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Evaluation of Bowel Management Program on Quality of Life in Children with Fecal Incontinence
Zohreh Shahba1, Bahareh Ahmadi1, Saeedg Haji Bandeh1
1Departement of Pediatric Surgery, Imam Hossein Children Hospital, Isfahan University of Medical Sciences, Isfahan, Iran.
Insights
A Bowel Management Program (BMP) significantly improves the quality of life (QoL) in children with fecal incontinence (FI). This low-cost therapy enhances physical, emotional, and social functioning, positively impacting children
Area of Science:
- Pediatric Gastroenterology
- Child Psychology
- Quality of Life Research
Background:
- Fecal incontinence (FI) significantly impacts children's psychological, social, and mental well-being, leading to a diminished quality of life (QoL).
- Bowel Management Programs (BMPs) are recognized as effective, low-cost therapeutic options for selected pediatric FI cases, with potential benefits for mental functions.
Purpose of the Study:
- To evaluate the impact of a Bowel Management Program (BMP) on the Quality of Life (QoL) in school-age children diagnosed with fecal incontinence (FI).
Main Methods:
- A prospective case series study involving 24 school-age children (8-12 years) with FI candidates for BMP.
- Quality of Life (QoL) was assessed using the Persian version of the Pediatric Quality of Life (PedsQL) 4.0 inventory.
Main Results:
- Total QoL scores showed significant improvement post-BMP.
- Mean scores for physical performance demonstrated a significant difference before and after BMP (P=0.02).
- Emotional and social performance scores also showed significant differences post-BMP (P=0.06 and P=0.008, respectively).
Conclusions:
- Bowel Management Programs (BMPs) represent an affordable treatment for pediatric fecal incontinence (FI).
- BMPs significantly enhance children's QoL by improving intestinal function and overall well-being.
Background:
Fecal incontinence (FI) is a common disorder that affects the psychological, social, and mental aspects in children. It was showed that the quality of life (QoL) in children with FI was in low level. Bowel management program (BMP) is one of the most effective and low-cost therapies in selected children with FI, but it has also significant effects on mental functions. This study was conducted to evaluate the impact of BMP on the QoL of children with FI.
Materials And Methods:
In a case series study, we prospectively included all school-age children suffering from FI who had visited in colorectal follow-up center of Isfahan University of Medical Sciences. Patient eligibility included children with FI between 8 and 12 years who were candidate of BMP. The QoL was assessed by Persian version of pediatric QoL (PedsQL) 4.0.
Results:
In this study, 24 children with FI were studied. Our results showed that total QoL score is significantly different after BMP. The mean score of physical performance before and after BMP was significantly different (P = 0.02). In terms of emotional performance, the mean score of this dimension before and after starting of BMP was significantly different (P = 0.06). In terms of social performance, the mean score of this dimension before and after starting of BMP was significantly different (P = 0.008). Conclusion:: BMP is a low-cost and affordable treatment that can have a significant impact on improving the QoL of the child by improving intestinal function.
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