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Bowel function among people 75+ reporting faecal incontinence in relation to help seeking, dependency and quality of life.

Stenzelius, Karin LU ; Westergren, Albert LU and Rahm Hallberg, Ingalill LU (2007) In Journal of Clinical Nursing 16(3). p.458-468
Abstract
Aims and objectives. The aim was to compare faecal incontinence and related bowel symptoms among men and women and being dependent or not (aged ≥75 years) and furthermore to identify which bowel symptoms predicted help seeking, dependency and low quality of life (QoL).



Background. Faecal incontinence (FI) in old age is a common condition and influences daily life to a great extent, although few actually seek medical help.



Methods. A total of 248 people with reported difficulties controlling faeces answered a postal questionnaire or were interviewed with questions about FI-related bowel symptoms. A factor analysis resulted in four areas of bowel symptoms and was used in logistic regression with help... (More)
Aims and objectives. The aim was to compare faecal incontinence and related bowel symptoms among men and women and being dependent or not (aged ≥75 years) and furthermore to identify which bowel symptoms predicted help seeking, dependency and low quality of life (QoL).



Background. Faecal incontinence (FI) in old age is a common condition and influences daily life to a great extent, although few actually seek medical help.



Methods. A total of 248 people with reported difficulties controlling faeces answered a postal questionnaire or were interviewed with questions about FI-related bowel symptoms. A factor analysis resulted in four areas of bowel symptoms and was used in logistic regression with help seeking, dependency and low QoL as dependent variables.



Results. Of all the subjects, 56·4% had leakage, 54·7% did not reach the toilet in time, 55·6% had incomplete emptying, 27·9% had hard stool, 36·8% bother from moisture from the anus, 32·2% could not withstand urgency for five minutes and 17% had red skin or wounds in the genital region. Women and those dependent were most affected. Totally 40·8% had sought help and 30·1% used protective aids. Leakage, discomfort, consistency and contractibility symptoms were the categories of bowel symptoms related to FI. Discomfort predicted help seeking (OR 3·0), dependency (OR 1·5) and physical QoL (OR 1·7). Leakage predicted help seeking (OR 1·9) but not dependency and QoL.



Conclusions. Overall bowel function was disturbed among those with FI and unmet needs seem problematic especially for women and those needing help in Activities of Daily Living (ADL). Encouragement to seek and get medical help and to use protective aids may improve the very low quality of life in this group.



Relevance to clinical practice. Older people with FI should be asked about, assessed for and examined for overall bowel function to get adequate treatment and be encouraged to use protection. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Journal of Clinical Nursing
volume
16
issue
3
pages
458 - 468
publisher
Wiley-Blackwell
external identifiers
  • wos:000244544100005
  • scopus:33847401135
ISSN
1365-2702
DOI
10.1111/j.1365-2702.2005.01549.x
language
English
LU publication?
yes
id
141f97a5-17c8-4159-9e4c-d45d51785771 (old id 166856)
date added to LUP
2007-07-23 11:59:16
date last changed
2017-04-02 03:59:26
@article{141f97a5-17c8-4159-9e4c-d45d51785771,
  abstract     = {Aims and objectives. The aim was to compare faecal incontinence and related bowel symptoms among men and women and being dependent or not (aged ≥75 years) and furthermore to identify which bowel symptoms predicted help seeking, dependency and low quality of life (QoL).<br/><br>
<br/><br>
Background. Faecal incontinence (FI) in old age is a common condition and influences daily life to a great extent, although few actually seek medical help.<br/><br>
<br/><br>
Methods. A total of 248 people with reported difficulties controlling faeces answered a postal questionnaire or were interviewed with questions about FI-related bowel symptoms. A factor analysis resulted in four areas of bowel symptoms and was used in logistic regression with help seeking, dependency and low QoL as dependent variables.<br/><br>
<br/><br>
Results. Of all the subjects, 56·4% had leakage, 54·7% did not reach the toilet in time, 55·6% had incomplete emptying, 27·9% had hard stool, 36·8% bother from moisture from the anus, 32·2% could not withstand urgency for five minutes and 17% had red skin or wounds in the genital region. Women and those dependent were most affected. Totally 40·8% had sought help and 30·1% used protective aids. Leakage, discomfort, consistency and contractibility symptoms were the categories of bowel symptoms related to FI. Discomfort predicted help seeking (OR 3·0), dependency (OR 1·5) and physical QoL (OR 1·7). Leakage predicted help seeking (OR 1·9) but not dependency and QoL.<br/><br>
<br/><br>
Conclusions. Overall bowel function was disturbed among those with FI and unmet needs seem problematic especially for women and those needing help in Activities of Daily Living (ADL). Encouragement to seek and get medical help and to use protective aids may improve the very low quality of life in this group.<br/><br>
<br/><br>
Relevance to clinical practice. Older people with FI should be asked about, assessed for and examined for overall bowel function to get adequate treatment and be encouraged to use protection.},
  author       = {Stenzelius, Karin and Westergren, Albert and Rahm Hallberg, Ingalill},
  issn         = {1365-2702},
  language     = {eng},
  number       = {3},
  pages        = {458--468},
  publisher    = {Wiley-Blackwell},
  series       = {Journal of Clinical Nursing},
  title        = {Bowel function among people 75+ reporting faecal incontinence in relation to help seeking, dependency and quality of life.},
  url          = {http://dx.doi.org/10.1111/j.1365-2702.2005.01549.x},
  volume       = {16},
  year         = {2007},
}