Title : Effect of bowel training program on bowel continence among children with fecal incontinence
Fecal incontinence (FI) is defined as inability to control bowel movements, causing feces to leak unexpectedly from the rectum. Bowel training program (BTP) is an ongoing process that is responsive to children and their family needs. The aim of the current study was to evaluate the effect of bowel training program on bowel continence among children with fecal incontinence. One group pre-post quasi-experimental research design was utilized to fit the aim of the study. The study was conducted in pediatric colorectal clinics at Cairo University Specialized Pediatric Hospital. A convenient sample of 35 of children with FI was included in the study. Data were collected using the following tools: structured interview questionnaire, and the Wexner Incontinence Score used to assess and evaluate the child’ bowel movement habits and bowel control. The study results revealed that, the majority of children who received BTP had lower Wexner Incontinence Score and had regular time of defecation as compared to before application of BTP. There were statistically significant differences between children’ as regards to the total mean score of Wexner Incontinence before and after implementation of BTP. The study results concluded that the BTP was effective in improving the continence abilities of children with fecal incontinence as well as assist in regulation of the time of bowel elimination among those children. The recommended that a multidisciplinary team consisting of pediatric surgeon, pediatric nurses and social workers should be involved in planning and implementation of the bowel training program to provide holistic care for children with fecal incontinence and their families.