上海市3个社区的中老年女性压力性尿失禁患病现状及生活质量分析

目的了解上海市社区的中老年女性压力性尿失禁患病情况和生活质量,分析各自的影响因素。方法在上海市3个社区采用系统整群抽样方法,抽取40岁及以上女性1500名进行尿失禁筛查,采用国际尿失禁咨询委员会尿失禁问卷、尿失禁生活质量量表,对筛查得到的307例进行调查。结果上海市3个社区中、老年女性压力性尿失禁患病率为21.0%。多因素Logistic回归表明,体质指数(BMI)、孕次、经济状况、合并慢性呼吸系统疾病、尿路感染、便秘是压力性尿失禁的独立影响因素。多元线性回归显示,尿失禁程度、文化程度和经济状况是生活质量的重要影响因素。结论压力性尿失禁已成为社区的中老年女性常见疾病,对身心健康造成一定的危害,并影响患者的生活质量。     

中老年女性压力性尿失禁盆底康复护理的研究进展

检索相关文献,对中老年女性压力性尿失禁盆底康复护理的研究进展进行综述。压力性尿失禁是中老年妇女的常见病, 严重影响妇女的生活质量。盆底康复训练适用于轻、中度的压力性尿失禁。方法包括盆底肌肉锻炼、膀胱功能训练、电刺激治疗、生物反馈训练等。选择规范系统的盆底肌康复锻炼方案并配合心理护理及日常生活指导,对提高压力性尿失禁患者生活质量具有重要意义。     

社区老年女性压力性尿失禁患者的生活质量分析

目的 了解社区老年女性压力性尿失禁患病情况和生活质量。方法 采用系统整群抽样方法,抽取60岁及以上女性常驻人口600例,进行尿失禁筛查,采用国际尿失禁咨询委员会尿失禁问卷、尿失禁生活质量量表,对筛查得到的压力性尿失禁患者进行分析。结果 社区老年女性压力性尿失禁患病率为25.3%;2/3以上患者的生活质量处于中等水平,生活质量的项目平均分为3.99?0.79;患者的生活质量与其文化程度呈低度负相关(P<0.01),与患者的经济状况呈低度正相关(P<0.01),但与年龄、婚姻状况和疾病严重度无关(P>0.05)。结论 压力性尿失禁对社区老年女性的生活质量造成一定影响,应引起相关部门的重视。     

产后压力性尿失禁妇女盆底肌训练知信行现状及影响因素分析

目的调查产后压力性尿失禁(SUI)患者盆底肌训练知信行情况。方法便利选取2018年1月—2019年1月北京某妇产医院产后12周在盆底门诊就诊患者213例,采用产褥期妇女盆底肌功能锻炼知信行及需求问卷进行调查,分析患者盆底肌功能锻炼知信行的影响因素。结果213例SUI患者盆底肌训练知信行总体标准分为(75.70±10.23)分。单因素分析显示,不同年龄、家庭人均月收入、最高受教育程度、职业状况、分娩方式、孕期体重增长、当前是否有尿失禁患者盆底功能锻炼知信行水平比较,差异均有统计学意义(P<0.2)。多重回归分析显示,家庭人均月收入、孕期体重增长及当前是否存在尿失禁是盆底功能锻炼知信行水平的影响因素(P<0.05)。结论产后压力性尿失禁患者盆底肌功能锻炼的态度积极,但认知水平仍有待提高,医护人员应加强相关知识的宣教,增强患者对于盆底功能锻炼重要性的认识。     

护理干预对社区老年女性压力性尿失禁患者生活质量的影响研究

目的 探讨社区老年女性压力性尿失禁（SUI）患者采取护理干预对其生活质量的影响。方法 选取 2022 年 1 月至 2023 年 12 月期间本院经社区志愿者招募而来的社区老年女性 SUI 患者 60 例作为研究对象。采用随机数字表法将患者分为对照组和 观察组,每组各 30 例。对照组采用常规护理;观察组在对照组基础上采用协同护理干预。分析比较两组的尿失禁治疗效果、 SUI 知识掌握程度、生活质量以及并发症。结果 观察组尿失禁治愈率显著高于对照组（P<0.05）。干预后,观察组的日常生活 管理技能、疾病相关知识、盆底肌锻炼知识各项 SUI 知识问卷评分均显著高于对照组（P<0.05）。观察组的行为限制、心理影 响、社会功能限制各项 I-QOL 评分显著高于对照组（P<0.05）。结论 社区老年女性 SUI 患者采取协同护理干预,能提高患者知 识掌握程度,提升患者的生活质量和尿失禁治疗效果。     

