کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3448201 1595674 2015 8 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Cross-Sectional Study of Bowel Symptoms in Adults With Cerebral Palsy: Prevalence and Impact on Quality of Life
ترجمه فارسی عنوان
بررسی متقاطع علائم روده ای در بزرگسالان مبتلا به فلج مغزی: شیوع و تاثیر بر کیفیت زندگی
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی پزشکی و دندانپزشکی (عمومی)
چکیده انگلیسی

ObjectivesTo determine the prevalence and type of bowel symptoms, and their impact on health-related quality of life (HRQOL) in adults with cerebral palsy (CP).DesignProspective cross-sectional study.SettingUrban, outpatient rehabilitation facility.ParticipantsAdults with CP (N=91; 46 men, 45 women; mean age, 36y; age range, 18–79y).InterventionNot applicable.Main Outcome MeasuresParticipants were interviewed using standardized instruments to assess the frequency and types of bowel dysfunction. The International Consultation of Incontinence Questionnaire–Bowel was used to assess bowel incontinence and impact on quality of life, and constipation presence was determined using the Rome III criteria for constipation. Constipation symptoms were rated by the Patient Assessment of Constipation–Symptom Scale. Participants' mobility status was classified using the Gross Motor Function Classification System (GMFCS). Interactions between mobility measures, anthropometric measures, and bowel symptoms were assessed.ResultsOf the 91 participants enrolled, 62.6% were GMFCS IV or V. Twenty-eight participants (30.8%) reported severe difficulty with control of liquid stool (rating never or rarely); these participants were more likely to have a greater GMFCS level (P=.0004). Twenty-six participants (28.6%) reported that bowel function caused embarrassment some/most/all of the time. Fifty-nine participants (64.8%) met criteria for chronic constipation, which did not differ by GMFCS levels. Overall, 57.1% of participants reported that bowel symptoms interfered with life; 40.7% reported moderate to severe interference.ConclusionsBowel symptoms were frequent, a source of embarrassment, and impacted HRQOL in these adults with CP. Addressing bowel-related symptoms has the potential to improve HRQOL in these adults.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Archives of Physical Medicine and Rehabilitation - Volume 96, Issue 12, December 2015, Pages 2176–2183
نویسندگان
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