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ࡢ⸆⛎౽㑅ᢥ౽≧ἣཬ ⌮⟶ࡧ/ ࡎ࠸ 25 ◊✲ሗ࿌ ┳ㆤ⛉Ꮫ◊✲ vol. 15, 25-35 ( 2017 ) ౽⛎≧᭷A ᏛዪᏊᏛ⏕⸆⛎౽ࡢ㑅ᢥ㐣⛬㑅ᢥᚋ౽≧ἣཬ ౽⟶⌮ Laxative selection process by female students with constipation and the state of bowel movement and management ࡎ࠸ Izumi Kira ศᏛ ་Ꮫ㒊 ┳ㆤᏛ⛉ Oita University 2016 726 ᪥ᢞ✏ , 2017 731᪥⌮ せ᪨ ᮏ◊✲⛎౽ࠊࡣ≧᭷⸆⛎౽ࡋዪᏊᏛ⏕ 5 ᑐ㇟㸪౽⛎⸆㑅ᢥ㐣⛬㑅ᢥᚋ౽≧ἣཬ౽⟶⌮ ࠸ࡘ┠ⓗ ࠋࡓࡋㄪᰝ⤖ࡢ⸆⛎౽ࠊ㑅ᢥ ౽ᅔ㞴ឤ㛵㐃≧ฟ⌧ ౽ᙳ㡪ㄆ㆑ࡓࡗ࠸㐣⛬⤒ࡢ⸆⛎౽ࠓࠊຠᯝ㛵ᗈ࿌ᐉఏࡢ⸆⛎౽ࠓࠔ⏝ぶᏑᅾࡗࡁ ⸆⛎౽ࡋ㛤ጞ⸆⛎౽ࠋࡓ࠸㑅ᢥᚋ౽≧ែࠓࡣస⏝≧࠸࡞ࡢ ᡂຌ࠶ࡀࠔṇᖖ౽≧ἣ㐓⬺ స⏝≧㌟యⓗ⢭⚄ⓗⱞ③⤒㦂ࠓࠊࡋ౽≧ἣᛂࡢ⸆⛎౽ࡓࡌỴᐃ ࠋࡓ࠸ࡢ⸆⛎౽ࠊࡓ౽≧ἣ‶ࡢ㊊ឤᏳᚰឤ࠶ࡀࠔἥຠᯝస⏝ ࡢ⸆⛎౽ࠋࡓࡗ࠶⏝ຠᯝⓗᏳಖ⾜ࠊࡣᑐ㇟⪅⫼ࡢᬒ౽≧ἣస⏝≧ᑀ⫈౽≧ែ ᚲせᛶ࠶ࡀAbstract This study aimed to clarify the process of selecting a laxative and state of bowel movement and management after consuming laxatives among ve female students with constipation. Participants who experienced dif culty in bowel movement and became aware of health patterns or conditions that affect bowel movement chose a laxative based on parental recommendation or advertisements regarding the ef cacy of a laxative. They reported that the state of their bowel movement after using laxatives improved in terms of frequency, but they also experienced bowel movements different from normal ones and the worsening of bowel movement and general physical condition after discontinuing laxatives. In addition, they reported that determining the dose of laxatives based on the state of the bowel movement was important. Furthermore, although they reported feeling satised and relieved regarding the state of their bowel movement after using laxatives, they also reported anxiety regarding excessive stimulation of bowel movement and adverse effects. For safe laxative use and effective health behavior, support to improve bowel movements should be based on careful investigation of the subject s background characteristics, state of bowel movement, and adverse effects of laxatives. ౽⛎≧ࠊ⸆⛎౽ࠊ౽⟶⌮ Key words constipation, laxatives, bowel management 1. ࡌࡣ ౽⛎≧ ᡂே 14 19% ⛬ᗘ ࠊࡋዪᛶከࡇ࠸ሗ࿌Spinzi et al 2009⛎౽ࠋ≧᭷ᡂேዪᛶࠊࡣỈศᦤࡢ⸆⛎౽ࠊ⏝㸦Lee and Warden 2011ࡢ⸆⛎౽ࠊ㑅ᢥࠊࡣᵝ౽⛎≧ᝎᡂே ⏨ᛶẚ㍑ዪᛶ࠾ࡣ2 㸦⚟ᓥ 1991㸧ሗ࿌ࠊࡣ⸆⛎౽స⏝ᶵᗎ⦆ୗᶵᲔᛶୗศ㢮་ᖌฎ᪉ ࡅࡔࡃ࡞ᕷ㈍⸆ධᡭ ࡇࡢ౽⛎⸆ࠊࡣ⯡ᕷẸ┳ㆤ⪅ ౽⛎≧ᑐ➨⩏ⓗᑐฎ᪉ἲ 㑅ᢥ⌧≧࠶ࡀ⛎౽ࡢࡃࡀࠎࡣ⸆⛎౽ࠊࡋ⾑ୗ⑩⩦ᛶ⢓⭷⅖ࡢᦆയࡓࡗ࠸

