Symptoms and quality of life in community women with fecal incontinence
Symptoms and quality of life in community women with fecal incontinence
复制标题
患有大便失禁的社区妇女的症状和生活质量
DOI：
10.1016/j.cgh.2006.01.003
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发表时间：
2006-08-01
影响因子：
12.6
通讯作者：
Melton, L. Joseph
中科院分区：
文献类型：
--
作者：
Bharucha, Adil E.;Zinsmeister, Alan R.;Melton, L. Joseph
背景与目的：对大便失禁（Fl）症状严重程度的评估是指导治疗的必要条件。然而，对于如何为此目的测量FI中自我报告的症状严重程度没有共识，并且Fl的症状与其对生活质量（QOL）的影响之间的关系尚不清楚。方法：通过罗切斯特流行病学项目确定的5300名妇女的年龄分层随机样本邮寄问卷。通过经验证的量表（粪便失禁和便秘评估[FICA]）评估症状严重程度，并评估在过去一年中患有任何FI的受试者对QOL 15个领域的影响。该量表包括FI的类型、频率和数量，以及FI周围的环境（即，冲动或被动FI）。QOL加权的症状严重程度评分是通过对每例受试者中这些特征的反应进行加权，并通过对报告该特定症状特征的所有受试者的平均QOL影响得出的。采用斯皮尔曼等级相关法评估症状严重程度与QOL加权症状严重程度评分之间的关系。结果：5300名妇女中有2800名（53%）回答了调查。Fl症状为轻度（45%）、中度（50%）或重度（5%）。Fl患者中FICA症状严重程度量表与Fl患者中的FICA症状严重程度量表高度相关（r（s）= 0.92，P
Background & Aims: Assessments of symptom severity are necessary to guide therapy in fecal incontinence (Fl). However, there is no consensus on how self-reported symptom severity in FI should be measured for this purpose, and the relationship between symptoms of Fl and its impact on quality of life (QOL) is, not known. Methods: A questionnaire was mailed to an age-stratified random sample of 5300 women identified through the Rochester Epidemiology Project. Symptom severity was assessed by a validated scale (Fecal Incontinence and Constipation Assessment [FICA]), and impact on 15 domains of QOL was evaluated for subjects who had any Fl during the past year. The scale incorporated the type, frequency, and amount of Fl, as well as the circumstances surrounding FI (ie, urge or passive FI). A QOL-weighted symptom severity score was derived by weighting the responses for these characteristics, in each subject, by the average QOL impact for all subjects who reported that specific symptom characteristic. The relationship between symptom severity and the QOL-weighted symptom severity score was assessed by Spearman rank correlation. Results: Altogether, 2800 of 5300 (53%) women responded to the survey. Fl symptoms were mild (45%), moderate (50%), or severe (5%). Among women with Fl, the FICA symptom severity scale was strongly correlated (r(s) = 0.92, P