Cools H J
Verpleeghuis de Bieslandhof, Delft.
Tijdschr Gerontol Geriatr. 1988 Dec;19(6):277-81.
Faecal incontinence in the elderly is not compatible with normal social function and leads to interventions and/or institutionalization. In homes for the elderly about 10% and in nursing homes 42.8% of the patients are faecally incontinent. There are predisposing, precipitating and uncleanliness factors. Four ways of faecal loss are described. The purposes of diagnosis and therapy are: 1. prevent and cure diseases, which cause unintentional faecal loss, 2. maintain lavatory visiting as long as possible and 3. prevent soiling the old patient himself and his surroundings.
老年人大便失禁与正常社会功能不相容，会导致采取干预措施和/或将患者送进养老院。在养老院中，约10%的患者存在大便失禁，而在护理院中这一比例为42.8%。存在易患因素、促发因素和不卫生因素。文中描述了四种大便失禁的方式。诊断和治疗的目的是：1. 预防和治疗导致意外大便失禁的疾病；2. 尽可能长时间维持规律排便；3. 防止老年患者自身及其周围环境被弄脏。
