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All Journal International Journal of Public Health Science (IJPHS) Makara Journal of Health Research
Wahab, Patimah Abdul
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Health Professions

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Chronic constipation among community-dwelling older people in the East Coast region of Peninsular Malaysia Wahab, Patimah Abdul; Kadir, Azidah Abdul; Lee, Yeong Yeh; Ali, Siti Hawa; Yusoff, Dariah Mohd
Makara Journal of Health Research Vol. 23, No. 3
Publisher : UI Scholars Hub

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Abstract

Background: This study aimed to investigate the prevalence, symptoms, and factors associated with chronic constipation among community-dwelling older people in the East Coast region of Peninsular Malaysia. Methods: A cross-sectional study was conducted in four selected health clinics using stratified cluster sampling. A face-to-face interview was carried out among the elderly outpatients, in order to complete a structured questionnaire. Results: A total of 400 participants were included in the study. The mean age was 68.7 ± 6.4 years, and 55% of the cohort were women. The prevalence of chronic constipation was 32.3% among the sample population. The most common symptom was “sensation of incomplete evacuation” (63.6%), and none of the participants reported having “less than three defecations per week,” “straining,” or “lumpy or hard stool.” Educational level (p = 0.005), number of defecations per week, stool form, time spent for defecation, and abdominal bloating were significantly associated with chronic constipation (p < 0.001). Conclusion: Chronic constipation was common in older people and associated with a low educational level. Recognition of symptoms was predominantly based on clinical features of constipation and will require the healthcare providers to consider these factors in their routine assessment of older people.
Determinants of caregiver burden in community-dwelling caregivers of patients with severe and persistent mental illness Mulud, Zamzaliza Abdul; Goodwin, John; Mohamad, Norfidah; Wahab, Patimah Abdul
International Journal of Public Health Science (IJPHS) Vol 14, No 1: March 2025
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v14i1.24074

Abstract

Loss of independence due to cognitive and functional ability is the main challenge experienced by individuals with severe mental illness. This study aimed to investigate the associated factors of caregiver burden among caregivers of individuals with severe and persistent mental illness living in the community. We used a cross-sectional design with open-ended questions to determine the contributing factors to caregiver burden. A self-administered questionnaire was used to measure caregiver burden and resilience (n=201). Caregiver burden and resilience were operationalized using the caregiver burden inventory scale (CBI) and Connor-Davidson resilience scale (CD-RS), respectively. The findings showed that the caregivers were experiencing a moderate level of caregiver burden (M=30.7, SD=20.3). Caregiving-related stressors are the most important predictor of caregiver burden, explaining 28.3% of the variance in caregiver burden. Finally, the hierarchical analysis found that resilience, caregiver-related stressors, and socio-demographic factors contributed to 52.4% of the variance in caregiver burden. New factors that contributed to the burden, such as lack of support and knowledge deficit, emerged from the qualitative findings. The results highlighted the growing evidence of the role of caregivers' socio-demographic variables, caregiving-related stressors, and resilience to caregiver burden.
Co-Authors Ali, Siti Hawa Goodwin, John Kadir, Azidah Abdul Lee, Yeong Yeh Mohamad, Norfidah Mulud, Zamzaliza Abdul Yusoff, Dariah Mohd