Fecal incontinence among nursing home residents: Is it still a problem?

被引：7
作者：
Ihnat, Peter [1 ,2 ]
Kozakova, Radka [3 ]
Rudinska, Lucia Ihnat [4 ]
Peteja, Matus [1 ,2 ]
Vavra, Petr [1 ,2 ]
Zonca, Pavel [1 ,2 ]
机构：
[1] Univ Ostrava, Fac Med, Dept Surg Studies, Syllabova 19, Ostrava 70300, Czech Republic
[2] Univ Hosp Ostrava, Dept Surg, 17 Listopadu 1790, Ostrava 70852, Czech Republic
[3] Univ Ostrava, Dept Nursing & Midwifery, Fac Med, Ostrava 70300, Czech Republic
[4] Univ Hosp Ostrava, Dept Forens Pathol, 17 Listopadu 1790, Ostrava 70852, Czech Republic
来源：
ARCHIVES OF GERONTOLOGY AND GERIATRICS | 2016年 / 65卷
关键词：
Fecal incontinence; Institutionalized persons; Nursing home resident; Prevalence; Risk factors; MINI-MENTAL-STATE; RISK-FACTORS; PREVALENCE; URINARY; EPIDEMIOLOGY; CONTINENCE; MANAGEMENT; MORTALITY; PEOPLE; CARE;
D O I：
10.1016/j.archger.2016.03.012
中图分类号：
R592 [老年病学]; C [社会科学总论];
学科分类号：
03 ; 0303 ; 100203 ;
摘要：
Background: Fecal incontinence (FI) is a significant health problem among the elderly, with a devastating effect on their quality of life. The aim of the present study was to describe the prevalence and severity of FI among nursing home residents, and to investigate factors associated with FI. Methods: This was a cross-sectional study conducted in nursing homes in Ostrava, Czech Republic. Demographics and comorbidities were extracted from medical records of nursing homes. Data regarding incontinence were obtained via face-to-face interviews with residents or extracted from registered nurses' accounts (regarding residents with severe cognitive impairment). Results: In total, 588 nursing home residents were enrolled into the study. FI was noted in 336 (57.1%) participating residents. The majority of FI residents (57.8%) reported FI episodes several times a week; daily FI episodes were found in 22.9% of the FI residents. The mean Cleveland Clinic Incontinence Score in FI residents was 17.2 +/- 1.8 (mean +/- SD). Factors associated with FI (statistically significant) were poor general health status (>= 4 comorbidities), urinary incontinence, cognitive-function impairment (dementia), decreased mobility, and length of nursing home residency. There was no association between FI and age, sex, body mass index, or living with/without a partner. Conclusions: Our data indicate that FI is still a serious health problem-FI currently affects more than half of the nursing home residents in Ostrava, Czech Republic. The study outcomes (revealed high prevalence and seriousness of FI) emphasize the importance of close monitoring and appropriately managing FI in nursing home residents. (C) 2016 Elsevier Ireland Ltd. All rights reserved.
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收藏
页码：79 / 84
页数：6
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