| Titre : | Outcomes of Neurogenic Bowel Management in Individuals Living With a Spinal Cord Injury for at Least 10 Years (2015) |
| Auteurs : | Jacinthe J. Adriaansen ; Floris W. van Asbeck ; Dirk van Kuppevelt |
| Type de document : | Article |
| Dans : | Archives of Physical Medicine and Rehabilitation (2015/5, 2015) |
| Article en page(s) : | p. 905-912 |
| Langues: | Anglais |
| Descripteurs : |
HE Vinci Rééducation et réadaptation ; Soins de longue durée ; Traumatismes de la moelle épinière |
| Mots-clés: | Long-term care ; Neurogenic bowel ; Intestin neurogénique ; Spinal cord injuries |
| Résumé : |
Objective To describe bowel management and its outcomes in individuals living with a spinal cord injury (SCI) for at least 10 years. Design Cross-sectional multicenter study. Setting Dutch community. Participants Individuals (N=258; age range, 28–65y) who acquired their SCI between 18 and 35 years of age, who were at least 10 years post-SCI, and who used a wheelchair for their daily mobility. Interventions Not applicable. Main Outcome Measures The International SCI Bowel Function Basic Data Set, the neurogenic bowel dysfunction (NBD) score, and a single item on satisfaction with bowel management. Results Mean time since injury (TSI) was 24+9 years. Seventy-four percent used ≥1 conservative bowel management method, specifically digital evacuation (35%) and mini enemas (31%). Transanal irrigation (TAI) and surgical interventions were used by 11% and 8%, respectively. Perianal problems were reported by 45% of the participants. Severe NBD was present in 36% of all participants and in 40% of those using a conservative method. However, only 14% were (very) dissatisfied with their current bowel management. Dissatisfaction with bowel management was significantly associated with constipation and severe NBD. With increasing TSI, there was a nonsignificant trend observed toward a decline in dissatisfaction with bowel management and a significant decline in severe NBD. Conclusions Although satisfaction rates were high, more than a third of the participants reported severe NBD and perianal problems. Apart from severe NBD, there were no significant associations between bowel problems and TSI. Conservative methods were most often used, but some of these methods were also significantly associated with the presence of severe NBD. Longitudinal research is necessary to provide more knowledge concerning the course of NBD with increasing TSI. |
| Disponible en ligne : | Oui |
| En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999315000416 |
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