Urinary and Faecal Incontinence Among Adults with Stroke in South-West Nigeria – A Cross Sectional Survey
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Page Numbers:
128-138
Digital Object Identifier:
10.58578/ajmsphr.v2i2.5224
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Authors:
Zaki A. Desmond1, Karaga A. Mahmud2, Adeleke O. Joana3, Tabiti O. Omotayo4, Lawal B. Lateefat5, Farounbi A. David6, Saleh B. Abubakar7 
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Authors retain copyright and grant the journal right of first publication.
Main Article Content
Abstract
Background: Urinary incontinence (UI) post-stroke has been identified as major problem among stroke survivors. The aftermath of faecal incontinence (FI) is always disturbing as it may lead to low self-esteem, caregiver stress and reduced rehabilitation participation. There is dearth of publication on urinary and faecal incontinence among adults with stroke in Nigeria.Aim: This study was designed to determine the prevalence as well as the association between UI and FI among adults with stroke in South-West Nigeria. Methods: Fifty-three participants were enlisted by consecutive sampling technique for this cross-sectional study. The Wexner/Cleveland Clinic Florida Incontinence score (CCFIS) and International Consultation on Incontinence Questionnaire Short Form (ICIQ-UI SF) were administered for data collection. Descriptive statistics of mean, standard deviation, percentages and frequency were used to summarize obtained data, inferential statistics of Chi-square was used to determine the association between UI and FI, and between gender and UI and FI among the participants. Also, Spearman’s correlation was used to assess the relationship between age and duration of stroke and each of UI and FI. Alpha was set at 0.05. Results: The mean age of the participants was 52.98±14.564 ranging from 24 to 80 years. The prevalence of UI was 69.8% while FI was 47.2% and there was no significant association between them. However, there was significant relationship between FI and duration of stoke. On the other hand, there was no significant relationship between UI and duration of stroke, but there was significant relationship between Age and FI and UI. Conclusion: The occurrence of UI and FI are independent of each other, patient age is associated with a risk of developing both UI and FI post stroke, while gender is not strong a determinant of post stroke UI and FI. Additionally, duration of stroke could significantly influence FI but not UI post stroke. More research on aetiology, incidence, and possible prevention and management of UI and FI post stroke is recommended.
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References
2. Campbell, B. C. V. and Khatri, P. (2020): Stroke. The Lancet, 396.10244: 129–142.
3. Nakayama H, Jørgensen HS, Pedersen PM, Raaschou HO, Olsen TS. Prevalence and risk factors of incontinence after stroke: the Copenhagen Stroke Study. Stroke. 1997 Jan;28(1):58-62.
4. Gibson JM, Thomas LH, Harrison JJ, Watkins CL, ICONS Project Team and the ICONS Patient, Public and Carer Involvement Groups. Stroke survivors’ and carers’ experiences of a systematic voiding programme to treat urinary incontinence after stroke. Journal of Clinical Nursing. 2018 May;27(9-10):2041-51.
5. Mehdi Z, Patel M. Urinary and bowel complications after stroke. Management of Post-Stroke Complications. 2015:157-88.
6. Kvigne K, Kirkevold M. Living with bodily strangeness: women's experiences of their changing and unpredictable body following a stroke. Qualitative health research. 2003 Nov;13(9):1291-310.
7. Pilcher M, MacArthur J. Patient experiences of bladder problems following stroke. Nursing Standard. 2012 May 9;26(36).
8. Kohler M, Mayer H, Kesselring J, Saxer S. (Can) Not talk about it–urinary incontinence from the point of view of stroke survivors: a qualitative study. Scandinavian journal of caring sciences. 2018 Mar;32(1):371-9.
9. Arkan G, Beser A, Ozturk V. Experiences related to urinary incontinence of stroke patients: A qualitative descriptive study. Journal of Neuroscience Nursing. 2018 Feb 1;50(1):42-7.
10. Brittain KR, Shaw C. The social consequences of living with and dealing with incontinence—A carers perspective. Social science & medicine. 2007 Sep 1;65(6):1274-83.
11. Lucente G, Corral J, Rodríguez-Esparragoza L, Castañer S, Ortiz H, Piqueras A, Broto J, Hernández-Pérez M, Domenech S, Martinez-Piñeiro A, Serra J. Current incidence and risk factors of fecal incontinence after acute stroke affecting functionally independent people. Frontiers in Neurology. 2021 Nov 1;12:755432.