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Page 1: 4E ¥ b < }g # l g < }'ö#. · b Q#Ý _ | < }"g # l b 62 ¤ x ó ° ¤ @ 6 M [ 4# k ^ < % Ý \ j 8#Ý l b Y ó v 6 W S }&Î. b Q#Ý Ý$× [ ó

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25

vol. 15, 25-35 (2017)

ALaxative selection process by female students with constipation and the state of bowel movement and management

Izumi Kira Oita University

2016 7 26 , 2017 7 31

5

AbstractThis study aimed to clarify the process of selecting a laxative and state of bowel movement and management after

consuming laxatives among fi ve female students with constipation. Participants who experienced diffi culty in bowel movement and became aware of health patterns or conditions that affect bowel movement chose a laxative based on parental recommendation or advertisements regarding the effi cacy of a laxative. They reported that the state of their bowel movement after using laxatives improved in terms of frequency, but they also experienced bowel movements different from normal ones and the worsening of bowel movement and general physical condition after discontinuing laxatives. In addition, they reported that determining the dose of laxatives based on the state of the bowel movement was important. Furthermore, although they reported feeling satisfi ed and relieved regarding the state of their bowel movement after using laxatives, they also reported anxiety regarding excessive stimulation of bowel movement and adverse effects. For safe laxative use and effective health behavior, support to improve bowel movements should be based on careful investigation of the subject s background characteristics, state of bowel movement, and adverse effects of laxatives.

Key wordsconstipation, laxatives, bowel management

1. 14 19%

Spinzi et al 2009

Lee and Warden 2011

2 1991

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Constipation Assessment Scale: CAS; 2007, 1995a, 1995b,

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JSPS 25893190

De Schryver AM, Keulemans YC, Peters HP et

al (2005). Effects of regular physical activity on defecation pattern in middle-aged patients complaining of chronic constipation. Scandinavian Journal of Gastroenterology 40(4), 422-429.

(2009). 19 , 2 1 65 . http://www.e-stat.go.jp/SG1/estat/

GL08020103.do?_toGL08020103_&listID=000001051935&requestSender=dsearch :

28 7 1

(2007). 8 . ( ), 2 , pp103-119. , .

, , (1995a). . 28(3), 25-32.

, , (1995b). .

28(3), 33-40.

, , (1991). . 10(1), 35-42.

Gl ia A and Lindberg G (1997) . Qual i ty of life patients with different types of functional c o n s t i p a t i o n . S c a n d i n a v i a n J o u r n a l o f Gastroenterology 32(11), 1083-1089.

(2007). : clue . , .

(2010). : , , 57(3), 91-101.

Kira I (2016). Random control t r ia l of hot compresses for women those who used laxatives on severity of constipation and quality of life. Japanese Journal of Nursing Science 13(1):95-104. DOI: 10. 1111/jjns. 12090.

Lee E and Warden S (2011) . A qual i ta t ive study of quality of life and the experience of complementary and alternative medicine in Korean women with constipation. Gastroenterology Nursing 34(2), 118-127.

Page 11: 4E ¥ b < }g # l g < }'ö#. · b Q#Ý _ | < }"g # l b 62 ¤ x ó ° ¤ @ 6 M [ 4# k ^ < % Ý \ j 8#Ý l b Y ó v 6 W S }&Î. b Q#Ý Ý$× [ ó

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35

, (2007). . , ( ). , pp24-28.

, .

, (2011). I-1: .

( ), , pp6-12. , .

McMillan SC and Williams FA (1989). Validity and reliability of the constipation assessment scale. Cancer Nursing 12(3), 183-188.

Spinzi G, Amato A, Imperiali G et al (2009). Constipation in elderly Management Strategies. Drugs Aging 26(6), 469-474.

(1990). .

43(3), 473-479.

(2007). . , ( ). , pp29-

34. , .

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