Ihnát Peter, Kozáková Radka, Rudinská Lucia Ihnát, Peteja Matúš, Vávra Petr, Zonča Pavel
Department of Surgical Studies, Faculty of Medicine, University of Ostrava, Syllabova 19, Ostrava 703 00, Czech Republic; Department of Surgery, University Hospital Ostrava, 17. listopadu 1790, Ostrava 70852, Czech Republic.
Department of Nursing and Midwifery, Faculty of Medicine, University of Ostrava, Ostrava 703 00, Czech Republic.
Arch Gerontol Geriatr. 2016 Jul-Aug;65:79-84. doi: 10.1016/j.archger.2016.03.012. Epub 2016 Mar 15.
Fecal incontinence (FI) is a significant health problem among the elderly, with a devastating effect on their quality of life. The aim of the present study was to describe the prevalence and severity of FI among nursing home residents, and to investigate factors associated with FI.
This was a cross-sectional study conducted in nursing homes in Ostrava, Czech Republic. Demographics and comorbidities were extracted from medical records of nursing homes. Data regarding incontinence were obtained via face-to-face interviews with residents or extracted from registered nurses' accounts (regarding residents with severe cognitive impairment).
In total, 588 nursing home residents were enrolled into the study. FI was noted in 336 (57.1%) participating residents. The majority of FI residents (57.8%) reported FI episodes several times a week; daily FI episodes were found in 22.9% of the FI residents. The mean Cleveland Clinic Incontinence Score in FI residents was 17.2±1.8 (mean±SD). Factors associated with FI (statistically significant) were poor general health status (≥4 comorbidities), urinary incontinence, cognitive-function impairment (dementia), decreased mobility, and length of nursing home residency. There was no association between FI and age, sex, body mass index, or living with/without a partner.
Our data indicate that FI is still a serious health problem-FI currently affects more than half of the nursing home residents in Ostrava, Czech Republic. The study outcomes (revealed high prevalence and seriousness of FI) emphasize the importance of close monitoring and appropriately managing FI in nursing home residents.
大便失禁（FI）是老年人中一个严重的健康问题，对他们的生活质量有毁灭性影响。本研究的目的是描述养老院居民中FI的患病率和严重程度，并调查与FI相关的因素。
这是一项在捷克共和国俄斯特拉发的养老院进行的横断面研究。人口统计学和合并症数据从养老院的医疗记录中提取。关于失禁的数据通过与居民的面对面访谈获得，或从注册护士的记录中提取（针对严重认知障碍的居民）。
总共588名养老院居民纳入了该研究。336名（57.1%）参与研究的居民存在FI。大多数FI居民（57.8%）报告每周有几次FI发作；22.9%的FI居民每天都有FI发作。FI居民中克利夫兰诊所失禁评分的平均值为17.2±1.8（平均值±标准差）。与FI相关的因素（具有统计学意义）包括总体健康状况差（≥4种合并症）、尿失禁、认知功能障碍（痴呆）、活动能力下降以及在养老院居住的时间。FI与年龄、性别、体重指数或是否有伴侣生活无关。
我们的数据表明，FI仍然是一个严重的健康问题——目前在捷克共和国俄斯特拉发，FI影响了超过一半的养老院居民。研究结果（显示FI的高患病率和严重性）强调了密切监测和适当管理养老院居民FI的重要性。
