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- Stenzelius, Karin, et al.
(författare)
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Bowel function among people 75+ reporting faecal incontinence in relation to help seeking, dependency and quality of life
- 2007
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Ingår i: Journal of Clinical Nursing. - : Wiley-Blackwell. - 0962-1067 .- 1365-2702. ; 16:3, s. 458-468
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Tidskriftsartikel (refereegranskat)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 >or=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.
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| 3. |
- Stenzelius, Karin, et al.
(författare)
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Symptoms of urinary and faecal incontinence among men and women 75+ in relation to health complaints and quality of life
- 2004
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Ingår i: Neurourology and Urodynamics. - 0733-2467 .- 1520-6777. ; 23:3, s. 211-222
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Tidskriftsartikel (refereegranskat)abstract
- Aims: The aim was to investigate the prevalence of s elf-reported symptom of urinary, faecal, anddouble incontinence (UI, FI, and DI) in men and women 75þ and to identify how other he althcomplaints and Quality of Life (QoL) relate to incontinence symptoms. Methods: Arandomiseds ample, strati¢ed for age, of eligible men and women from the p opulation were included in the studyand 4,277 out of 8,500 completed a postal questionnaire (61.6% women). The questions focused ondi⁄culties in controlling urine and faeces, other health compl aints, socio-economic background,and social relat ions. Resu lts: Among all respondents 39% reported symptom of UI (more so amongwomen P < 0.001), sympto m of FI in 16.9% (ns between sexes), DI, i.e., a combination of UI and FI,was reported among 14.5% (ns between sexes). Incontinence increased with a ge, and perso ns re port-ing incontinence also had signi¢cantly more of all other health compl aints compared with personswithout incontinence. Those reporting DI comprised an especially vulnerable group. Health com-plaints associated with U I were communicative and mobility problems, other urinary complaints,dizziness, cough, and fati gue. FI was associated with diarrhoea, stomach pain, fatigue, and otherpain. Ris k fa ctors for DI wer e diarrhoea, communication, and mobility problems. Conclu sions: UIand FI were common among elderly men and women and incr eased with age. Furt hermore, incon -tinence was associated with many other co-exis ting health complaints, and the most frail were thosewith DI.
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