Increased work-load associated with faecal incontinence among home care patients in 11 European countries
The plurality of definition of faecal incontinence (FI) complicates the cross-national comparisons between studies conducted in the area. The aim of the study was to investigate work-load and subjective care-giver burden associated with FI, among home-care patients, in Europe. Design and methods: In...
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fthighwire:oai:open-archive.highwire.org:eurpub:18/3/323 2023-05-15T16:51:32+02:00 Increased work-load associated with faecal incontinence among home care patients in 11 European countries Finne-Soveri, H. Sørbye, L. W. Jonsson, P. V. Carpenter, G. I. Bernabei, R. 2008-06-01 00:00:00.0 text/html http://eurpub.oxfordjournals.org/cgi/content/short/18/3/323 https://doi.org/10.1093/eurpub/ckm085 en eng Oxford University Press http://eurpub.oxfordjournals.org/cgi/content/short/18/3/323 http://dx.doi.org/10.1093/eurpub/ckm085 Copyright (C) 2008, Oxford University Press Miscellaneous TEXT 2008 fthighwire https://doi.org/10.1093/eurpub/ckm085 2008-07-22T06:06:24Z The plurality of definition of faecal incontinence (FI) complicates the cross-national comparisons between studies conducted in the area. The aim of the study was to investigate work-load and subjective care-giver burden associated with FI, among home-care patients, in Europe. Design and methods: In this cross-sectional retrospective study, a random sample of 4010 RAI-HC assessments were collected during 2001–02 from home care patients aged 65 years and over (74% females; age 82.8 ± 7.2 years) in Czech Republic, Denmark, Finland, France, Germany, Iceland, Italy, The Netherlands, Norway, Sweden and United Kingdom. Results: Of the 4010 individuals, 411 (10.3%) suffered from FI (range 1.1–30.8% from site to site). The factors significantly associated with faecal incontinence were diarrhoea [odds ratio (OR) 10.3, 95% confidence interval (CI) 6.590–15.96], urinary incontinence (OR 3.99, 95% CI 2.991–5.309) and pressure ulcers (OR 3.15, 95% CI 2.196–4.512) together with severe impairments in physical (OR 4.25, 95% CI 2.872–6.295) and cognitive (OR 3.76, 95% CI 2.663–5.304) functions. High use of working hours of the visiting nurses (OR 2.04, 95% CI 1.221–3.414) and home health carers (OR 2.40, 95% CI 1.289–4.470) were additionally associated with faecal incontinence. Use of five or more medications was an inversely associated with FI (OR 0.62, 95% CI 0.473–0.820). Conclusions: The additional work load associated with faecal incontinence comprises considerable numbers of formal health care hours and should be taken into account when planning home health services for the older in home care patients. Text Iceland HighWire Press (Stanford University) Norway The European Journal of Public Health 18 3 323 328 |
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HighWire Press (Stanford University) |
op_collection_id |
fthighwire |
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English |
topic |
Miscellaneous |
spellingShingle |
Miscellaneous Finne-Soveri, H. Sørbye, L. W. Jonsson, P. V. Carpenter, G. I. Bernabei, R. Increased work-load associated with faecal incontinence among home care patients in 11 European countries |
topic_facet |
Miscellaneous |
description |
The plurality of definition of faecal incontinence (FI) complicates the cross-national comparisons between studies conducted in the area. The aim of the study was to investigate work-load and subjective care-giver burden associated with FI, among home-care patients, in Europe. Design and methods: In this cross-sectional retrospective study, a random sample of 4010 RAI-HC assessments were collected during 2001–02 from home care patients aged 65 years and over (74% females; age 82.8 ± 7.2 years) in Czech Republic, Denmark, Finland, France, Germany, Iceland, Italy, The Netherlands, Norway, Sweden and United Kingdom. Results: Of the 4010 individuals, 411 (10.3%) suffered from FI (range 1.1–30.8% from site to site). The factors significantly associated with faecal incontinence were diarrhoea [odds ratio (OR) 10.3, 95% confidence interval (CI) 6.590–15.96], urinary incontinence (OR 3.99, 95% CI 2.991–5.309) and pressure ulcers (OR 3.15, 95% CI 2.196–4.512) together with severe impairments in physical (OR 4.25, 95% CI 2.872–6.295) and cognitive (OR 3.76, 95% CI 2.663–5.304) functions. High use of working hours of the visiting nurses (OR 2.04, 95% CI 1.221–3.414) and home health carers (OR 2.40, 95% CI 1.289–4.470) were additionally associated with faecal incontinence. Use of five or more medications was an inversely associated with FI (OR 0.62, 95% CI 0.473–0.820). Conclusions: The additional work load associated with faecal incontinence comprises considerable numbers of formal health care hours and should be taken into account when planning home health services for the older in home care patients. |
format |
Text |
author |
Finne-Soveri, H. Sørbye, L. W. Jonsson, P. V. Carpenter, G. I. Bernabei, R. |
author_facet |
Finne-Soveri, H. Sørbye, L. W. Jonsson, P. V. Carpenter, G. I. Bernabei, R. |
author_sort |
Finne-Soveri, H. |
title |
Increased work-load associated with faecal incontinence among home care patients in 11 European countries |
title_short |
Increased work-load associated with faecal incontinence among home care patients in 11 European countries |
title_full |
Increased work-load associated with faecal incontinence among home care patients in 11 European countries |
title_fullStr |
Increased work-load associated with faecal incontinence among home care patients in 11 European countries |
title_full_unstemmed |
Increased work-load associated with faecal incontinence among home care patients in 11 European countries |
title_sort |
increased work-load associated with faecal incontinence among home care patients in 11 european countries |
publisher |
Oxford University Press |
publishDate |
2008 |
url |
http://eurpub.oxfordjournals.org/cgi/content/short/18/3/323 https://doi.org/10.1093/eurpub/ckm085 |
geographic |
Norway |
geographic_facet |
Norway |
genre |
Iceland |
genre_facet |
Iceland |
op_relation |
http://eurpub.oxfordjournals.org/cgi/content/short/18/3/323 http://dx.doi.org/10.1093/eurpub/ckm085 |
op_rights |
Copyright (C) 2008, Oxford University Press |
op_doi |
https://doi.org/10.1093/eurpub/ckm085 |
container_title |
The European Journal of Public Health |
container_volume |
18 |
container_issue |
3 |
container_start_page |
323 |
op_container_end_page |
328 |
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1766041657564725248 |