الفهرس 
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Abstract
Chronic constipation is a major global health problem affecting millions of people, particularly in the older adults with significant impact on quality of life and health expenses. Aim: the aim of the present study is to evaluate the outcomes of health education program on improving quality of life of older adults suffering from chronic constipation. Setting: This study was conducted in geriatric homes situated within Cairo Governorate which comprises twenty districts. Sampling: A multistage random sample technique chosen 25% from the total districts and purposive sample of 58 older adults with chronic constipation were included, male and female aged ≥ 60 years, in this study. Tools: Three tools were used. First Tool: An interviewing questionnaire for older adults with chronic constipation included six parts: Rome III Diagnostic Criteria for Assessment chronic Constipation and Mini Mental status test were used as initial measure to screen participants for inclusion criteria, socio-demographic characteristics, past and present medical history, assessment older adults awareness regarding chronic constipation, Patient Assessment of Constipation Symptoms (PAC-SYM), and Patient Assessment of Constipation Quality of Life (PAC-QOL). Second Tool: lifestyle practices questionnaire for older adults with chronic constipation include two parts; Bristol Stool Form Scale (BSF) and Aspects of Lifestyle Health Practices. Third tool: Observation Check List for assessment geriatric home environment. Results: The study revealed that more than three quarters older adults had satisfactory awareness about chronic constipation after post program. The Total Score of PAC-SYM and subscale (Abdominal, Rectal and Stool symptoms) reached highly statistically significance difference. The Total Score of the PAC-QOL and subscale (Physical discomfort, Psychosocial discomfort, Worries & concerns, and Satisfaction) reached highly statistically significance between score pre/post health educational program. Conclusion: The health educational program reported remarkable improvement in older adult’s awareness, decreased the severity of constipation symptoms, improved discomfortable subscales of quality of life and raised satisfaction subscales through lifestyles practices modifications in post health education program. Recommendations: Raising public awareness through educational campaigns and mass media about healthy lifestyle for older adults in the geriatric homes to improve their quality of life toward chronic constipation.