女性尿失禁患者生活质量的研究及相关因素分析

目的评估女性尿失禁患者的生活质量(QOL),分析影响QOL的相关因素。方法采用问卷对北京协和医院妇科门诊95例女性尿失禁患者进行调查。该问卷由健康调查简表、国际尿失禁咨询委员会尿失禁问卷、社会支持量表和人口社会学资料组成。应用SPSS13.0进行统计分析。结果女性尿失禁患者的健康调查简表评分在7个维度比一般女性人群低(P<0.05),其中生理职能维度下降最明显;尿失禁对QOL的影响包括日常生活受限、性生活不适、情绪变化;共有12个因素与QOL显著相关(P<0.05);其中除患病年限,其余因素均进入回归方程,分别对QOL各维度的变异有预测作用,以日常生活受限对QOL的影响作用最大。结论女性尿失禁患者的QOL比一般人群差。造成女性尿失禁患者QOL下降的主要因素是由尿失禁导致的日常生活受限,人口社会学等因素对QOL的改变有一定程度的影响。     

Impact of urinary incontinence on sexual quality of life in Portuguese adults

Urinary incontinence (UI) is a symptom of an underlying disorder with a high prevalence, constituting an important public health problem due to its physical, psychological and social consequences. The impact it has on the individuals' quality of life is revealed in their daily activities, self‐perception, socialization, emotional health and in their sexual life. The objective of this study is to analyse the impact of incontinence on the sexual quality of life, identifying the role of the variables: gender, duration and severity of incontinence, impact of incontinence on the quality of life and type of incontinence. The sample was composed by 55 patients (54·05% male and 45·5% female) from health facilities, in Lisbon, with a mean age of 55 years, who answered a set of questionnaires, which included: the Incontinence Impact Questionnaire (IIQ‐7); the Urogenital Distress Inventory (UDI‐6); the Questionnaire on Sexual Quality of Life, male and female versions (SQoL‐F/SQoL‐M) and a sociodemographic questionnaire. The results indicate that UI has a negative impact on the sexual quality of life in general, especially if the incontinence symptoms endure for a long period of time; also the impact of UI on social relationships, and the stress UI has a significant and negative impact on the sexual quality of life. In this study, UI has a negative impact on sexual life compounded by restrictions and other negative consequences of living with urinary leakage. The authors conclude that further research is required to ascertain the full impact of UI on sexual quality of life. Finally, implications for nurses are also discussed: in addressing the sexual health of their patients, nurses have an important contribution in assuring that experiencing UI should not necessarily translate into negative sexual quality of life.     

女性尿失禁患者生活质量的评价及干预

目的 探讨尿失禁对女性生活质量的影响及改善其生活质量积极有效的措施。方法 分析患有尿失禁女性的生活质量评价及干预的研究现状。结果 尿失禁在生理、心理、日常生活、性生活等方面不同程度地影响了患者的生活质量,通过规律的盆底肌肉锻炼能够预防及控制尿失禁症状,改善患者的生活质量。结论 应当在社区开展一些宣传活动,积极宣传尿失禁是可以治疗的,采取积极有效的措施来预防和管理尿失禁,改善患者的生活质量。     

老年尿失禁患者的生存质量调查分析

目的 调查老年尿失禁患者患病情况及其生存质量状况,分析影响老年尿失禁患者生存质量的相关因素.方法 使用尿失禁问卷表和尿失禁生活质量世表(I-QOL),对110名老年尿失禁患者进行调查.结果 老年尿失禁患者的生存质量得分较低,总分平均分为(56.31±12.58)分;I-QOL量表各领域得分其中限制性行为和社交活动受限二者得分较低.年龄因素对老年尿失禁患者生存质量中的限制性行为领域有一定的影响,60～69岁年龄段老年尿失禁患者限制性行为领域得分与70～79岁年龄段和80岁及以上年龄段比较,有统计学意义(P=0.015).教育背景、经济状况、职业、婚姻状况及性别对老年尿失禁患者生存质量无明显影响(P>0.05).不同类型尿失禁患者间比较,混合性尿失禁患者总体生存质量得分最低为(48.66±11.90)分,其次是急迫性尿失禁患者为(56.51±10.00)分,压力性尿失禁患者得分较高为(61.94±11.83)分,二者的得分差异有统计学意义(P<0.01).不同程度尿失禁患者间比较,重度尿失禁患者总体生存质量得分最低,其次是中度尿失禁患者,轻度尿失禁患者得分较高,三者的得分差异有统计学意义(P<0.01).结论 受试老年尿失禁患者总体生存质世较低,主要表现为日常行为和社会交往受限.疾病因素对老年尿失禁患者生存质量的影响较非疾病因素显著.     

