Associate Professor and Professor in Long-Term Care of Elders.
Severity of fecal incontinence in community-living elderly in a health maintenance organization†
Article first published online: 6 MAY 2004
Copyright © 2004 Wiley Periodicals, Inc.
Research in Nursing & Health
Volume 27, Issue 3, pages 162–173, June 2004
How to Cite
Bliss, D. Z., Fischer, L. R., Savik, K., Avery, M. and Mark, P. (2004), Severity of fecal incontinence in community-living elderly in a health maintenance organization. Res. Nurs. Health, 27: 162–173. doi: 10.1002/nur.20014
The authors thank Dr. Veronica Roseneau, Heather Neren-Smith, and the HMO clinic staff for assistance in implementing the study, Gerald H. Amundson for programming and searching databases, and Karen Paulsen for designing the logo for the survey.
- Issue published online: 6 MAY 2004
- Article first published online: 6 MAY 2004
- Manuscript Accepted: 14 JAN 2004
- University of Minnesota Graduate School Faculty Grant-in-Aid of Research Program
An anonymous survey containing questions about the severity of fecal incontinence (FI)—frequency, amount, and type—and its correlates was distributed to community-living elderly at four managed-care clinics. Completed surveys were received from 1,352 respondents whose mean (±standard deviation) age was 75 ± 6 years and 60% of whom were female. Approximately 19% reported having FI one or more times within the past year. Incontinence that soiled underwear or was of loose or liquid consistency was most common. More frequent FI and a greater amount of FI were significantly associated with loose or liquid stool consistency, defecation urgency, bowel surgery, and chronic health conditions. Therapies aimed at normalizing stool consistency or reducing urgency may be beneficial in lessening FI severity. © 2004 Wiley Periodicals, Inc. Res Nurs Health 27:162–173, 2004