12. Chohan SA, Venkatesh PK, How CH. Long-term complications of stroke and secondary prevention: an overview for primary care physicians. Singapore medical journal. 2019 Dec;60(12):616.
13. Harari D, Coshall C, Rudd AG, Wolfe CD. New-onset fecal incontinence after stroke: prevalence, natural history, risk factors, and impact. Stroke. 2003 Jan 1;34(1):144-50.
14. Bajwa A, Emmanuel A. The physiology of continence and evacuation. Best practice & research Clinical gastroenterology. 2009 Aug 1;23(4):477-85.
15. Matthews M, Mitchell EA. Causes and rehabilitation of urinary incontinence after stroke: a literature review.
16. Ayers T, Wells M. Incontinence after stroke: guidance to overcome shortcomings in management. British journal of neuroscience nursing. 2007 Oct;3(10):468-71.
17. Patel M, Coshall C, Rudd AG, Wolfe CD. Natural history and effects on 2-year outcomes of urinary incontinence after stroke. Stroke. 2001 Jan;32(1):122-7.
18. Nazarko L. Managing urinary incontinence after stroke. Nursing and Residential Care. 2004 Dec;6(12):588-91.
19. Dumoulin C, Korner-Bitensky N, Tannenbaum C. Urinary incontinence after stroke: identification, assessment, and intervention by rehabilitation professionals in Canada. Stroke. 2007 Oct 1;38(10):2745-51.
20. Cai W, Wang J, Wang L, Wang J, Guo L. Prevalence and risk factors of urinary incontinence for post‐stroke inpatients in Southern China. Neurourology and urodynamics. 2015 Mar;34(3):231-5.
21. John G, Primmaz S, Crichton S, Wolfe C. Urinary incontinence and indwelling urinary catheters as predictors of death after new-onset stroke: a report of the South London stroke register. Journal of Stroke and Cerebrovascular Diseases. 2018 Jan 1;27(1):118-24.
22. Harari D, Coshall C, Rudd AG, Wolfe CD. New-onset fecal incontinence after stroke: prevalence, natural history, risk factors, and impact. Stroke. 2003 Jan 1;34(1):144-50.
23. Brittain K, Perry S, Shaw C, Matthews R, Jagger C, Potter J. Isolated urinary, fecal, and double incontinence: prevalence and degree of soiling in stroke survivors. Journal of the American Geriatrics Society. 2006 Dec;54(12):1915-9.
24. Slovin E. Slovin’s formula for sampling technique. Retrieved on February. 1960 Jul 2;13:2013.
25. Williams MP, Srikanth V, Bird M, Thrift AG. Urinary symptoms and natural history of urinary continence after first-ever stroke—a longitudinal population-based study. Age and Ageing. 2012 May 1;41(3):371-6.
26. Olaleye OA, Zaki DA, Hamzat TK. Expectations of individuals with neurological conditions from rehabilitation: A mixed-method study of needs. South African Journal of Physiotherapy. 2021 Jan 15;77(1):1498.
27. Turhan N, Atalay A, Atabek HK. Impact of stroke etiology, lesion location and aging on post-stroke urinary incontinence as a predictor of functional recovery. International Journal of Rehabilitation Research. 2006 Dec 1;29(4):335-8.
28. Heltty H, Sitorus R, Nusdwinuringtyas N, Martha E. Effect of self-regulation and social support intervention on the life quality in patients with post-stroke urinary incontinence. Korean Journal of Adult Nursing. 2021 Aug 1;33(4):399-405.
29. Cruz E, Wells Y, Miller C, Lannin NA, Cloud GC. Incidence of and risk factors for new-onset urinary and fecal incontinence after acute stroke. Continence. 2024 Mar 1;9:101067.
30. Pizzi A, Falsini C, Martini M, Rossetti MA, Verdesca S, Tosto A. Urinary incontinence after ischemic stroke: clinical and urodynamic studies. Neurourology and urodynamics. 2014 Apr;33(4):420-5.
31. Whitehead J, Bolland K, Valdes-Márquez E, Lihic A, Ali M, Lees K. Using historical lesion volume data in the design of a new phase II clinical trial in acute stroke. Stroke. 2009 Apr 1;40(4):1347-52.