优质护理对女性尿失禁患者生活质量的影响

目的:探讨优质护理对女性尿失禁患者生活质量的影响。方法:将62例女性尿失禁患者随机分为观察组和对照组各31例,在给予相同治疗方法的基础上,对照组给予全面评估患者状况、用药护理、记排尿日记等常规护理,观察组给予包括心理护理、健康教育、饮食护理、皮肤护理、行为干预等优质护理;比较两组尿失禁对患者的影响程度、生活质量及失禁程度。结果:护理后,观察组尿失禁问卷简表(ICI-Q-SF)评分、失禁程度均低于对照组(P0.05),尿失禁生活质量量表(I-QOL)评分高于对照组(P0.05)。结论:优质护理更能改善女性尿失禁患者的生活质量,降低失禁程度,值得临床推广。     

Dimensions of the impact of urinary incontinence on quality of life of affected women: a review of the English literature

Urinary incontinence (UI) is a condition encountered by many women in their middle ages and although it is not life threatening, it tremendously affects the quality of life (QOL) of affected women. The purpose of this review was to characterize the dimensions of women's QOL affected by UI. A systematic review of published literature reporting about primary studies was conducted using specific Medical Subject Headings (MeSH) terms: (urinary incontinence) and 1 – (quality of life), 2 – (outcome), 3 – (well‐being), 4 – (health outcomes), 5 – (women), 6 – (social well fair) and 7 – (signs and symptoms). This yielded 545 articles and 12 articles met the inclusion criteria. Searches were conducted from electronic databases including PubMed, CINHAL and SCOPUS. The studies included in the review used different measurements to reach conclusion about the effect of UI on QOL. All the studies emphasized that UI has a negative impact on at least two aspects of the affected woman's QOL. The results of the review show that UI negatively impacts women's QOL in four main dimensions such as physical health, mental health, sexual health and social well‐being. UI negatively impacts affected women's in various aspects of their life and to effectively address their health care needs it requires a multidisciplinary and holistic approach to their health care needs.     

Quality of life in climacteric Turkish women with urinary incontinence

Urinary incontinence (UI) is a common health problem and negatively affects the quality of life of women who are afflicted. The aim of the study is to explore the prevalence and risk factors of UI among climacteric Turkish women and to examine the effects of UI on their quality of life. This cross‐sectional study was conducted with 258 women aged 40–64 years who visited the outpatient clinic in Ankara, Turkey, between 15 June 2012 and 15 January 2013. The data were collected using the International Consultation on Incontinence Questionnaire Short Form and the Incontinence Quality of Life Questionnaire. This paper reveals that the overall prevalence of UI was 45.3%. Stress UI, mixed UI, and urge UI were reported by 54.7%, 22.2%, and 10.3% of the subjects, respectively. The proportion of women suffering from UI who seek medical treatment was low despite mild or moderate negative effect impacts on their quality of life. Increasing women's awareness of UI and protective measures is essential, and standard UI assessment should be added to all patient examinations.     

康复锻炼对女性尿失禁患者生活质量的影响

目的探讨康复锻练对女性尿失禁患者生活质量的影响。方法将104例女性尿失禁患者随机分为干预组和对照组,干预组患者进行康复锻练,主要包括耻骨肌锻炼、盆底肌锻炼,干预时间为2个月,对照组采用常规口头宣传。采用生活质量量表进行问卷调查,比较2组患者干预后生活质量水平。结果与对照组相比,干预组患者的生活质量明显提高。2组差异有统计学意义(p<0.001)。结论康复锻练能有效地提高女性尿失禁患者的生活质量。     

Life management and quality of life issues for those with urinary incontinence

The phrase urinary incontinence conjures up many images, none of which can be said to be positive. Incontinence is often a hidden condition, secreted by many and often feared as it can result in a loss of independence and quality of life. However, not all who suffer from incontinence seek treatment, and many who have, have found the results to be less than satisfying and have turned to other non‐clinical resources for support. This study presents insight into the life management and quality of life of those responding to an invitation to participate in a Continence Comprehensive Health and Life Assessment survey. Seventy‐three percent currently do not undergo treatment for bladder problems, and 28% state they have never sought treatment. The respondents report a variety of problems that affect everyday living, and ordinary activities. Although urinary incontinence may affect life activities, this should not be interpreted as a complete lack of bladder management. Of those surveyed, only 29% stated they cannot manage their bladder problems to maintain the activity level they would like.     

