Treatment of Constipation and Fecal Incontinence in Stroke Patients Randomized Controlled Trial

摘要: Background and purpose Despite its high prevalence in stroke survivors, there is little clinical research on bowel dysfunction this population. This the first randomized controlled trial to evaluate treatment of constipation fecal incontinence survivors. Methods Stroke patients with or were identified by screening questionnaire (122 community, 24 rehabilitation inpatients) intervention routine care (73 per group). The consisted a 1-off structured nurse assessment (history rectal examination), leading targeted patient/carer education booklet provision diagnostic summary recommendations (after consultation geriatrician) patient's general practitioner (GP)+/-ward physician. Results Percentage movements (BMs) week graded as "normal" participants prospective 1-week stool diary was significantly higher versus control at 6 months (72% 55%; P=0.027), mean number BMs (5.2 3.6; P=0.005). There no significant reduction incontinence, although numbers small. At 12 months, more likely be modifying their diets (odds ratio [OR], 3.1 [1.2 8.0]) fluid intake (OR, 4.2 [1.4 12.2]) bowels have visited GP for problem 5.0 17.5]). prescribing laxatives suppositories influenced months. Conclusions A single clinical/educational effectively improved symptoms up later, changed bowel-modifying lifestyle behaviors patient-GP interaction physician patterns.