摘要
目的探讨个体化肠道管理对假性大便失禁患儿的干预效果。方法将门诊就诊的40例假性大便失禁患儿采用个体化肠道管理干预法,于患儿干预后1个月、2个月和3个月分别进行生活质量评分,并于干预后3个月采用自设问卷调查患儿排便情况。结果随着干预时间的延长,患儿的生活质量显著提高(P<0.01),干预3个月时患儿平均每周排便3.8次,无大便失禁现象发生。患儿家长对肠道管理认知准确。结论个体化肠道管理提高了该类患儿的生活质量,及时采取合理的管理方案,假性大便失禁患儿短期内可达到较佳治疗效果。
Objective To explore the effect of individualized bowel management of children with pseudo functional fecal incontinence. Methods A total of 40 children with functional fecal incontinence who sought medical help at an outpatient clinic were given indivi- dualized bowel management. The quality of life of children was assessed on 1st, 2nd, and 3rd month, and their defecation condition was investigated with a self-designed questionnaire. Results The quality of life of children was significantly improved as the interven- tion progressed （P〈0.01）. At 3 months following intervention, the children moved their bowel 3.8 times per week on average, with the absence of fecal incontinence. All parents had accurate cognition on bowel management. Conclusion Individualized bowel management for children with functional fecal incontinence can effectively improve their quality of life, and ensure excellent treat- ment effect in the short term.
关键词
儿童
假性大便失禁
肠道管理
生活质量
排便
护理
children
pseudo fecal incontinence
bowel management
quality of life
defecation
nursing care
