Supportive Care in Cancer

, Volume 24, Issue 2, pp 691–698 | Cite as

Constipation in specialized palliative care: factors related to constipation when applying different definitions

  • E. Erichsén
  • A. Milberg
  • T. Jaarsma
  • M. Friedrichsen
Original Article

Abstract

Context

For patients in palliative care, constipation is primarily a result of opioid treatment. Impacts from other factors related to constipation in palliative care are rarely studied.

Objectives

The aim was to identify factors related to constipation in patients in palliative care, and then to compare these factors between patients with different types of constipation and patients without constipation.

Methods

Cross-sectional data on constipation was collected with a 26-item questionnaire from 485 patients in 38 specialist palliative care units in Sweden. Three different constipation groups were used; MC ONLY, PC ONLY, and MC & PC. Logistic regression analyses were used to calculate odds ratios.

Results

Patients with <3 defecations/week, MC ONLY, (n = 36) had higher odds of being hospitalized, bed-restricted, in need of personal assistance for toilet visits, and of having a poor fluid intake. Patients with the perception of being constipated, PC ONLY, (n = 93) had higher odds of having poor appetite, hemorrhoids, hard stool, more opioid treatment, less laxative treatment and of being more dissatisfied with constipation information. Patients with both <3 defecations/week and a perception of being constipated, MC & PC, (n = 78) had higher odds of having cancer- disease.

Conclusion

There were several significant factors related to constipation with higher odds than opioid- treatment, for patients in palliative care, such as; hard stool, cancer diagnosis, dissatisfaction with information, low fluid intake, hemorrhoids, bed restriction, hospitalization, and need of personal assistance for toilet visits.

Keywords

Palliative care Constipation Risk factors Symptom assessment 

Notes

Acknowledgments

This study was supported by grants from the Medical Research Council of Southeast Sweden (FORSS) and Vrinnevi Hospital Research Board.

Disclosure

The authors declare no conflict of interest.

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Copyright information

© Springer-Verlag Berlin Heidelberg 2015

Authors and Affiliations

  1. 1.Department of Social and Welfare StudiesLinköping UniversityNorrköpingSweden
  2. 2.Department of Advanced Home Care and Department of Social and Welfare StudiesLinköping UniversityNorrköpingSweden
  3. 3.Palliative Education and Research Centre and Department of Social and Welfare StudiesLinköping UniversityNorrköpingSweden

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