Comparison of recall and daily self-report of fecal incontinence severity.
Comparison of recall and daily self-report of fecal incontinence severity.
复制标题
粪便尿失禁严重程度的召回和每日自我报告的比较。
DOI：
10.1097/01.won.0000335964.13855.8d
复制
发表时间：
2008-09
期刊：
影响因子：
--
通讯作者：
Savik K
中科院分区：
文献类型：
--
作者：
Fisher K;Bliss DZ;Savik K
大便失禁（FI）的严重程度是通过自我报告确定的，大多数工具依赖于症状的回忆。本研究探讨是否召回FI的严重程度不同，从每日报告的日记和影响任何difference.INSTRUMENTS和设计数据的96名参与者（平均年龄59岁，78%的女性）报告的3个数据收集表格（人口统计表，肠道病史，大便日记）进行了分析。收集的数据在最初的肠道病史时，参与者报告FI严重程度回忆进行了比较，类似的数据参与者记录在14天的每日大便日记在基线期间的研究调查不同类型的膳食纤维对FI的影响。04)显著高于（更差的FI）回忆的肠道病史（中位数3.0，范围0.36-27.5）。更高，更积极的差异，回忆和每日日记报告之间的分数表明更大的回忆漏报。与非看护者相比，看护者在回忆时低估了FI的严重程度（P=. 003).结论：低报FI的原因可能是多因素的;研究结果表明，作为一个照顾者和有双重尿失禁的影响因素。临床医生应询问FI与辨别但敏感的方法。在研究中建议使用每日粪便日记，在实践中可能有用。
PURPOSE Fecal incontinence (FI) severity is determined by self-report, and most tools rely on recall of symptoms. This study examined whether recall of FI severity differed from daily reports on a diary and the factors influencing any difference.INSTRUMENTS AND DESIGN Data of 96 participants (mean age 59 years, 78% female) reported on 3 data collection forms (a demographics form, a bowel history, and a stool diary) were analyzed. Data collected during an initial bowel history when participants reported FI severity using recall were compared to similar data participants recorded on a 14-day daily stool diary during a baseline period of a study investigating the effects of different types of dietary fiber on FI.RESULTS The total FI severity score from the daily stool diary (median 5.0, range 1.2–15.5; P=. 04) was significantly higher (worse FI) than the recalled bowel history (median 3.0, range 0.36–27.5). A higher, more positive difference in scores between recall and daily diary reporting indicated greater underreporting on recall. Caregivers underreported FI severity on recall compared to noncaregivers (P=. 003).CONCLUSIONS Reasons for underreporting FI are probably multifactorial; findings suggest that being a caregiver and having double incontinence are contributing factors. Clinicians should inquire about FI with a discerning yet sensitive approach. Use of a daily stool diary is recommended in research and may be useful in practice.