上海交通大学学报（医学版）

›› 2013, Vol. 33 ›› Issue (5): 552-.doi: 10.3969/j.issn.1674-8115.2013.05.006

• 专题报道（临床护理与管理） • 上一篇    下一篇

上海成年女性尿失禁现状及对生活质量的影响

徐 灵, 杨 艳   

  1. 上海交通大学 医学院附属仁济医院泌尿外科, 上海 200127
  • 出版日期:2013-05-28 发布日期:2013-05-28
  • 作者简介:徐 灵(1983—), 女, 护师, 学士； 电子信箱: renjixuling@hotmail.com。

Status quo of adult female urinary incontinence and quality of life in Shanghai

XU Ling, YANG Yan   

  1. Department of Urological Surgery, Renji Hospital, Shanghai Jiaotong University School of Medicine, Shanghai 200127, China
  • Online:2013-05-28 Published:2013-05-28

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摘要：

目的 了解上海某社区成年女性尿失禁的患病情况及对生活质量的影响。方法 抽样选取上海某社区成年女性628名，采用问卷方式调查其尿失禁状况及生活质量。问卷设计参考布里斯托女性下尿路症状调查问卷（BFLUTS）与尿失禁生活质量评分（I-QOL）。结果 共发放调查问卷628份，回收有效问卷597份，回收率95.1%。尿失禁患者36.5%（218/597），其中单纯压力性尿失禁（SUI）占47.7%，急迫性尿失禁（UUI）占14.7%，压力急迫混合性尿失禁（MUI）占37.6%。不同年龄段女性三种尿失禁的患病率比较，差异均有统计学意义（P<0.01）。社区女性尿失禁患者I-QOL得分0~5分者为53.7%，得分20分以上者为17.9%。三种类型尿失禁相比较，SUI对生活质量的影响相对较小，MUI对生活质量的影响相对较大。结论 尿失禁已成为我国成年女性重要的排尿障碍性疾患，建议增加宣传力度，提高人们的认识，指导患者及时就医，从而提高其生活质量。

关键词: 社区成年女性, 尿失禁, 患病率, 生活质量

Abstract:

Objective To investigate the state quo of adult female urinary incontinence in a community of Shanghai, and investigate the impact of urinary incontinence on quality of life. Methods Six hundred and twenty-eight adult women in a community of Shanghai were selected, and were surveyed with questionnaires on the state quo of urinary incontinence and quality of life. The questionnaire design referred to the Bristol female lower urinary tract symptoms questionnaire (BFLUTS) and incontinence quality of life score (I-QOL). Results A total of 597 effective questionnaires were recovered, with the recovery rate of 95.1%. The prevalence of urinary incontinence was 36.5% (218/597), among which pure stress urinary incontinence (SUI), urge incontinence (UUI) and mixed urinary incontinence (MUI) accounted for 47.7%, 14.7% and 37.6% respectively. There were significant differences in the prevalence rates of three types of urinary incontinence among women of different ages (P<0.01). In women with urinary incontinence, 53.7% scored 0 to 5 points in I-QOL, and 17.9% scored 20 points or more in I-QOL. Among three types of urinary incontinence, SUI had a relatively smaller impact on quality of life, and MUI had a larger impact on quality of life. Conclusion Urinary incontinence has become the important voiding disorder in adult women in China, and awareness of urinary incontinence should be enhanced for the timely medical treatment to improve the quality of life.

Key words: community adult female, urinary incontinence, prevalence, quality of life