1. Impact of the Bowel Management Program on the quality of life in children with fecal incontinence.
- Author
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Colares JH, Purcaru M, da Silva GP, Frota MA, da Silva CA, Melo-Filho AA, Bischoff A, and Peña A
- Subjects
- Child, Child, Preschool, Clinical Protocols, Constipation etiology, Constipation therapy, Diarrhea etiology, Diarrhea therapy, Fecal Incontinence etiology, Female, Humans, Male, Patient Care Team, Patient Education as Topic, Enema methods, Fecal Incontinence therapy, Quality of Life
- Abstract
Purpose: Evaluate the impact of implementing Bowel Management Program (BMP) on quality of life (QoL) in children with fecal incontinence (FI)., Methods: Children 3-12 years referred to the Children's Treatment Center of FI were included and categorized accordingto the tendency to constipation (dilated colon; group 1) or diarrhea (non-dilated colon; group 2). Evaluations were performed before and after 3 months of BMP implementation. Perceptions from parents and children about QoL were assessed by the instrument PedsQL4.0 and the severity of FI by the fecal incontinence index (FII) of Wexner scale., Results: 43 children (mean age of 7.7 ± 3.1) were studied. 32 (74.4 %) belonged to group 1 and 11 (25.6 %) to group 2. After 3 months of BMP, it was noticed a significant improvement of the FII (14.5 ± 3.7 versus 2.8 ± 2.5; p < 0.001) in both groups. QoL perception by the parents and children increased on PedsQL4.0 evaluation (p < 0.001). There was a medium inverse statistically significant correlation of the FII and the total PedsQL4.0 score among children and parents (r = -0.47, p = 0.009 and r = -0, 39, p = 0.03, respectively)., Conclusion: The BMP applied by a multidisciplinary dedicated team significantly improves the QoL of children with FI in the short-term period.
- Published
- 2016
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