Increased work-load associated with faecal incontinence among home care patients in 11 European countries.

2.50
Hdl Handle:
http://hdl.handle.net/2336/30314
Title:
Increased work-load associated with faecal incontinence among home care patients in 11 European countries.
Authors:
Finne-Soveri, H; Sørbye, L W; Jonsson, P V; Carpenter, G I; Bernabei, R
Citation:
Eur J Public Health. 2008, 18(3):323-8
Issue Date:
1-Jun-2008
Abstract:
The plurality of definition of faecal incontinence (FI) complicates the cross-national comparisons between studies conducted in the area. The aim of the study was to investigate work-load and subjective care-giver burden associated with FI, among home-care patients, in Europe. Design and methods: In this cross-sectional retrospective study, a random sample of 4010 RAI-HC assessments were collected during 2001-02 from home care patients aged 65 years and over (74% females; age 82.8 +/- 7.2 years) in Czech Republic, Denmark, Finland, France, Germany, Iceland, Italy, The Netherlands, Norway, Sweden and United Kingdom. RESULTS: Of the 4010 individuals, 411 (10.3%) suffered from FI (range 1.1-30.8% from site to site). The factors significantly associated with faecal incontinence were diarrhoea [odds ratio (OR) 10.3, 95% confidence interval (CI) 6.590-15.96], urinary incontinence (OR 3.99, 95% CI 2.991-5.309) and pressure ulcers (OR 3.15, 95% CI 2.196-4.512) together with severe impairments in physical (OR 4.25, 95% CI 2.872-6.295) and cognitive (OR 3.76, 95% CI 2.663-5.304) functions. High use of working hours of the visiting nurses (OR 2.04, 95% CI 1.221-3.414) and home health carers (OR 2.40, 95% CI 1.289-4.470) were additionally associated with faecal incontinence. Use of five or more medications was an inversely associated with FI (OR 0.62, 95% CI 0.473-0.820). CONCLUSIONS: The additional work load associated with faecal incontinence comprises considerable numbers of formal health care hours and should be taken into account when planning home health services for the older in home care patients.
Description:
To access publisher full text version of this article. Please click on the hyperlink in Additional Links field
Additional Links:
http://eurpub.oxfordjournals.org/cgi/content/abstract/18/3/323

Full metadata record

DC FieldValue Language
dc.contributor.authorFinne-Soveri, H-
dc.contributor.authorSørbye, L W-
dc.contributor.authorJonsson, P V-
dc.contributor.authorCarpenter, G I-
dc.contributor.authorBernabei, R-
dc.date.accessioned2008-06-23T09:49:51Z-
dc.date.available2008-06-23T09:49:51Z-
dc.date.issued2008-06-01-
dc.date.submitted2008-06-23-
dc.identifier.citationEur J Public Health. 2008, 18(3):323-8en
dc.identifier.issn1101-1262-
dc.identifier.pmid17766995-
dc.identifier.doi10.1093/eurpub/ckm085-
dc.identifier.urihttp://hdl.handle.net/2336/30314-
dc.descriptionTo access publisher full text version of this article. Please click on the hyperlink in Additional Links fielden
dc.description.abstractThe plurality of definition of faecal incontinence (FI) complicates the cross-national comparisons between studies conducted in the area. The aim of the study was to investigate work-load and subjective care-giver burden associated with FI, among home-care patients, in Europe. Design and methods: In this cross-sectional retrospective study, a random sample of 4010 RAI-HC assessments were collected during 2001-02 from home care patients aged 65 years and over (74% females; age 82.8 +/- 7.2 years) in Czech Republic, Denmark, Finland, France, Germany, Iceland, Italy, The Netherlands, Norway, Sweden and United Kingdom. RESULTS: Of the 4010 individuals, 411 (10.3%) suffered from FI (range 1.1-30.8% from site to site). The factors significantly associated with faecal incontinence were diarrhoea [odds ratio (OR) 10.3, 95% confidence interval (CI) 6.590-15.96], urinary incontinence (OR 3.99, 95% CI 2.991-5.309) and pressure ulcers (OR 3.15, 95% CI 2.196-4.512) together with severe impairments in physical (OR 4.25, 95% CI 2.872-6.295) and cognitive (OR 3.76, 95% CI 2.663-5.304) functions. High use of working hours of the visiting nurses (OR 2.04, 95% CI 1.221-3.414) and home health carers (OR 2.40, 95% CI 1.289-4.470) were additionally associated with faecal incontinence. Use of five or more medications was an inversely associated with FI (OR 0.62, 95% CI 0.473-0.820). CONCLUSIONS: The additional work load associated with faecal incontinence comprises considerable numbers of formal health care hours and should be taken into account when planning home health services for the older in home care patients.en
dc.language.isoenen
dc.publisherOxford University Pressen
dc.relation.urlhttp://eurpub.oxfordjournals.org/cgi/content/abstract/18/3/323en
dc.titleIncreased work-load associated with faecal incontinence among home care patients in 11 European countries.en
dc.typeArticleen
dc.identifier.eissn1464-360X-
dc.contributor.departmentNational Research and Development Centre (STAKES), Helsinki, Finland. harriet.finne-soveri@stakes.fien
dc.identifier.journalEuropean journal of public healthen

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