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CC BY 4.0 · Rev Bras Ginecol Obstet 2019; 41(03): 191-198
DOI: 10.1055/s-0039-1678592
Review Article
Thieme Revinter Publicações Ltda Rio de Janeiro, Brazil

Quality of Life in Women with Defecatory Dysfunctions: Systematic Review of Questionnaires Validated in the Portuguese Language

Qualidade de vida em mulheres com disfunções defecatórias: revisão sistemática de questionários validados para a língua portuguesa
José Ananias Vasconcelos Neto 
1   Department of Urogynecology, Hospital Geral de Fortaleza, Fortaleza, CE, Brazil
,
Camila Teixeira Moreira Vasconcelos
2   Department of Nursing, Universidade Federal do Ceará, Fortaleza, CE, Brazil
,
Sara Arcanjo Lino Karbage
3   Department of Urogynecology, Maternidade Escola Assis Chateaubriand, Fortaleza, CE, Brazil
,
Hérdeny Di Cárlly de Almeida Rocha Farias
4   Department of Urogynecology, Hospital Geral de Fortaleza, Fortaleza, CE, Brazil
,
Stéffany Gadelha de Macêdo Machado
5   Department of Medicine, Universidade Estadual do Ceará, Fortaleza, CE, Brazil
,
Dayana Maia Saboia
2   Department of Nursing, Universidade Federal do Ceará, Fortaleza, CE, Brazil
› Author Affiliations
Further Information

Publication History

10 July 2018

12 December 2018

Publication Date:
01 March 2019 (online)

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Abstract

Objective To identify the quality of life (QoL) assessment instruments related to the health of women with fecal incontinence (FI) or anal incontinence (AI).

Data Sources Systematic review conducted in the Virtual Health Library (VHL), PubMed and Cochrane Library databases. The descriptors used were: Questionnaire, Questionnaires, Quality of life, validation, validation Studies, anal incontinence, fecal incontinence and constipation. The search was performed between December 26, 2017 and the beginning of January 2018. The limits used were female gender.

Selection of Studies Initially, 5,143 articles were obtained in the search. The articles of validation for Portuguese of questionnaires for the evaluation of the impact of FI/AI on the QoL of women were considered eligible.

Data Collection The article search was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyzes (PRISMA) guidelines.

Data Synthesis Of the 5,143 articles, only 2 fulfilled the inclusion and exclusion criteria: Fecal Incontinence Quality of Life (FIQL) and the Wexner scale (WS). The FIQL evaluates the QoL related to FI, not covering flatus incontinence. The WS assesses flatus incontinence and the severity of the AI. The WS obtained an interclass correlation coefficient (ICC) of 0.932 and a Cronbach α coefficient > 0.90. The FIQL obtained intraexaminer and interexaminer reproducibility ranging from 0.929 to 0.957 and from 0.944 to 0.969, respectively.

Conclusions The WS and the FIQL have satisfactory reliability and validity for use during gynecological consultations.

Resumo

Objetivo Identificar os instrumentos de avaliação da qualidade de vida (QV) relacionados à saúde de mulheres com incontinência fecal (IF) ou incontinência anal (IA).

Fontes dos dados Revisão sistemática nas bases de dados da BVS, PubMed e Biblioteca Cochrane. Os descritores usados foram: Questionnaire, Questionnaires, Quality of life, validation, validation Studies, anal incontinence, fecal incontinence e constipation. A pesquisa foi realizada entre 26 de dezembro de 2017 até o início de janeiro de 2018. Os limites utilizados foram sexo feminino.

Seleção dos estudos Inicialmente, 5.143 artigos foram obtidos na pesquisa. Os artigos de validação para o português de questionários de avaliação do impacto da IF/IA na QV das mulheres foram considerados elegíveis.

Coleta de dados A busca de artigos foi conduzida de acordo com as diretrizes do Principais Itens para Relatar Revisões Sistemáticas e Meta-análises (PRISMA, na sigla em inglês).

Sínteses dos dados Dos 5.143 artigos, apenas 2 preencheram os critérios de inclusão e exclusão: Qualidade de Vida em Incontinência Fecal (FIQL, na sigla em inglês) e Escala de Wexner (WS, na sigla em inglês). O FIQL avalia a QV relacionada à FI, não abrangendo a incontinência de gases. O WS avalia a incontinência dos flatos e a gravidade da IA. O WS obteve um coeficiente de correlação interclasse (ICC, na sigla em inglês) de 0,932 e alfa de Cronbach > 0,90. O FIQL obteve reprodutibilidade intraexaminador e interexaminador variando de 0,929 a 0,957 e de 0,944 a 0,969, respectivamente.

Conclusões O WS e o FIQL têm confiabilidade e validade satisfatória para uso durante consultas ginecológicas.

Keywords

fecal incontinence - quality of life - validation studies - surveys and questionnaires - review

Palavras-chave

incontinência fecal - qualidade de vida - estudos de validação - inquéritos e questionários - revisão
 

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