뇌손상 환자의 재활단계 변비발생과 향요인 동순 1) · 김성림 1) · 장인숙 1) · 김지 1) · 한주환 1) · 김은 1) · 도나령 1) · 송 2) Occurrence of Constipation during the Rehabilitation Stage in Patient with Cerebral Vascular Disease Shin, Dongsoon 1) · Kim, Sunglim 1) · Jang, Insook 1) · Kim, YoungJi 1) · Han, Joohwan 1) · Kim, Eunyoung 1) · Do, Naryeong 1) · Song, Youngshin 2) 1) Chungnam National University Hospital, Daejeon 2) College of Nursing, Chungnam National University, Daejeon, Korea Purpose: The purpose of this study was to investigate the occurrence of first onset of constipation during the re- habilitation stage and risk factors for constipation in patients with cerebral vascular disease (CVD). Methods: Participants for this retrospective study were 214 CVD patients admitted to rehabilitation units. First onset of con- stipation and factors influencing constipation such as dependency level were recorded for 14 days during the re- habilitation stage. Survival analysis with Cox proportional hazard model and descriptive statistics were conducted. Results: Age, patients’severity, types of diet, and dependency level were different between constipation and non-constipation groups. In survival analysis, 99% of participants developed constipation within 14 days after ad- mission to rehabilitation units. Median constipation occurrence time was 7.4 days. Patients who were immobile and had tube feedings were more likely to develop constipation 4.07 times (95% CI: 1.018~16.301, p=.047) and 2.09 times (95% CI: 1.001~4.377, p=.050) respectively compared to patients who were independent and had a regular diet, respectively. Conclusion: Most CVD patients experienced constipation within 2 weeks after entering the rehabilitation stage. Constipation was linked to types of diet and dependency level. These factors associated with constipation should be considered when caring for patients in rehabilitation. Key Words: Stroke, Constipation, Rehabilitation, Survival analysis *This work was supported by the National Research Foundation of Korea (NRF) grant funded by the Korea government (MSIP) (NRF-2015R1A2A2A01002394). 주요: 뇌졸중, 변비, 재활, 생존분석 * 연구는2015년도 정(래창조과학)의 재원으로 한국연구재단의 지원을 아 행된 연구임(NRF-2015R1A2A2A01002394). 1) 충남대학교원 2) 충남대학교 간호대학 Received April 10, 2017 Revised June 7, 2017 Accepted July 12, 2017 Corresponding author: Song, Youngshin College of Nursing, Chungnam National University 266 Munwha-ro, Jung-gu, Daejeon 35015, Korea Tel: +82-42-580-8334, Fax: +82-42-580-8309, E-mail: yssong87@cnu.ac.kr 기본간호학회지 제24권 제3호, 2017년 8월 J Korean Acad Fundam Nurs Vol.24 No.3, 200-208, August, 2017 ISSN 1225-9012 (Print) ISSN 2287-1802 (Online) https://doi.org/10.7739/jkafn.2017.24.3.200 ⓒ 2017 Korean Academy of Fundamentals of Nursing http://www.kafn.or.kr