Nelson R, Furner S, Jesudason V
Department of Surgery, University of Illinois at Chicago, USA.
Dis Colon Rectum. 1998 Oct;41(10):1226-9. doi: 10.1007/BF02258218.
This report determines the characteristics and health histories that are associated with fecal incontinence in a nursing home population.
A cross-sectional survey is reported comprised of data from the Health Care Finance Administration's Minimum Data Set submitted by Wisconsin skilled nursing facilities to the Wisconsin Center for Health Statistics' Annual Nursing Home Survey in 1992 and 1993. Demographic characteristics, functional status, and disease history were correlated with the dependent variable, fecal incontinence.
In both 1992 and 1993, significant positive associations with fecal incontinence included the following, in order of adjusted odds ratios: urinary incontinence, tube feeding, any loss of activities of daily living, diarrhea, truncal restraints, pressure ulcers, dementia, impaired vision, fecal impaction, constipation, male gender, age, and increasing body mass index. Significant inverse associations were noted for heart disease and depression in one of the years and arthritis in both years. In both years, diabetes was not associated with fecal incontinence.
Urinary incontinence frequently coexists with fecal incontinence. The treatment of fecal incontinence may depend more on awareness of these significant associations, such as tube feeding, impaction, diarrhea, and loss of activities of daily living, which might exacerbate fecal incontinence, than on the condition of the anal sphincter.
本报告确定了与养老院人群大便失禁相关的特征和健康史。
报告了一项横断面调查，其数据来自1992年和1993年威斯康星州专业护理机构提交给威斯康星州健康统计中心年度养老院调查的医疗保健财务管理局最低数据集。人口统计学特征、功能状态和疾病史与因变量大便失禁相关。
在1992年和1993年，与大便失禁呈显著正相关的因素按调整后的优势比排序如下：尿失禁、管饲、日常生活活动能力丧失、腹泻、躯干约束、压疮、痴呆、视力受损、粪便嵌塞、便秘、男性、年龄和体重指数增加。在其中一年中，心脏病和抑郁症以及在两年中关节炎与大便失禁呈显著负相关。在这两年中，糖尿病与大便失禁无关。
尿失禁常与大便失禁同时存在。大便失禁的治疗可能更多地取决于对这些显著关联的认识，如管饲、嵌塞、腹泻和日常生活活动能力丧失，这些可能会加重大便失禁，而不是取决于肛门括约肌的状况。
