Neurogenic bowel management after spinal cord injury: Malaysian experience

Julia, P.E. and Sudin, S.S. (2013) Neurogenic bowel management after spinal cord injury: Malaysian experience. Journal of Rehabilitation Medicine, 45 (2). pp. 141-144. ISSN 1650-1977,

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Objectives: To describe the bowel programmes utilized by individuals with spinal cord injury; and to determine the association between the outcome of the bowel programmes and various interventions to facilitate defecation. Study design: A cross-sectional study. Participants: Individuals with spinal cord injury who have neurogenic bowel dysfunction. Methods: Face-to-face interviews were conducted using a self-constructed questionnaire that consisted of: (i) demographic and clinical characteristics of the participants; (ii) interventions to facilitate defecation; (iii) bowel care practices; (iv) outcome of the bowel programme (incidence of incontinence and duration of the evacuation procedure); and (v) participant satisfaction with their bowel programme. Results: The majority (79.2) of subjects used multiple interventions for bowel care. Duration of the evacuation procedure was more than 60 min in 28.0 of participants. Water intake of more than 2 l/day was associated with longer duration of bowel care. Only 8.0 of participants had at least one episode of incontinence per month. The majority of participants (84.8) were satisfied with their bowel programme. Conclusion: Patients used multiple interventions to manage their bowels and spent a substantial amount of time performing bowel care. Nevertheless, the incidence of incontinence was low and satisfaction with their bowel programme was high.

Item Type: Article
Additional Information: ISI Document Delivery No.: 093GM Times Cited: 0 Cited Reference Count: 24 Engkasan, Julia Patrick Sudin, Siti Suhaida University Malaya P00135/2010B This study was funded by University Malaya Postgraduate Fund; P00135/2010B. Foundation rehabilitation information Uppsala
Uncontrolled Keywords: paraplegia quadriplegia laxatives bowel evacuants incontinence postal survey dysfunction community dietary fiber
Subjects: R Medicine
Divisions: Faculty of Medicine
Depositing User: Ms azrahani halim
Date Deposited: 14 May 2014 07:42
Last Modified: 14 May 2014 07:42

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