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Learning Objective 1: Clarification of the age-dependent nursing needs of children with fecal incontinence.
Learning Objective 2: Semi-structured interviews were held with 25 mothers of children with anal atresia or Hirschsprung’s disease.
Methods: Semi-structured interviews were held with 25 mothers of children with anal atresia or Hirschsprung’s disease. The findings were subject to content analysis, and the conditions the mothers found perturbing at different stages in their children’s development were defined.
Results: The mothers cried recalling how their children had screamed in pain from the sores due to continued exposure to feces brought on by post-surgical fecal soiling. Later on, they related having been overly harsh with their children when toilet training did not proceed as they wished, and hating themselves for doing so. And when their children were about to reach school age, they expressed worry over what they could do to help their children become capable of seeing to their elimination needs themselves. In conclusion, analysis revealed that nursing care requirements from age 1-2 had to do with perianal skin care, with toilet training from age 3-5, and support for self-care from age 6-8.
Conclusion: Our next step is the construction of a total care program for children with fecal incontinence and their mothers based on these findings.