Prevalence of fecal incontinence (FI) and associated factors in institutionalized older adults
Prevalence of fecal incontinence (FI) and associated factors in institutionalized older adults
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DOI：
10.1016/j.archger.2015.02.003
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发表时间：
2015-05-01
影响因子：
4
通讯作者：
Lima, Kenio C.
中科院分区：
文献类型：
--
作者：
Jerez-Roig, Javier;Souza, Dyego L. B.;Lima, Kenio C.
这项工作的目的是确定机构老年人的FI和相关因素的患病率。本文介绍了2013年10月至12月在纳塔尔市（巴西东北部）的10家养老院（NH）进行的一项横断面研究。60岁以上的人被纳入研究，而住院或处于终末期的人被排除在外。数据收集包括社会人口统计学信息、FI特征以及与机构本身和健康状况相关的变量（合并症、药物、盆底手术、功能能力的Barthel指数和认知状态的Pfeiffer测试）。FI通过最小数据集（MDS）3.0进行验证，该数据集也用于评估验证程序。双变量分析采用卡方检验和线性卡方检验，多变量分析采用Logistic回归。最终样本包括321名老年人，大多数是女性，平均年龄为81.5岁。FI患病率为42.68%（CI 95%，37.39-48.15）。FI患者以尿失禁为主（83.9%），最常见的尿失禁类型为全FI（固体和液体粪便）。仅对9.7%的居民采取了强制性控制措施。最终模型显示FI与功能和认知障碍之间存在统计学显著相关性。它的结论是，FI是一个健康问题，影响了近一半的机构老年人，并与功能和认知障碍。(C)2015爱思唯尔爱尔兰有限公司版权所有。
The objective of this work is to determine the prevalence of FI and associated factors in institutionalized elderly. A cross-sectional study is presented herein, conducted between October and December 2013, in 10 nursing homes (NHs) of the city of Natal (Northeast Brazil). Individuals over the age of 60 were included in the study, while those hospitalized or in terminal phase were excluded. Data collection included sociodemographic information, FI characterization, as well as variables related to the institution itself and to health conditions (comorbidities, medication, pelvic floor surgery, Barthel Index for functional capacity and Pfeiffer test for cognitive status). FI was verified through the Minimum Data Set (MDS) 3.0, which was also used to assess toileting programs. The Chi-square test and the linear Chisquare test were performed for bivariate analysis, as well as logistic regression for multivariate analysis. The final sample consisted of 321 elderly, mostly females, with mean age of 81.5 years. The prevalence of FI was 42.68% (CI 95%, 37.39-48.15). Most residents presenting FI were always incontinent (83.9%) and the most frequent incontinence type was total FI (solid and liquid stools). Incontinence control measures were applied only to 9.7% of the residents. The final model revealed a statistically significant association between FI and functional and cognitive impairments. It is concluded that FI is a health issue that affects almost half of the institutionalized elderly, and is associated with functional and cognitive disability. (C) 2015 Elsevier Ireland Ltd. All rights reserved.