Impact of fecal incontinence on quality of life  

作　　者：Lynne Bartlett Madeleine Nowak Yik-Hong Ho 

机构地区：[1]School of Public Health,Tropical Medicine and Rehabilitation Sciences,within North Queensland Centre for Cancer Research,James Cook University [2]School of Medicine and Dentistry,within the North Queensland Centre for Cancer Research,James Cook University

出　　处：《World Journal of Gastroenterology》2009年第26期3276-3282,共7页世界胃肠病学杂志（英文版）

基　　金：Supported by A James Cook University Program Grant (2003) and A Cancer Council Queensland scholarship

摘　　要：AIM:To explore the impact of fecal incontinence (FI) on quality of life (QOL) of patients attending urogynecology and colorectal clinics (CCs).METHODS:Cross-sectional study of 154 patients (27 male) with FI,who attended the clinics at a regional hospital in North Queensland,Australia in 2003 and 2004,and completed the Fecal Incontinence Quality of Life Scale (FIQL:1=very affected;4=not affected).RESULTS:More than 22% of patients had their QOL affected severely by FI.Patients reported that they had not previously been asked about FI by a medical practitioner nor did they voluntarily disclose its presence.The median FIQL scores for all participants were:lifestyle=3.24;coping=2.23;depression=2.42;and embarrassment=2.33.Increasing frequency of soiling had a negative effect on all four FIQL scales (P < 0.001) as did the quantity of soiling (P < 0.01).Female CC patients had poorer FIQL scores than urogynecology clinic patients for lifestyle (P=0.015),coping (P=0.004) and embarrassment (P=0.009),but not depression (P=0.062),despite having experienced FI for a shorter period.CONCLUSION:Failure to seek treatment for FI degrades the quality of patients' lives over time.FI assessment tools should incorporate the quantity of fecal loss.AIM： To explore the impact of fecal incontinence （FI） on quality of life （QOL） of patients attending urogynecology and colorectal clinics （CCs）. METHODS： Cross-sectional study of 154 patients （27 male） with FI, who attended the clinics at a regional hospital in North Queensland, Australia in 2003 and 2004, and completed the Fecal Incontinence Quality of Life Scale （FIQL： 1 = very affected; 4 = not affected）. RESULTS： More than 22% of patients had their QOL affected severely by FI. Patients reported that they had not previously been asked about FI by a medical practitioner nor did they voluntarily disclose its presence. The median FIQL scores for all participants were： lifestyle = 3.24; coping = 2.23; depression = 2.42; and embarrassment = 2.33. Increasing frequency of soiling had a negative effect on all four FIQL scales （P 〈 0.001） as did the quantity of soiling （P 〈 0.01）. Female CC patients had poorer FIQL scores than urogynecology clinic patients for lifestyle （P = 0.015）, coping （P = 0.004） and embarrassment （P = 0.009）, but not depression （P = 0.062）, despite having experienced FI for a shorter period. CONCLUSION： Failure to seek treatment for FI degrades the quality of patients＇ lives over time. FI assessment tools should incorporate the quantity of fecal loss.

关 键 词：Quality of life Fecal incontinence Rural health Colorectal cancer UROGYNECOLOGY 

分 类 号：R574.6[医药卫生—消化系统]