女性压力性尿失禁患者盆底肌锻炼依从性的研究现状

压力性尿失禁影响成年女性身心健康,持续的盆底肌锻炼为重要治疗方法,但其存在依从性差的缺点.检索相关文献,对女性压力性尿失禁患者进行盆底肌锻炼时患者的依从性及其提高方法进行综述.旨在为提高压力性尿失禁患者盆底肌锻炼的依从性提供参考.     

生物反馈联合盆底肌锻炼治疗女性压力性尿失禁的疗效评价

目的 探讨生物反馈联合盆底肌锻炼治疗不同程度女性压力性尿失禁的近期疗效及盆底肌表面肌电检测的意义.方法 选取69例女性压力性尿失禁患者,依据临床症状分为轻度(26例)、中度(24例)和重度(19例)3组,进行12周的生物反馈联合盆底肌功能锻炼治疗,在治疗前、后分别记录排尿日记,填写国际尿失禁咨询委员会问卷简表(ICI-...     

女性压力性尿失禁病人疾病认知及生命质量情况调查

[目的]调查女性压力性尿失禁病人疾病认知以及生命质量情况,了解其对尿失禁相关知识的认知度,探究其生命质量及影响因素。[方法]采用方便抽样的方法,用压力性尿失禁认知问卷和尿失禁生命质量量表(I-QOL)对某三级甲等医院经医生确诊患有压力性尿失禁的202例女性进行调查。[结果]多元回归分析显示,病人的年龄、生活区域、分娩方式、饮水量、婚姻对其认知水平有显著影响(P0.05);病人的初/复诊、饮水量、流产次数、工作情况、体重指数、年龄对其生命质量有显著影响(P0.05);病人的认知水平与生命质量呈正相关性(r=0.275,P0.01)。[结论]女性压力性尿失禁病人对疾病的预防、发病原因以及护理等知识较缺乏。认知度偏低影响病人的自我管理,也进一步对其生活质量产生影响。     

女性压力性尿失禁影响因素调查及心理干预

[目的]总结女性压力性尿失禁的影响因素,探讨心理干预在女性压力性尿失禁治疗中的作用。[方法]收集已确诊的女性压力性尿失禁病人80例,随机分为观察组和对照组,观察组在接受生物反馈电刺激治疗及盆底肌锻炼的基础上,针对病人自身治疗期望、文化水平、家庭状况进行评估,进行个体化心理干预治疗,对照组只接受生物反馈电刺激及盆底肌肉锻炼。比较两组治疗前后尿失禁生活质量量表(I-QOL),盆腔脏器脱垂/尿失禁性功能问卷(PISQ-12),Zung焦虑自评量表(SAS)评分。[结果]观察组在接受心理干预治疗后PISQ-12、SAS、I-QOL评分明显优于对照组,差异有统计学意义(P0.05)。[结论]对病人实施个体化心理干预治疗,能够提高病人心理认知水平,增强对疾病的重视,消除病人忧虑,提高遵医行为,显著增强治疗疗效,提高生活品质及性生活质量。     

女性压力性尿失禁患者生活质量及影响因素的调查

目的通过调查女性压力性尿失禁患者的生活质量状况,分析相关影响因素,了解患者的健康教育需求。方法采用问卷调查方式对我院门诊60例女性压力性尿失禁患者进行现场调查。问卷由一般资料、尿失禁严重程度、尿失禁生活质量问卷（I-QOL）组成,应用SPSS 11.5软件进行统计分析。结果尿失禁越严重,患者的生活质量越差（P〈0.01）;绝经与否及是否进行盆底肌锻炼可影响尿失禁患者的生活质量（P〈0.05）。I-QOL量表各条目得分显示,尿失禁患者普遍担心尿失禁日益加重会影响生活,多数人因为害怕尿失禁而顾虑咳嗽或打喷嚏。结论尿失禁患者广泛存在健康教育需求,护理人员应给予患者良好的生活和专业知识支持,提高她们对疾病的认识,促使患者早期进行盆底功能锻炼,从而改善患者的生活质量。     

