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A Developmental Study of the Japanese Version of the Constipation Assessment Scale KIYOKO FUKAI 1 , SUGITA AKIKO 2 , TANAKA MIHO 2 1Department of Nursing, Faculty of Medical Welfare, Kawasaki University of Medical Welfare 2Department of Nursing, Kawasaki College of Allied Health Professions pp.201-208
Published Date 1995/6/15
DOI https://doi.org/10.11477/mf.1681900299
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 The Constipation Assessment Scale (CAS) was developed originally by McMillan & Williams (1989) to assess the presence and severity of constipation in the clinical setting. The purpose of this study was to reform the CAS partially and prove the validity and reliability of the Japanese version of CAS (J-CAS), in order to make the tool avaliable for constipated patients also in our country. The authors created the three assessment terms of CAS, which are short term (ST, now or during a few days), middle term (MT, during the past week ; the same term as the original CAS) and long term (LT, during the past month) versions, because we consider the effect of the cycle of sexual hormones on gastrointestinal motility and aimed to apply the CAS to general subjects, i. e., from children to the elderly. Instead of the three-point summated rating scale of the original CAS, constructed from “no problem” to “severe problem”, we adopted three rating scales different in each items. The sample consisted of 313 healthy students (86 men and 227 women ; the mean age, 19.7±1.5 yrs). The testretest reliability of the J-CAS was proved by a Pearson product-moment correlation coefficient (r=0.84-0.93, p<0.001). And Cronbach a coefficients were 0.69-0.78 in three types of J-CAS. A significant difference was seen between the mean LT J-CAS score of the constipated group and that of the normal one (p<0.001). These values are acceptable and similar to those of the original tool, and support that the J-CAS is valid and reliable for assessment tool of constipation. We also clarified the women's scores of the J-CAS were significantly higher than those of men in younger generation (p<0.001), and disucuss the reason of it.


Copyright © 1995, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1405 印刷版ISSN 0022-8370 医学書院

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