{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T18:57:20Z","timestamp":1791917840680,"version":"4.3.4"},"reference-count":40,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2016,6,21]],"date-time":"2016-06-21T00:00:00Z","timestamp":1466467200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100007416","name":"Swedish Brain Power","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100007416","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Scandinavian Caring Sciences"],"published-print":{"date-parts":[[2017,3]]},"abstract":"<jats:sec><jats:title>Rational<\/jats:title><jats:p>The current state of knowledge about the prevalence of constipation among persons living in institutional geriatric\u2010care settings is limited.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>The aim was to investigate the prevalence of constipation among institutional geriatric\u2010care residents and identify resident characteristics related to constipation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methodological design<\/jats:title><jats:p>In a cross\u2010sectional study of all the institutional geriatric\u2010care settings in a county in northern Sweden, 2970 residents were assessed. The member of staff who knew each resident best used the Multi\u2010Dimensional Dementia Assessment Scale and the resident's records of prescribed medication to monitor cognitive function, activities in daily life, behavioural and psychological symptoms, physical restraints, speech ability, nutrition and pharmacologic agents. The study was approved by the Regional Ethical Review Board.<\/jats:p><\/jats:sec><jats:sec><jats:title>Result<\/jats:title><jats:p>The prevalence of constipation was 67%. The mean age was higher among those with constipation. A significantly higher proportion of the constipated had cognitive and\/or physical impairments, physical restraints, impaired speech, problems with nutrition, and higher numbers of drugs for regular use. Of those with constipation, 68% were prescribed laxatives for regular use. Twenty\u2010three per cent of the constipated residents were prescribed opioid analgesics (n = 465), and 29% (n = 134) of these were not prescribed any laxatives.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study limitation<\/jats:title><jats:p>Due to the cross\u2010sectional design, the results should be interpreted with caution in terms of causal reasoning, generalisation and conclusions about risk factors. Another limitation is the use of proxy assessments of constipation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The results show that constipation is common among residents in institutional geriatric\u2010care settings in Sweden, which is in line with previous studies from other Western countries. Despite being constipated when having prescribed opioid analgesics, a large number did not have prescribed laxatives. The results indicate the urgency of finding strategies and implementing suitable interventions to improve bowel management in residents in institutional geriatric\u2010care settings.<\/jats:p><\/jats:sec>","DOI":"10.1111\/scs.12345","type":"journal-article","created":{"date-parts":[[2016,6,22]],"date-time":"2016-06-22T22:33:07Z","timestamp":1466634787000},"page":"157-163","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":36,"title":["Prevalence of constipation among persons living in institutional geriatric\u2010care settings \u2013 a cross\u2010sectional study"],"prefix":"10.1111","volume":"31","author":[{"given":"Kristina","family":"L\u00e4m\u00e5s","sequence":"first","affiliation":[{"name":"Department of Nursing Umea University Umea Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stig","family":"Karlsson","sequence":"additional","affiliation":[{"name":"Department of Nursing Umea University Umea Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Nol\u00e9n","sequence":"additional","affiliation":[{"name":"Department of Nursing Umea University Umea Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hugo","family":"L\u00f6vheim","sequence":"additional","affiliation":[{"name":"Department of Community Medicine and Rehabilitation Umea University Umea Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Per\u2010Olof","family":"Sandman","sequence":"additional","affiliation":[{"name":"Department of Nursing Umea University Umea Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,6,21]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/00002800-200501000-00011"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.12968\/bjon.1998.7.15.5621"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.ejcn.1602111"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1159\/000052776"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.2010.09446.x"},{"key":"e_1_2_9_7_1","first-page":"1","article-title":"An interview study of the experience of middle\u2010aged women living with constipation","volume":"3","author":"L\u00e4m\u00e5s K","year":"2015","journal-title":"Clin Nurs