Prevalence and Associated Factors of Urinary, Fecal, and Dual Incontinence after Stroke

Tuesday, 13 July 2010: 8:50 AM

Meei-Fang Lou, RN, PhD
Department of Nursing, College of Medicine, National Taiwan University, Taipei, Taiwan

Learning Objective 1: 1. understand the prevalence of urinary, fecal, and dual incontinence after stroke

Learning Objective 2: 2. understand the associated factors of urinary, fecal, and dual incontinence after stroke

Purpose: In stroke patients, incontinence is common and is associated with stroke severity, overall poor long-term prognosis and resulting burdens on family caregivers. The purpose of the study was to determine the prevalence and associated factors of urinary, fecal, and dual incontinence after stroke.

Methods: A cross-sectional research design was used for this study. The following instruments were used for data collection: Demographic characteristics, National Institutes of Health Stroke Scale (NIHSS), Short Portable Mental State Questionnaire (SPMSQ), Barthel Index (BI), and Bowel and Bladder Problems Checklist Data were collected in a stoke unit of a medical center on northern Taiwan. Interview and self-report questionnaire were used for data collection. 

Results: We recruited 92 first-time stoke patients, with a mean age of 67 years for this study. Fifty-four percent of patients were female. The mean scores of NIHSS, SPMSQ and BI were 7.9, 8.4, 53.8, respectively. Most of the patients had mild stroke, intact cognitive function, and independent in activities of daily living. On average, patients had 2 chronic conditions beside stroke. After stroke, 18.4% of patients had bowel incontinence, 25.1% had urine incontinence and 13.1% had dual incontinence. Eleven patients (12.0%) had indwelling urinary catheter. Patients who developed incontinence after stroke had significant higher level of stroke severity, cognitive impairment, and physical dependency.

Conclusion: Incontinence is common in stroke survivors. Future research needs to explore on how incontinence can best be managed for stroke survivors.