• 대한한의학회지
• /
• 제24권1호
• /
• pp.181-189
• /
• 2003

Background : Patient, family, society and country are badly damaged by stroke (CVA : cerebrovascular accident). To reduce sequelae and return rapidly to society, treatment in the acute stage is very important. In many studies on purgation therapy (下法) used in acute stages of stroke, the changes of blood pressure, pulse and so on before and after purgation therapy were reported. However, the changes in the human body according to the day elapsed after defecation were not reported, so study was needed to confirm such changes. Methods : Seventy-six patients were studied. We observed forty-three patients at acute stroke and thirty-three patients at convalescent stroke. To confirm the importance of regular defecation in stroke patients, we analyzed blood pressure according to the day elapsed after defecation. Results : The following result were obtained. 1. In stroke group, compared with the day after defecation, the mean blood pressure of the third day after defecation increased. It increased the most in the acute stroke group. 2. Especially in stroke and acute stroke groups, compared with the second day after defecation, the mean systolic blood pressure of the third day after defecation increased significantly. 3. In the infarction group, compared with the day after defecation, the mean blood pressure of the third day after defecation increased. It increased the most in the acute infarction group. 4. Especially, in the infarction and acute infarction groups, compared with the second day after defecation, the mean systolic blood pressure of the third day after defecation increased significantly. Conclusion : In stroke patients, regular defecation is important, so we think that purgation therapy (下法) is needed in stroke patients over the third day elapsed after defecation. We think that the bowel movement control in acute stroke patients is more important than in convalescent stroke patients.

• Journal of Nutrition and Health
• /
• 제33권6호
• /
• pp.675-683
• /
• 2000

The purpose of this study was to find out the prevalence of constipation nutrition knowledge on dietary fiber and frequency of dietary fiber foods intake of 3rd grade high school girls in Kangnung and Seoul. The total 412 questionnaires were analyzed. Defecation frequency was irregular in 47.6% of the students 21.6% had less than twice a week. Those who were in a hurry during defecation frequency was irregular in 47.6% of the students 21.6% had less than twice a week. Those who were in a hurry during defecation were 57.9% and those spent more than 10 min. for defecation were 21.8% More than half of the students(56.6%) answered to have constipation and 13.8% had taken laxative pills more than once during the last one month period. The nutrition knowledge score was relatively high 7.63 points out of possible 10. Dietary fiber intake scores measured by food frequency questionnaire were 3.78 for fruits 3.71 points out of possible 10. Dietary fiber food intake scores measured by food frequency questionnaire were 3.78 for fruits 3.71 for vegetables and 3.37 for seaweeds meaning taken once a week to 2-3 times per month. For the diagnosis of defecation difficulty a factor called "constipation index" was introduced which was composed of defecation frequency time spending for defecation easiness in defecation and feeling of residue in the intestine after defecation. The Cronbach a coefficient of constipation index was 71. Constipation index was significantly correlated with stress level(p<0.05) haste during defecation(p<.01) and defecation time(p<.01) The higher the stress level the more hurry during defecation and the later the defecation the higher the constipation index. The students who ate more often vegetables and seaweeds had lower constipation index(p<.05, p<.01)05, p<.01)

• Pediatric Gastroenterology, Hepatology & Nutrition
• /
• 제23권6호
• /
• pp.567-576
• /
• 2020

Purpose: Not enough attention has been paid to defecation habits in Japan. This study aimed to emphasize the importance of defecation habits on health and function in Japanese pupils. Methods: Using multiple regression analysis, 2,722 questionnaires obtained from pupils in grades 5 to 12 were analyzed to determine lifestyle habits associated with defecation frequency. Results: Significant regression formulae for defecation scores were obtained for all school types: elementary school (ES) (adjusted R²=0.08, p<0.001), junior high school (JHS) (0.09, p<0.001), and senior high school (SHS) (0.15, p<0.001). The following factors were associated with poorer defecation scores, according to school type: female gender (all 3 school types), breakfast skipping (elementary and JHSs), lower physical activity (JHSs and SHSs), and longer school-day screen time (elementary and SHSs). In addition, poorer self-reported academic performance scores in ES, less standardized body mass index (BMI) in JHS, and shorter non-school- day screen time scores in SHS, were associated with poorer defecation scores. Conclusion: Poor defecation frequency showed significant associations with various lifestyle habits, such as breakfast skipping, physical activity, and screen time, among pupils. Academic performance and standardized BMI were also associated with defecation frequency. More attention should be paid to defecation frequency to sustain health and function in pupils.

