Baxter Nancy N, Rothenberger David A, Lowry Ann C
Division of Colorectal Surgery, University of Minnesota, Minneapolis, MN, USA.
Dis Colon Rectum. 2003 Dec;46(12):1591-605. doi: 10.1007/BF02660762.
The measurement of fecal incontinence is challenging. Because fecal incontinence is a symptom, the subjective perception of the patient must be the foundation of any evaluation of incontinence or the impact of incontinence. The lack of a criterion standard makes testing measures for reliability and validity more difficult. Despite this, many measures are available and can be divided into three broad categories: descriptive measures that do not provide summary scores; severity measures that assess the frequency and type of incontinence; and impact measures that assess the effect of incontinence on quality of life. The strengths and weaknesses of currently available measures are presented in this review.
大便失禁的测量具有挑战性。由于大便失禁是一种症状,患者的主观感受必须是任何失禁评估或失禁影响评估的基础。缺乏标准使得测试措施的可靠性和有效性更难评估。尽管如此,仍有许多测量方法可供使用,可大致分为三大类:不提供综合评分的描述性测量方法;评估失禁频率和类型的严重程度测量方法;以及评估失禁对生活质量影响的影响测量方法。本综述介绍了现有测量方法的优缺点。