Prevalence and risk factors of urinary incontinence and its influence on the quality of life of Japanese women

Abstract   Urinary incontinence is a common problem as women age. The aims of this study were to assess the prevalence and risk factors of urinary incontinence and their impact on the quality of life of working Japanese women. In this cross-sectional study, 975 women completed the Urogenital Distress Inventory-6, the Short Form (SF)-36 Health Survey, and the King's Health Questionnaire. Their mean age was 47.6 years and the reported prevalence of stress, urge, and mixed urinary incontinence symptoms during the past month was 19.3%, 4.2%, and 7.8%, respectively. The prevalence rate of all the three types of incontinence increased with age and Body Mass Index. There was no significant difference in the questionnaire subscale scores of the SF-36 Health Survey and the King's Health Questionnaire between these types and those without urinary incontinence. However, in relation to the SF-36 scores, we found that urge urinary incontinence had more effect on women than stress urinary incontinence. There was a high prevalence of urinary incontinence in the participants. The results emphasize the need for women to be provided with education programs about incontinence and to perform preventive exercises.     

心理干预改善老年女性压力性尿失禁患者负性情绪和生活质量的研究

目的 评价心理干预改善老年女性压力性尿失禁患者负性情绪和生活质量的有效性.方法 随机将88例老年女性压力性尿失禁患者分为试验组和对照组,两组均给予对症支持治疗和常规护理,试验组则同时给予针对性的心理干预.采用老年抑郁量表(GDS)、焦虑自评量表(SAS)、尿失禁生活质量评价量表(I-QOL)对两组患者干预前后的抑郁、焦虑、生活质量进行评价.结果 经为期1个月的干预后,试验组的评分与对照组比较,差异有统计学意义(均为P＜0.05),试验组患者的负性情绪和生活质量得到明显改善.结论 对老年女性压力性尿失禁患者实施针对性的心理干预,可以改善患者的负性情绪,提高患者的生活质量,对患者的生命意义具有积极的促进作用.     

济南市社区女性尿失禁患者生活质量及影响因素的调查分析

目的调查济南市社区女性尿失禁患者的生活质量(quality of life,QOL)状况,了解其影响因素。方法采用方便抽样的方法,对济南市3个大型社区506例女性尿失禁患者进行问卷调查。结果 506例患者的QOL水平整体较好,平均得分为(79.5±16.6)分。逃避和限制性行为、社交活动受限是尿失禁患者QOL受影响较为明显的2个方面。影响患者QOL的因素共有9个,最终进入回归方程的有3个,分别是:文化程度(初中、高中、大专及以上)、混合性尿失禁和中重度尿失禁,共可解释QOL变异量的31.1%。结论济南市社区女性尿失禁患者的QOL水平整体较好,但其影响因素较多,应依据影响因素的不同进行针对性的护理干预,进一步提高患者的QOL。     

老年尿失禁患者综合护理干预的效果观察

目的：探讨综合护理干预对老年尿失禁患者生活质量和疗效的影响。方法：将60例老年尿失禁患者随机分为干预组和对照组各30例。两组均给予基本治疗和常规护理,干预组在对照组的基础上给于综合护理干预。1年后采用健康状况问卷（SF-36维度）评价两组患者干预前后的生活质量水平及疗效。结果：两组治疗前的SF-36维度（生理功能,躯干疼痛,总体健康,精力,社会功能,情感职能和精神健康）比较,差异无统计学意义（P〉0.05）;干预护理后,干预组的SF-36维度评分较对照组或干预前明显提高,差异有统计学意义（P〈0.05或P〈0.01）。1年后干预组患者治疗效果明显高于对照组,差异有统计学意义（P〈0.05）。结论：综合护理干预老年尿失禁患者实施护理干预可提高治疗效果,改善患者生活质量。     

八段锦对产后压力性尿失禁干预效果及生活质量的影响

目的：探讨分析八段锦对产后压力性尿失禁干预效果及生活质量的影响。方法：在我院2022年1月-2023年4月间收治的PSUI患者中抽取90例作为研究对象,按照双色球法随机分为两组,蓝色球45例作为常规组,给予常规康复训练与生物反馈治疗,红色球45例作为干预组,在与对照组相同治疗基础上联合八段锦干预,比较两组患者尿失禁症状改善情况、临床干预疗效及生活质量。结果：干预组临床干预总有效率(93.3%)高于对照组(75.6%),χ2=5.414,P<0.05;两组ICI-Q-SF评分均较干预前降低,且干预组评分低于常规组,P<0.05;I-QOL评分均提高,且干预组评分均高于常规组,P<0.05。结论：给予产后压力性尿失禁患者八段锦练习可有效改善患者尿失禁症状及生活质量,临床干预疗效显著,具有推广价值。     