• 대한한의학회지
• /
• 제21권2호
• /
• pp.3-13
• /
• 2000

Objectives : In oriental medicine, Daeseungki-tang is one of the most useful prescriptions for the therapy of constipation. And we also frequently use this prescription for constipated stroke patients. Methods : In order to identify the effects of Daeseungki-tang on constipated stroke patients, we administrated the extract of Daeseungki-tang(code number, HH264) to constipated stroke patients. We gave the medicine in two ways, one-pack group and two-pack group by random allocation and investigated the amount of stool, the frequency of defecation, the stool-form and the changes of blood pressure and body temperature before and after defecation. We also tried to examine the difference of symptoms between defecation-group and non-defecation group. Results : 1. There were no distinct symptoms between defecation-group and non-defecation-group in one-pack group. 2. After defecation, body temperature decreased significantly(P<0.05) in one-pack group and blood pressure decreased significantly(P<0.05) in two-pack group. 3. As for the stool-form, watery-soft was 41.9% in the firstt defecation and 47.1 % in the second defecation. 4. In one-pack group(23 cases), 13 cases(57%) defecated and 10 cases(43%) didn't defecate. And in two-pack group(24 cases), 19 cases(80%) defecated and 5 cases(20%) didn't defecate. These results meant that the effect of Daeseungki-tang was dose dependent. The amount of stool and the frequency of defecation were also dose dependent.

• 대한지역사회영양학회지
• /
• 제8권6호
• /
• pp.856-866
• /
• 2003

The purpose of this study was to study the relationship between the prevalence of constipation and beverage intake. Research data were collected from first and second grade female students at Hyehwa High School in Seoul by means of questionnaires. A total of 190 questionnaires were analyzed using the SPSS/WIN program. The results are summarized as follows: The average body mass index (BMI) was 20.7. Of the students, 38.4% had a BMI of less than 20(underweight), and 15.8% had a BMI of over 23 (overweight). However, 84.7% of the students wanted to lose weight. To estimate the prevalence of constipation, five factors were used: frequency and regularity of defecation, time spent defecating, defecation difficulty, and feeling of residue after defecation. The percentage of the students who emptied their bowels every day was 22.1%. About 2/5 of the students (42.1%) had irregular defecation, and 15.2% spent more than 10 minutes in the rest room when defecating. The students who did not have difficulty defecating and those who did not have feelings of residue after defecating were only 24.7% and 28.9%, respectively. The amount of beverage intake per day was 1,062$m\ell$ 674$m\ell$ of water, 128$m\ell$ of milk, 88$m\ell$ of soft drinks, and 53$m\ell$ of fruit juice. The amount of beverage intake before breakfast, during breakfast, before lunch and during lunch was about 100 $m\ell$, each; before dinner, during dinner, and after dinner it was about 200$m\ell$, each. The amount of beverage intake during the weekend was 120$m\ell$ greater than on weekdays. Students who drank more beverages, especially water, before breakfast, showed a higher defecation frequency, more regular defecation, spent less time defecating, had less difficulty defecating, and had less feeling of residue after defecation, so that they have a better defecation pattern. Based on these results, increasing the amount of beverage consumption, especially of water, and drinking greater quantities of beverage before breakfast are ways to reduce constipation.

• Journal of Acupuncture Research
• /
• 제18권6호
• /
• pp.125-134
• /
• 2001

Objective : Clinical study of acupuncture and moxibustion therapy on $ch'{\check{o}}nch'u(ST25)$ for treatment of constipation Methods : Comparison study after the acupuncture and the moxibustion treatment to the 41 people who were visiting patients of Kwangdong Oriental Medicine Hospital between 10/1/2000 and 4/17/2001. Results : 21 patients turned out to be in the defecation group and 9 patients in the non-defecation group out of 30 patients who were treated by acupuncture among 41 patients(Defecation effect 70%). 7 patients turned out to be in the defecation group and 4 patients in the non-defecation group out of 11 patients who were treated by moxibustion among 41 patents(Defecation effect 63.64%). In the states of defecation in the group performed the acupuncture, the good excrements like soft and watery-soft consist in 30.4%. In the group performed moxibustion therapy occupied 45.5%. Comparatively the good excrements was shown. Conclusion : The patients who are excessive were more effective than those who are deficient in defecation by acupuncture treatment and the patients who are deficient were more effective than those who are excessive in defecation by moxibustion treatment.

