Faecal Incontinence Management: A Systematic Literature Review
Keywords:
Faecal incontinence, older adults, caregivers, management, experiences.Abstract
Faecal incontinence (FI) has been a hidden problem in society as for many people it is embarrassing problem. Many people with FI as well as their caregivers do not understand how to manage it properly. However, among older adults, it would bring destructive effect if it is not well managed. On the other hand, this problem is also has impacts on their caregivers. The purpose of this study was to provide a literature review that provides information about FI management and the experiences including the challenges of conducting their caring activity for their older family member. 5 Electronic databases were used to search the research articles. Using the keywords and inclusion criteria there were 62 articles found. Through manual search, there were 9 articles were found. Appraisal process was taken using CASP (Critical Appraisal Skills Programme) for qualitative studies and Johns Hopkins Nursing Evidence-Based Practice Research Evidence Appraisal for quantitative studies. The articles were assessed carefully. Only 20 articles were included in the systematic literature review. All of the articles were English-language publications. There were qualitative studies and quantitative research. One of them was Randomized Control Trial. The main approaches to manage FI were the use of absorbent products, and changing diet and eating patterns. However, there were still some people did not manage to use anything to solve the problem of FI. The caring activities have the positive and the negative impacts on caregiver. Caring for people with FI is challenging and the role of caregiver was influenced by culture. Study of FI is scarce. There are many studies needed about FI management, especially in lower-middle-income economies countries.
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