Prevalence and Associated Factors of Incontinence Six Months Post Stroke

Thursday, July 14, 2011

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

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

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

Purpose: The purpose of the study was to determine the prevalence and associated factors of urinary, fecal, and dual incontinence at 1-month, 3-month, and 6-month post stroke.

Methods: A longitudinal research design was used for this study. Instruments used for data collection included 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 medical center on northern Taiwan. We used interview and self-report questionnaire for data collection. Patients and caregiver were approached during hospitalization, and 1-month, 3-month, and 6-month post stroke.  

 Results: We recruited 100 stoke patients, with a mean age of 67 years for this study. Fifty-three percent of patients were female. At 1-month, 3-month, and 6-month post stroke, 20%, 7%, and 10.8% had urinary incontinence, 11%, 3%, and 1.1% had fecal incontinence, and 6%, 2% and 1.1% had dual incontinence. Patients who developed incontinence after stroke had significant higher level of stroke severity, cognitive impairment and physical dependency. 

Conclusion: New-onset of incontinence in stroke patients is common but may be transient. Future research needs to explore on how incontinence can best be managed for stroke survivors.