Document Detail

Neurogenic bowel management after spinal cord injury: Malaysian experience.
MedLine Citation:
PMID:  23053003     Owner:  NLM     Status:  MEDLINE    
OBJECTIVES: To describe the bowel programmes utilized by individuals with spinal cord injury; and to determine the association between the outcome of the bowel programmes and various interventions to facilitate defecation.
STUDY DESIGN: A cross-sectional study.
PARTICIPANTS: Individuals with spinal cord injury who have neurogenic bowel dysfunction.
METHODS: Face-to-face interviews were conducted using a self-constructed questionnaire that consisted of: (i) demographic and clinical characteristics of the participants; (ii) interventions to facilitate defecation; (iii) bowel care practices; (iv) outcome of the bowel programme (incidence of incontinence and duration of the evacuation procedure); and (v) participant satisfaction with their bowel programme.
RESULTS: The majority (79.2%) of subjects used multiple interventions for bowel care. Duration of the evacuation procedure was more than 60 min in 28.0% of participants. Water intake of more than 2 l/day was associated with longer duration of bowel care. Only 8.0% of participants had at least one episode of incontinence per month. The majority of participants (84.8%) were satisfied with their bowel programme.
CONCLUSION: Patients used multiple interventions to manage their bowels and spent a substantial amount of time performing bowel care. Nevertheless, the incidence of incontinence was low and satisfaction with their bowel programme was high.
Julia Patrick Engkasan; Siti Suhaida Sudin
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of rehabilitation medicine     Volume:  45     ISSN:  1651-2081     ISO Abbreviation:  J Rehabil Med     Publication Date:  2013 Feb 
Date Detail:
Created Date:  2013-01-25     Completed Date:  2013-07-19     Revised Date:  2014-05-30    
Medline Journal Info:
Nlm Unique ID:  101088169     Medline TA:  J Rehabil Med     Country:  Sweden    
Other Details:
Languages:  eng     Pagination:  141-4     Citation Subset:  IM    
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MeSH Terms
Cross-Sectional Studies
Fecal Incontinence / etiology,  rehabilitation,  therapy*
Interviews as Topic
Middle Aged
Neurogenic Bowel / etiology,  rehabilitation,  therapy*
Patient Satisfaction
Spinal Cord Injuries / complications*
Young Adult

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