Stud"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1185\/03007995.2014.964854"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/apt.12789"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cein.2004.05.001"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1038\/ajg.2013.137"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.2010.05297.x"},{"key":"e_1_2_9_13_1","doi-asserted-by":"crossref","first-page":"1","DOI":"10.3310\/hta1130","article-title":"Systematic review of the effectiveness of laxatives in the elderly","volume":"1","author":"Petticrew M","year":"1997","journal-title":"Health Technol Assess"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.2165\/00002512-200724020-00006"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1080\/003655202760230865"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1038\/ajg.2011.164"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02237354"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1525-8610(04)70190-5"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.2165\/00044011-199816060-00004"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2009.02215.x"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1155\/2011\/974573"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1525-8610(04)70481-8"},{"key":"e_1_2_9_23_1","volume-title":"Population Statistics","author":"Statistics\u2010Sweden","year":"2010"},{"key":"e_1_2_9_24_1","first-page":"120","article-title":"Long\u2010term care of the elderly A descriptive study of 3600 institutionalized patients in the county of Vasterbotten, Sweden","volume":"2","author":"Sandman PO","year":"1988","journal-title":"Compr Gerontol A"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0447.1981.tb00670.x"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/0022-3956(75)90026-6"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2036.2006.03238.x"},{"key":"e_1_2_9_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjopharm.2010.05.002"},{"key":"e_1_2_9_29_1","doi-asserted-by":"publisher","DOI":"10.17795\/nmsjournal13962"},{"key":"e_1_2_9_30_1","first-page":"161","article-title":"Study of constipation in a geriatric hospital, day hospital, old people's home and at home","volume":"3","author":"Kinnunen O","year":"1991","journal-title":"Aging (Milano)"},{"key":"e_1_2_9_31_1","unstructured":"Medical\u2010Products\u2010Agency.Treatment recommendations using opioids during long term non\u2010cancer pain.http:\/\/www.lakemedelsverket.se\/malgrupp\/Halso-sjukvard\/Behandlings-rekommendationer\/Behandlingsrekommendation-listan\/Opioider\/(last accessed 14 August 2013)."},{"key":"e_1_2_9_32_1","unstructured":"L\u00e4m\u00e5sK KarlingP.Causes of constipation (Orsaker till f\u00f6rstoppning).http:\/\/www.vardhandboken.se\/Texter\/Forstoppning\/Orsaker-till-forstoppning\/. (last accessed 14 August 2013)."},{"key":"e_1_2_9_33_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjopharm.2007.06.003"},{"key":"e_1_2_9_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2008.04.016"},{"key":"e_1_2_9_35_1","first-page":"19","article-title":"Constipation in an elderly community: a study of prevalence and potential risk factors","volume":"91","author":"Talley NJ","year":"1996","journal-title":"Am J Gastroenterol"},{"key":"e_1_2_9_36_1","first-page":"156","article-title":"Bowel habit in relation to age and gender Findings from the National Health Interview Survey and clinical implications","volume":"12","author":"Harari D","year":"1996","journal-title":"Arch Intern Med"},{"key":"e_1_2_9_37_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2012.03909.x"},{"key":"e_1_2_9_38_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2702.2008.02460.x"},{"key":"e_1_2_9_39_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2648.2003.02501.x"},{"key":"e_1_2_9_40_1","doi-asserted-by":"publisher","DOI":"10.1136\/jme.2005.012708"},{"key":"e_1_2_9_41_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1532-5415.2001.49286.x"}],"container-title":["Scandinavian Journal of Caring Sciences"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fscs.12345","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fscs.12345","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/scs.12345","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,2]],"date-time":"2023-10-02T00:06:04Z","timestamp":1696205164000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/scs.12345"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,6,21]]},"references-count":40,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2017,3]]}},"alternative-id":["10.1111\/scs.12345"],"URL":"https:\/\/doi.org\/10.1111\/scs.12345","archive":["Portico"],"relation":{},"ISSN":["0283-9318","1471-6712"],"issn-type":[{"value":"0283-9318","type":"print"},{"value":"1471-6712","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,6,21]]},"assertion":[{"value":"2015-11-11","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2016-02-22","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2016-06-21","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}