Constipação intestinal e funcionalidade em mulheres adultas no interior do nordeste brasileiro
Introduction: Intestinal constipation (IC) is characterized by problems related to evacuation, and presents high prevalence in the female gender. This condition has demonstrated negative effects on the development of daily activities, causing damage to the physical and emotional well-being of ind...
Na minha lista:
| Autor principal: | |
|---|---|
| Outros Autores: | |
| Formato: | Dissertação |
| Idioma: | pt_BR |
| Publicado em: |
Brasil
|
| Assuntos: | |
| Endereço do item: | https://repositorio.ufrn.br/jspui/handle/123456789/27522 |
| Tags: |
Adicionar Tag
Sem tags, seja o primeiro a adicionar uma tag!
|
| Resumo: | Introduction: Intestinal constipation (IC) is characterized by problems related to
evacuation, and presents high prevalence in the female gender. This condition has
demonstrated negative effects on the development of daily activities, causing damage to
the physical and emotional well-being of individuals who are diagnosed with it. Studies
that investigate what health impairments CI can cause are scarce in the literature.
Objective: Verify the prevalence of intestinal constipation (IC) and the factors that are
associated, as well as the implication of this condition in the functioning in adult women
living in a municipality in the interior of the Brazilian Northeast. Methodology: This is
a cross-sectional study carried out in the municipality of Santa Cruz-RN with women of
reproductive age. Social conditions, habits and lifestyle, clinical aspects and obstetric
history were investigated. Constipation was diagnosed through the criteria of Rome III.
According to this criterion for the diagnosis of constipation, the symptoms should begin
six months before the evaluation, and be active for at least three months in at least a
quarter of the bowel movements, and the individual should present two or more symptoms
out of six contained in this questionnaire. The functioning measured by means of World
Health Organization Disability Assessment Schedule 2.0 (WHODAS). This instrument
records the level of functionality or deficiency in six domains related to the activity and
participation component of the CIF, are: cognition, mobility, self-care, interpersonal
relationships, life activities and participation. Data were analyzed by descriptive and
inferential statistics. The inferential analysis involved Chi-square, Mann-Whitney U test,
size of the effect determined through the square eta (η2), Multiple Linear Regression and
Poisson Regression. For statistical significance the 95% Confidence Interval was
calculated and the value of p≤0.05. The survey was approved under the CAAE number:
49237315.9.0000.5568. Results: A total of 195 women participated in the study, most of
them between the ages of 25 and 39 (49,2%) and income up to 1 minimum wage (79,5%).
The prevalence of IC was 35,4%. The factors that were associated with constipation were
the clinical aspects hemorrhoids, pain and burning when evacuating and sexual
dysfunction. The WHODAS scores showed that women with constipation present lower
functioning, mild to moderate effect size, in the domains cognition (p<0,001), mobility
(p<0,002), self-care (p<0,001) and participation (p<0,001), in addition to the total score
(p<0,001). CI increases the WHODAS total score by nine points (p<0,001). Conclusion:
The present study verified a high prevalence of intestinal constipation among adult
women and is associated with functional impairment, presenting greater difficulty in
performing cognitive activities, mobility, self-care and participation. Clinical factors such
as hemorrhoids, pain and burning in bowel movements, and sexual dysfunction were
associated with a higher prevalence of this condition. |
|---|