Vasconcelos Neto José Ananias, Vasconcelos Camila Teixeira Moreira, Karbage Sara Arcanjo Lino, Farias Hérdeny Di Cárlly de Almeida Rocha, Machado Stéffany Gadelha de Macêdo, Saboia Dayana Maia
Department of Urogynecology, Hospital Geral de Fortaleza, Fortaleza, CE, Brazil.
Department of Nursing, Universidade Federal do Ceará, Fortaleza, CE, Brazil.
Rev Bras Ginecol Obstet. 2019 Mar;41(3):191-198. doi: 10.1055/s-0039-1678592. Epub 2019 Mar 1.
To identify the quality of life (QoL) assessment instruments related to the health of women with fecal incontinence (FI) or anal incontinence (AI).
Systematic review conducted in the Virtual Health Library (VHL), PubMed and Cochrane Library databases. The descriptors used were: , , , , , , and . The search was performed between December 26, 2017 and the beginning of January 2018. The limits used were female gender.
Initially, 5,143 articles were obtained in the search. The articles of validation for Portuguese of questionnaires for the evaluation of the impact of FI/AI on the QoL of women were considered eligible.
The article search was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyzes (PRISMA) guidelines.
Of the 5,143 articles, only 2 fulfilled the inclusion and exclusion criteria: Fecal Incontinence Quality of Life (FIQL) and the Wexner scale (WS). The FIQL evaluates the QoL related to FI, not covering flatus incontinence. The WS assesses flatus incontinence and the severity of the AI. The WS obtained an interclass correlation coefficient (ICC) of 0.932 and a Cronbach α coefficient > 0.90. The FIQL obtained intraexaminer and interexaminer reproducibility ranging from 0.929 to 0.957 and from 0.944 to 0.969, respectively.
The WS and the FIQL have satisfactory reliability and validity for use during gynecological consultations.
确定与大便失禁（FI）或肛门失禁（AI）女性健康相关的生活质量（QoL）评估工具。
在虚拟健康图书馆（VHL）、PubMed和Cochrane图书馆数据库中进行的系统评价。使用的描述符为：[此处原文缺失具体描述符内容]。检索于2017年12月26日至2018年1月初进行。使用的限定条件为女性性别。
最初，检索获得5143篇文章。考虑将评估FI/AI对女性QoL影响的问卷葡萄牙语验证文章作为合格文章。
文章检索按照系统评价和Meta分析的首选报告项目（PRISMA）指南进行。
在5143篇文章中，只有2篇符合纳入和排除标准：大便失禁生活质量量表（FIQL）和韦克斯纳量表（WS）。FIQL评估与FI相关的QoL，不涵盖排气失禁。WS评估排气失禁和AI的严重程度。WS的组内相关系数（ICC）为0.932，克朗巴哈α系数>0.90。FIQL的检查者内和检查者间再现性分别为0.929至0.957和0.944至0.969。
WS和FIQL在妇科会诊中使用具有令人满意的可靠性和有效性。
