Respiratory function and comfort levels in three different defecatory simulation postures in the elderly
Respiratory function and comfort levels in three different defecatory simulation postures in the elderly
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DOI：
10.1007/s12664-020-01093-0
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发表时间：
2020-11
影响因子：
2
通讯作者：
Daisuke Tashiro;Masami Nakahara;E. Kitajima;K. Hida
中科院分区：
文献类型：
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作者：
Daisuke Tashiro;Masami Nakahara;E. Kitajima;K. Hida
研究背景老年人因便秘而长时间坐着排便，呼吸功能下降，身体负担沉重。近年来，为了减轻排便的身体负担，以前倾姿势支撑手臂的手臂支撑扶手已经变得更加广泛;然而，其对呼吸舒适度的影响尚未得到验证。本研究的目的是比较老年人传统排便姿势与扶手支撑前倾排便姿势对呼吸功能的影响，从而验证支撑排便姿势是否具有积极作用。对57名健康老年人在三种坐姿下的排便舒适度进行了测量和比较：结果臂支前倾位躯干倾斜角度为61.84° ± 7.47°，呼吸功能肺活量、胸廓运动幅度、结论手臂支撑前倾式排便姿势由于适当的前倾，使腹部具有较高的自由度，而上肢支撑提高了上胸部的活动度，从而确保高肺容量。此外，增加的稳定性提供了舒适的感觉。因此，我们得出结论，手臂支撑，前倾的位置是更有效的排便比一般的排便位置。
BackgroundElderly people experience a heavy physical burden due to deteriorated respiratory function owing to prolonged sitting defecation posture due to constipation. In recent years, to reduce the physical burden of defecation, arm support handrails, which support the arms in a forward-leaning posture, have become more widely available; however, their impact on breathing comfort has not yet been verified. This study’s purpose was to compare the respiratory function of elderly people in traditional defecation postures and the arm-supported, forward-leaning position using the handrail, and thus verify whether the supported position has a positive effect.MethodsThe trunk leaning angle, respiratory function, thoracic range of motion, and subjective comfort of 57 healthy elderly people were measured and compared in each of the three sitting defecation postures: upright, forward-leaning, and arm-supported forward-leaning.ResultsThe arm-supported, forward-leaning position involves a trunk leaning angle of 61.84° ± 7.47°, and vital capacity of the respiratory function, thoracic range of motion (axillary region), and subjective comfort in this position are all shown to be significantly higher than those in the other postures.ConclusionThe arm-supported, forward-leaning defecation posture provides a high degree of freedom in the abdomen due to proper forward-leaning, while the upper limb support improves the mobility of the upper thorax, thus ensuring high lung volume. In addition, the increased stability provides a comfortable feeling. Therefore, we conclude that the arm-supported, forward-leaning position is more effective for defecation than the general defecation position.