孕妇压力性尿失禁症状体验的质性研究

目的探讨孕妇压力性尿失禁(SUI)的症状体验,为加强SUI防控并制定标准化症状管理策略提供依据。方法采用目的抽样法,选取2018年7月—2019年11月在南方医科大学南方医院产科门诊常规产检的SUI孕妇11名作为研究对象。对孕妇进行半结构访谈,采用质性研究中的扎根理论分析资料。结果通过分析提炼出4个主题,分别为认知不足、应对态度不一、症状体验差、症状管理知识需求迫切。结论SUI孕妇普遍对疾病认知不足,症状体验差,应对态度不一,症状管理知识需求迫切。因此,对于SUI孕妇,应提供个人—家庭—社会全方面的支持,加强SUI症状管理知识的社会宣传,并给予正性的引导和鼓励,鼓励家庭成员的参与,并积极构建互联网数字化信息平台,以最终降低孕妇SUI发生率。     

Home treatment for women with stress urinary incontinence

Urinary incontinence is an unpleasant, unwanted and distressing problem that is common among women in the UK. A recent study (Hunskarr et al, 2004) estimated that 10 million women in the UK suffer with urinary incontinence. Stress urinary incontinence (SUI) is the most common form, affecting four million women. The International Continence Society defines SUI as 'the complaint of involuntary leakage [of urine] on effort or exertion, or on sneezing or coughing' (Abrams et al, 2002).     

女性压力性尿失禁生酮饮食治疗临床路径

压力性尿失禁(SUI)限制了女性日常活动,严重影响女性生活质量,对患者造成巨大的心理负担.流行病学调查证实,向心性肥胖是SUI的高危因素.目前,一系列的研究数据表明,基础腹内压的增高是肥胖导致尿失禁的重要病理生理过程,对肥胖的有效管理将有利于控制基础腹内压,进而有利于尿失禁的治疗.减重是治疗肥胖女性SUI的一线治疗措施...     

Stress urinary incontinence in active elderly women

Urinary incontinence in the elderly is a significant health problem fraught with isolation, depression, and an increased risk of institutionalization and medical complications. Stress urinary incontinence (SUI), the complaint of involuntary loss of urine during effort or exertion or during sneezing or coughing, is the most common type of urinary incontinence. SUI can seriously degrade the quality of life for many active seniors, and has become an economic challenge for society. With the rapid increase in the active elderly worldwide, SUI is becoming a significant global problem. However, since only a fraction of women with SUI have consulted a physician, the clinical extent and public health impact of SUI are probably underestimated. The mounting social, medical, and economic problem of SUI in active elderly women as a rapidly growing segment of the population worldwide is reviewed. We evaluate the age-related changes of the lower urinary tract, examine risk factors, and suggest different treatment options shown to be effective in reducing SUI in this population.     

Stress urinary incontinence and overactive bladder syndrome: current options and new targets for management

In the United States, office visits for women seeking treatment for urinary incontinence more than doubled between 1994 and 2000, from 1845 per 100 000 women. This review article addresses treatment options for 2 common types of incontinence in women: stress urinary incontinence (SUI) and detrusor overactivity (DO), commonly referred to as urge urinary incontinence (UUI). In the past, those with SUI typically faced limited treatment options, such as Kegel exercises, pessaries, or major surgery (Burch or Marshall-Marchetti-Krantz operations). However, treatment options for women also included anticholinergic medications, behavioral therapy, and implantable neuromodulation. In recent years, more options have become available. For women with SUI, a variety of minimally invasive synthetic midurethral sling approaches (eg, retropubic, transobturator, and single incision) and office-based procedures (eg, periurethral injection of bulking agents and radiofrequency collagen denaturation [Renessa?; Novasys Medical]) are now offered. More outpatient options will hopefully be available soon, including an inflatable, free-floating balloon to act as a shock absorber, and injection of muscle-derived stem cells into the periurethral tissue. Women with UUI now have targeted options, such as posterior tibial nerve stimulation (PTNS) and intravesical injections of onabotulinumtoxinA (Botox?; Allergan, Inc.), in addition to nonoral systemic medications.     

