Status and influencing analysis of fecal incontinence and constipation in patients with ulcerative colitis in remission
Zeng Yi
Zhang Zhimei
Abstract：Objective This study aimed to determine the frequency of fecal incontinence and constipation in patients with ulcerative colitis(UC)in remission,and to explore the association of these two symptoms with patients'negative emotions and quality of life.Methods A total of 264 patients with UC in remission,who were treated in Lianyungang First People's Hospital from November 2020 to November 2023,were selected as the research subjects.General information questionnaire,Cleveland Clinic Florida Fecal Incontinence Scale,Fecal Incontinence Quality of Life Scale,Hospital Anxiety and Depression Scale,and Patient Assessment of Constipation Quality of Life Questionnaire were used for the survey.The anxiety score,depression score and quality of life score were compared between the fecal incontinence group and the normal defecation group,and between the constipation group and the normal defecation group.Pearson correlation analysis was used to analyze the association of fecal incontinence and constipation with depression,anxiety and quality of life.Results Among the 264 patients,24 had fecal incontinence with an incidence rate of 9.1%,and 43 had constipation with an incidence rate of 16.3%.The anxiety scores and depression scores of patients with fecal incontinence or constipation were significantly higher than those of the normal defecation group,and their quality of life was significantly lower than that of the normal defecation group,with statistically significant differences(P<0.05).Pearson correlation analysis showed that the patient's fecal incontinence score was positively correlated with the anxiety scale score(r=0.767,P<0.05),and positively correlated with the depression scale score(r=0.769,P<0.05).The constipation score was positively correlated with the anxiety scale score(r=0.466,P<0.05),and positively correlated with the depression scale score(r=0.317,P<0.05).The fecal incontinence score was significantly negatively correlated with the quality of life score(r=-0.318,P<0.05),while the constipation score was significantly positively correlated with the quality of life score(r=0.572,P<0.05).Conclusion Some patients with UC in remission still have intestinal symptoms such as fecal incontinence and constipation,which have a serious impact on patients'quality of life,indicating that clinical treatment and intervention for fecal incontinence and constipation in patients with UC in remission need to be further strengthened.
Keywords：Ulcerative colitisFecal incontinenceConstipationAnxietyDepressionQuality of life
Publication Date：2025-03-20
Online Publishing Date：2025-11-20(First online date of this platform, not the publication date of the document)
Pages：6( 66-71 )