Prevalence of urinary incontinence in older Korean women

Worldwide prevalence of any type urinary incontinence (UI) in women 20 years and over is estimated to be over 275 million in 2013 and the 4th International Consultation on Incontinence expects it to increase to over 300 million in 2018. While UI in women is considered to be an aging and public health issue with global implications, most research cited in the UI literature comes from English language sources. The absence of information from many Asian and other countries may be due to reliance on scientific reports written in English by editorial policies, authors of systematic literature reviews and other researchers. Moreover, the financial costs and time constraints associated with translation and dissemination of findings into English language journals could act as dissemination barriers. Therefore, the purpose of this study was to describe the current state of knowledge about prevalence and correlates of UI in Korean older women from non‐English language sources. Twelve research articles, two research monographs and one master's thesis, and data on UI abstracted from South Korea's 2008 National Health Insurance Cooperation Reports were reviewed in full. The prevalence of UI in women 60 years and older ranged from 11·2% to 76·3%. Personal, physical and psychological factors were found to be associated with UI including age, income and educational level, presence of comorbidities, body mass index, depression, anxiety and cognitive impairment. There was little difference between rural and urban dwelling older women in help‐seeking behavior: 93.8% rural and 90.5% urban dwelling older women sought no help for their incontinence. Inclusion of reports from non‐English sources is considered as an important contribution to better understanding of the worldwide epidemiology of UI in older women.     

综合护理干预对膀胱肿瘤手术行泌尿造口患者生活质量的影响

目的探讨综合护理干预对膀胱肿瘤手术行泌尿造口患者生活质量的影响。方法选择某院泌尿外科2009年1月—2011年1月收治的90例膀胱肿瘤患者,按照数字表法平均分为两组,每组各45例,对照组患者行常规护理,观察组患者行综合护理干预;比较两组患者的治疗依从性、生活质量。结果观察组患者的依从率为89％,明显高于对照组的73％,差异有统计学意义（Z=3．55,P〈0．05）;护理前,两组患者的生活质量评分差异无统计学意义（P〉0．05）,护理后观察组患者在身体、家庭、认知、情感、社会功能方面评分分别为（57．10±1．10）,（53．50±1．50）,（55．85±1．67）,（52．35±1．87）,（51．50±0．50）分,均明显高于对照组的（43．20±0．30）,（44．38±1．30）,（45．00±1．47）,（41．85±1．47）,（41．30±0．60）分,差异有统计学意义（t值分别为3．21,3．08,3．24,3．46,4．03;P〈0．05）。结论对膀胱肿瘤手术行泌尿造口的患者,综合护理干预能够显著提高患者的依从性和生活质量,值得临床推广。     

失禁健康教育对CHF尿失禁患者焦虑抑郁情绪及生活质量的影响

目的:探讨失禁健康教育对慢性心力衰竭(CHF)尿失禁患者焦虑、抑郁情绪及生活质量的影响。方法:将61例CHF尿失禁患者随机分为干预组31例和对照组30例,对照组接受常规治疗及护理,干预组在此基础上给予失禁健康教育。以医院焦虑抑郁量表(HADS)及尿失禁生活质量问卷(I-QOL)和普适性生活质量表(SF-36)为评估工具,干预8周后比较两组焦虑、抑郁及生活质量评分。结果:干预后干预组焦虑评分、抑郁评分低于对照组(P0.05);干预后干预组I-QOL评分高于对照组(P0.05);干预组SF-36各维度评分与对照组比较差异有统计学意义(P0.05,P0.01))。结论:失禁健康教育可改善CHF尿失禁患者焦虑、抑郁情绪,提高其生活质量。     

社会支持和应对方式对女性尿失禁患者生活质量的影响

目的探讨社会支持和应对方式对老年女性尿失禁患者生活质量的相关性影响。方法2008年4—8月采用问卷对在上海2所3级甲等医院就诊的70例年龄大于60周岁的老年女性尿失禁患者进行调查。该问卷由尿失禁生活质量量表,医学应对问卷,社会支持量表和人口社会学资料组成。结果70例患者中,回避和屈服得分均高于常模（P〈0.05）;老年女性尿失禁患者的面对得分与患者生活质量中的心理影响维度、社会活动受限维度呈负相关（P〈0.05）;老年女性尿失禁患者的回避与患者生活质量中避免和限制性行为维度、心理影响维度呈负相关（P〈0.05）;老年女性尿失禁患者主观支持、社会支持利用度得分与患者生活质量的所有维度均呈正相关（P〈0.05）。结论社会支持利用度,面对,主观支持是影响老年女性尿失禁患者生活质量的3大主要因素。提高老年女性尿失禁患者健康意识,帮助患者采用积极的应对方式,有效地利用社会支持能提升老年女性尿失禁患者生活质量。