无张力阴道吊带术微创治疗女性压力性尿失禁

目的:评价无张力阴道吊带术(TVT)治疗女性压力性尿失禁的疗效。方法:对21例压力性尿失禁或混合性尿失禁的女性患者进行了TVT手术治疗。结果:平均手术时间38min(35～45min),术后平均住院天数3.5d(2～5d)。18例单纯性SUI患者治愈17例,治愈率94.4%,显效1例(5.6%);3例混合性尿失禁患者中治愈2例,显效1例。膀胱穿孔1例,经积极处理后痊愈。21例随访均无SUI复发。结论:TVT手术因其简单、微创、疗效好、并发症少,目前可作为女性压力性尿失禁手术治疗的首选术式。     

Impact of urinary and climacteric symptoms on social and sexual life after surgical treatment of stress urinary incontinence in women: a long-term outcome

AIM: The aim of the present study was to evaluate the long-term results of surgical treatment of stress urinary incontinence (SUI) using both subjective and objective methods. BACKGROUND: Few studies have focused on the influence of biological and social changes in a woman's life on the long-term outcome of surgical treatment of stress urinary incontinence. METHODS: The study included 45 women with genuine SUI treated with either retropubic urethrocystopexy (n=30) or puboccocygeal repair (n=15). The assessment included interviews, questionnaires, urinary diary, pad test, continence test and urodynamic investigation. RESULTS: The results were evaluated at intervals of 3 months, 1 year and 5--7 years after the treatment. One year after the surgical treatment 71% of the women in the urethrocystopexy group and 80% in the pubococcygeal repair group were subjectively cured, while 5--7 years after surgery the corresponding values were 43% vs. 60%. However, according to pad test a 67% of the women in the urethrocystopexy group and 47% in the pubococcygeal repair group had ceased to leak urine 1 year after the operation whereas at the long-term follow-up the corresponding values were 64% vs. 71%. According to the questionnaire at the long-term follow-up only 35% of the women in the whole group had genuine SUI whereas 21% had urge-incontinence. Moreover, 37% experienced sweating, 23% flushing and 44% vaginal dryness. The number of women with adiposity had increased significantly (P < 0.001) at the long-term follow-up. Twenty-eight per cent of the women decreased their activities whereas the majority experienced no impediment. Seventy-nine per cent reported that they were sexually active and the majority reported satisfaction with their sexual lives. CONCLUSIONS: Accurate assessment of postoperative results of SUI demands rigorous recording of subjective and objective data taking into consideration psychological and social factors, otherwise there is a high risk of bias in the interpretation of the results of the treatment for SUI. This study indicates that, in order to give women with SUI adequate treatment the nursing care should comprehend the women's divergent experiences of urinary incontinence and its impact on social and sexual life.     

Why women leave therapy for stress incontinence

Stress urinary incontinence (SUI) is the involuntary leakage of urine associated with effort, exertion, sneezing or coughing (Abrams et al, 2002) and is the most common type of incontinence in women (Hampel et al, 2004). In 2005, NHS Greater Glasgow introduced a primary care management of SUI pathway. However, a high percentage of patients failed to complete their therapy.The aim of this study was to explore why some women with SUI dropped out of the pathway.     

超声和临床诊断女性压力性尿失禁进展

压力性尿失禁（SUI）是影响中老年妇女健康的常见疾病,其给患者造成的身体损伤和心理压力逐渐受到重视。对SUI可在早期进行药物及康复治疗,后期常需进行手术干预。超声、尿动力学检查及尿垫试验是临床诊断SUI的常用方法。本文对超声和临床诊断SUI的研究现状和进展进行综述。