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ORIJINAL ARAŞTIRMA
Spinal Kord Yaralanmalı Bireylerde Nörojenik Bağırsak Disfonksiyonu ile Beslenme Arasındaki İlişki
The Relationship Between Neurogenic Bowel Dysfunction and Nutrition in Individuals with Spinal Cord Injury
Received Date : 15 Oct 2021
Accepted Date : 03 Dec 2021
Available Online : 14 Dec 2021
Özet PDF Benzer Makaleler
Zuhal ÖZİŞLERa, Kübra TEL ADIGÜZELb
aAnkara Şehir Hastanesi, Fiziksel Tıp ve Rehabilitasyon Kliniği, Ankara, TÜRKİYE bSağlık Bilimleri Üniversitesi Gülhane Sağlık Bilimleri Fakültesi, Beslenme ve Diyetetik Bölümü, Ankara, TÜRKİYE
Doi: 10.31609/jpmrs.2021-86672 - Makale Dili: TR
J PMR Sci. 2022;25(1):109-16
ÖZET
Amaç: Çalışmamızda, spinal kord yaralanmalı (SKY) bireylerde, nörojenik bağırsak disfonksiyonu (NBD) ile beslenme arasındaki ilişkiyi değerlendirmeyi amaçladık. Gereç ve Yöntemler: On sekiz yaş üstü ve olay süresi 6 aydan uzun olan 50 travmatik veya nontravmatik SKY’li birey çalışmaya dâhil edildi. Hastaların NBD ciddiyetini belirlemek için NBD skoru ve besin ögesi alım miktarlarını belirlemek üzere Beslenme Bilgi Sistemi-BeBis 7.2 versiyonu kullanıldı. Bulgular: Hastaların ortalama yaralanma süresi 39±36,4 aydı ve 31 (%62) hasta motor komplet yaralanmaya sahipti. Otuz sekiz (%76) hasta refleks, 12 (%24) hasta arefleks NBD olarak değerlendirildi. Hastaların ortalama NBD skoru 12,6±7,5 ve haftalık bağırsak boşaltım sıklığı 4,3±2,8 (1-14) olarak saptandı. Motor komplet hastaların NBD skorları, motor inkomplet hastalara göre anlamlı olarak yüksek bulundu (p=0,012). Hastaların posa alım miktarı 19,5±8,0 g/gün olarak saptandı. Posa alımı ile haftalık bağırsak boşaltım frekansı arasında hem refleks (p=0,030, r=0,353) hem arefleks NBD’si (p=0,001, r=0,834) olan hastalarda pozitif korelasyon saptandı. Refleks NBD’si bulunan hastalarda, posa alımı ile NBD skoru arasında anlamlı negatif korelasyon saptanırken (p=0,039, r=-0,336); arefleks NBD’si olan hastalarda, posa alımı ile NBD skoru arasında anlamlı korelasyon saptanmadı (p=0,414, r=-0,260). Sonuç: Diyette yüksek posa alımının; SKY'li bireylerde bağırsak boşaltım frekansını arttırdığı ancak bunun NBD skorlarındaki olumlu etkisinin sadece refleks NBD'si bulunan SKY'li bireylerde görüldüğü saptandı.
Anahtar Kelimeler: Nörojenik bağırsak disfonksiyonu; spinal kord yaralanması; beslenme; posa
ABSTRACT
Objective: In our study, we aimed to evaluate the relationship between neurogenic bowel dysfunction (NBD) and nutrition in individuals with spinal cord injury (SCI). Material and Methods: Fifty traumatic or non-traumatic SCI individuals over the age of 18 and with an injury duration >6 months were included in the study. NBD score was used to determine patients' NBD severity. BeBis version 7.2 was used to determine nutrient intakes of the patients. Results: The mean duration of injury was 39±36.4 months and 31 (62%) patients had motor complete injury. Thirty eight (76%) patients were evaluated as reflex, 12 (24%) patients were evaluated as areflex NBD. The mean NBD score of the patients was 12.6±7.5 and the weekly bowel movement frequency of the patients was 4.3±2.8 (1-14). The NBD scores of the patients with motor complete injury were found to be significantly higher than those of the patients with motor incomplete injury (p=0.012). The mean fiber intake of the patients was 19.5±8.0 g/day. A positive correlation was found between fiber intake and bowel movement frequency in patients with both reflex (p=0.030, r=0.353) and areflex NBD (p=0.001, r=0.834). In patients with reflex NBD, a significant negative correlation was found between fiber intake and NBD score (p=0.039, r=-0.336), no significant correlation was found between fiber intake and NBD score in patients with areflex NBD (p=0.414, r=- 0.260). Conclusion: It was found high dietary fiber intake increased the frequency of bowel evacuation in individuals with SCI, but this had a positive effect on NBD scores only in those with reflex NBD.
Keywords: Neurogenic bowel dysfunction; spinal cord injury;
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