIM:This paper is a report of an investigation into the factors associated with laxative-taking by older people in care homes. BACKGROUND:Constipation is a common source of discomfort, pain and morbidity for care home residents, and laxative-taking is prevalent. Differences in the extent to which older people suffer from constipation may result from care routines rather than demographic or clinical factors. DATA SOURCES:Primary data were gathered from care records as part of a larger study in seven care homes (without on-site nursing) in London, England in 2003-2004. METHODS:Backward stepwise logistic regression modelling was used to investigate factors (age, sex, level of dependency [Barthel]), number of comorbidities, number of medications, constipating medications, length of stay in care home, diagnosis of dementia/Alzheimer disease) associated with regular laxative-taking. RESULTS:Of 168 residents, 99 (58.9%) were routinely given laxatives. Taking more medicines (moving up one category: 0, 1-2, 3-4, 5-6, > or = 7) increased the likelihood of taking laxatives more than threefold, after controlling for all other factors. Women were 2.9 times more likely to take laxatives than men. Having dementia/Alzheimer disease increased the likelihood of taking laxatives by 2.6 times. Laxative-taking was statistically significantly lower in two of the care homes. CONCLUSION:Laxative use amongst older people in care homes varies and may not be based on rational criteria. Nurses working in care homes and with care staff can help to implement appropriate bowel care for older people.
journal_name
J Adv Nursjournal_title
Journal of advanced nursingauthors
Gage H,Goodman C,Davies SL,Norton C,Fader M,Wells M,Morris J,Williams Pdoi
10.1111/j.1365-2648.2010.05297.xsubject
Has Abstractpub_date
2010-06-01 00:00:00pages
1266-72issue
6eissn
0309-2402issn
1365-2648pii
JAN5297journal_volume
66pub_type
杂志文章abstract：:Developments in nurse training need to be based upon an understanding of the characteristics and aspirations of students. In this study, characteristics of a sample of registered nurses (n = 27) and students (n = 41) entering an undergraduate degree programme in nursing were compared with those of student nurses (n = ...
journal_title：Journal of advanced nursing
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