Análise dos fenômenos incontinência fecal e constipação intestinal após acidente vascular cerebral

Abstract

Cross-sectional study aimed at analyzing of fecal incontinence (IF) and intestinal constipation (HF) in patients after stroke. Data collection conducted from 2018 to April 2019 at two hospitals were specialized in the treatment and rehabilitation of cerebrovascular patients. Included 229 adult participants with medical diagnosis of stroke. Data were collected through interviews using a semi-structured script for data collection. Subsequently, the data were compiled into Excel (2010) spreadsheets and exported to R version 3.6.0 for processing and analysis. The classic male episodes, retired, coming from other cities of the state, with incomplete or incomplete elementary school, who live with the same and had an average age of 60.7 years predominated. Consumedine is a medical and arterial hypertension, has not smokers or had to be stopped in smoking, and non consumed alcohol and practice for physical exercises. The presence of FI was identified in 12.2% of participants. In these, Alzheimer's disease, antispasmodic use, number of episodes and last time. The logistic regression model most recently pointed to strokes. 2.1 more likely to have, and similarly, the individual with diabetes mellitus does not take antidiabetic drugs 3 times more likely to have IF. Individuals with flatus loss are 5.9 times more likely to have. For IC, a prevalence of 20.5% was found, in which gender, education, number of family members, use of analgesic drugs, last time and Bristol Stool Consistency (EBCF) items. The logistic regression model identified females at 2.5. Participants who had a health problem other than stroke are 3.6 more likely to have HF, diabetes mellitus not taking antidiabetic drugs are 2.8% more likely, and those with flatus are 3 more likely. In addition, considering the same model, for EBCF it was found that people with the type of person had a 55.6% chance of more IC than those with the other types. Type 2 times by 85% as chances, type 3 decreases by 70%, type 4 by 90%, type 5 by 85% and type 6 by 94%. If the IC made up a total of 4.4%. Marital status, antidepressant use, time of last stroke, effort to evacuate, feces and presence pressures, was not eliminated, was statistically ludicrous without any groups without and with a simultaneous presence of the phenomena. It is considered that the present study was provided to verify the existence of FI and IC. Thus, it can contribute to the training of nursing teams and other health professionals to identify the phenomena. In addition, it may favor the use of policies related to intestinal reeducation and health promotion strategies and special care for patients with diseases that bring impairment to quality of life.