title: Diet strategies used by women to manage fecal incontinence.
abstract: Fecal incontinence occurs in community-living women who are elderly, as well as younger women, particularly after vaginal childbirth. Little is known about how women manage fecal incontinence in their everyday lives. Ten women who had fecal incontinence for at least 1 year participated in an audio-taped interview in a phenomenological study. Diet modification was identified as a key strategy for managing fecal incontinence. Various food types were avoided, restricted, or used as remedies. The meanings that the women applied to the diet strategies for managing fecal incontinence had 4 themes: restricting diet and eating patterns, eating and dealing with the consequences, treating fecal incontinence with foods and fluids, and lacking therapeutic guidance regarding diet modifications for fecal incontinence. The results of this study suggest that the continence nurse specialist recognize the important role and meaning of diet as a self-care strategy for women with fecal incontinence and address diet in their assessment and management recommendations.
authors.affiliation: University of Minnesota School of Nursing, Minneapolis, MN55455, USA.
authors.forename: Joy L
authors.initials: JL
authors.lastname: Hansen
authors.forename: Donna Zimmaro
authors.initials: DZ
authors.lastname: Bliss
authors.forename: Cynthia
authors.initials: C
authors.lastname: Peden-McAlpine
mesh_terms: D000203:Activities of Daily Living / Q000523:psychology; D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D001294:Attitude to Health; D004032:Diet / Q000009:adverse effects / Q000379:methods* / Q000523:psychology; D019317:Evidence-Based Medicine; D005239:Fear / Q000523:psychology; D005242:Fecal Incontinence / Q000209:etiology / Q000517:prevention & control* / Q000523:psychology; D005260:Female; D005414:Flatulence / Q000209:etiology / Q000517:prevention & control / Q000523:psychology; D006801:Humans; D007389:Internal-External Control; D008875:Middle Aged; D009720:Nurse Clinicians / Q000458:organization & administration; D024802:Nurse's Role; D009730:Nursing Assessment; D015404:Nursing Methodology Research; D010347:Patient Care Planning; D010353:Patient Education as Topic; D012648:Self Care / Q000379:methods* / Q000523:psychology; D012752:Shame; D012919:Social Behavior; D011795:Surveys and Questionnaires; D014930:Women / Q000193:education / Q000523:psychology*