• 사상체질의학회지
• /
• 제30권3호
• /
• pp.24-39
• /
• 2018

Introduction The purpose of this study was to systematically review previous studies on Sasang type-specific pathophysiological symptoms in urination and defecation. Methods Peer-reviewed articles on type-specific pathophysiological symptoms of urination and defecation published until September 2016 were extracted from domestic and international six databases. Clinical characteristics from thirteen extracted articles were categorized into three urination domains of appearance of urine, capacity of bladder and urinary discomfort, and three defecation domains of irritability of bowel movement, functional constipation and discomfort from irregularity. Results As for the urination, Tae-Eum type showed dark color with foam, however So-Eum type had frequent urination and sensitivity to dysuria but no nocturia and residual urine sense. As for the defecation, So-Yang type showed frequent urgency and constipation, however So-Eum type reported loose stool. So-Yang type showed varied level of health status depending on defecation irregularity. There were disparities with rectal tenesmus among Sasang types. Discussion Six domains of urination and defecation related type-specific pathophysiological clinical symptoms were provided in this study. This study would contribute to the standardized clinical measures of Sasang typology in the near future.

• 한국보건간호학회지
• /
• 제27권1호
• /
• pp.179-189
• /
• 2013

Purpose: This study was conducted to evaluate the effects of a brown rice and vegetable dietary program on the defecation conditions and health status of high school students. Method: A non-equivalent control group and pretest-posttest design was used. The subjects were 62 students (28 in the intervention group, 34 in the control group) who voluntarily participated in the study. The program was conducted from April 6, 2012 to July 3, 2012 at two high schools in Daegu city. During that time, two meals a day were supplied to the experimental group. Data on defecation condition and health status was collected using self-questionnaires. Results: After 12 weeks, students in the intervention group had a significantly better defecation condition than students in the control group. Students in the intervention group also had a significantly higher health status than students in the control group. Conclusion: The results suggest that a brown rice and vegetable dietary program improves the defecation condition and health status of high school students. Therefore, the development and study of nursing intervention and public health education program about brown rice as well as vegetable and fresh fruit consumption are necessary for these subjects.

• 대한한방내과학회지
• /
• 제26권4호
• /
• pp.776-784
• /
• 2005

Object : This study aims to assess the efficacy of Sopungsoongiwon(疏風順氣元) in constipated stroke patients and to find out the hepatotoxicity and nephrotoxicity of Sopungsoongiwon. Methods : Subjects were 111 patients who were admitted to tile hospital. The informations about the constipation and other factors were taken through medical records as follows : time until defecation, amount of Sopungsoongiwon until defecation, amount of stool, AST, ALT, BUN, Creatinine. We get the means and standard deviation from the various factors obtained from medical records. Results : 1. The mean time until defecation after taking Sopungsoongiwon was $20.919{\pm}17.885$ hours. 2. The dose of Sopungsoongiwon until defecation was $3.126{\pm}1.624$ packs. 3. The mean amount of stool was $135.360{\pm}63.288g$. 4. AST, ALT, BUN, Creatinine was maintained in normal range after taking sopungsoongiwon(p<0.0001).

• 근관절건강학회지
• /
• 제29권2호
• /
• pp.81-90
• /
• 2022

Purpose: The purpose of this study was to evaluate the efficacy of applying a defecation encouragement program for patients undergoing total knee replacement arthroplasty (TKRA). Methods: This program was based on the nursing best practice guideline: prevention of constipation in the older adult population by the National Guideline Clearing House (NGC) in 2011, which included fluid intake, bowel training, and abdominal and pelvic floor exercises. A team of one orthopaedic clinical nurse specialist and six orthopaedic nurses with a 10 years of clinical experience applied and assisted patients with the program. Formal counsel was provided by one orthopaedic doctor, one gastroenterologist, and one exercise therapist. Patients who defecated one day prior to or on the day of TKRA surgery were included. Data collected from 72 subjects were analyzed using SPSS/WIN 21.0. Results: Time until first defecation after surgery was 2.4±1.1 days in experimental group, which was significantly shorter than the 3.5±0.9 days in control group (t=4.28, p<.001). Constipation assessment scale showed significantly lower points (t=2.55, p=.013) in experimental group (1.3±1.2) compared to control group (2.6±2.6). The experimental group and control group were 17.3±7.67 and 23.7±14.43, respectively, and the experimental group used less laxatives (t=2.83, p=.021). Conclusion: A defecation encouragement program was proved to be an appropriate nursing intervention for patients undergoing TKRA. This study confirmed that constipation is a nursing problem that can be sufficiently prevented if nurses are interested and encourage defecation.