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。

The status and influencing factors of quality of life in women with urinary incontinence in Ji'nan

Objective To investigate the status and influencing factors of quality of life(QOL) in women with urinary incontinence(UI) in communities of Ji’nan.Methods Totally 506 incontinent women were recruited from three communities in Ji’nan by convenience sampling method.They were investigated with International Consultation on Incontinence Questionnaire Urinary Incontinence Short Form-Chinese(ICIQ-SF-Chinese) and Incontinence Quality of Life(I-QOL).Results The total score of QOL of 506 incontinent women was 79.5±16.6,which was fairly good.The factors of avoidance and limiting behavior,and social embarrassment got relatively lower scores.Multiple linear regression analysis showed that educational level,mixed urinary incontinence and moderate-to-severe degree of UI were significant influencing factors of QOL,which could explain 31.1 percent of the variation.Conclusions The overall level of QOL in Ji’nan community incontinent women is relatively high.It is affected by multiple factors.Nurses should take targeted interventions to improve the QOL of incontinent women according to various influencing factors.