密云农村地区老年女性压力性尿失禁发病情况调查  

Investigation on Old Female Stress Urinary Incontinence in Miyun County

作　　者：孙万卉[1] 李爱阳[1] 

机构地区：[1]首都医科大学燕京医学院附属密云县医院,北京101500

出　　处：《国际妇产科学杂志》2012年第1期92-94,共3页Journal of International Obstetrics and Gynecology

基　　金：首都医学发展基金项目(2007-3176)

摘　　要：目的:了解北京市密云县农村老年女性压力性尿失禁(SUI)患病情况及其对生活质量的影响,为探讨利用农村合作医疗网进行健康教育和行为干预提供依据。方法:依托密云地区农村合作医疗网络,分别选取山区和平原的农村乡镇,由当地的居委会和社区卫生服务中心组织,以调查员问卷调查的方式入户调查,问卷的大部分内容根据亚太地区尿控咨询委员会标准,并根据该地具体情况进行调整。分析农村老年女性SUI患病情况及对生活质量的影响。结果:本调查抽取北京市密云县≥60岁的农村老年女性501例,SUI检出率44.91%(225/501)。46.67%(105/225)初次出现症状是在绝经后;32.89%(74/225)认为对从事家务劳动有影响,27.12%(61/225)认为对参加户外活动有影响,19.12%(43/225)不愿去没有卫生间的场所,15.56%(35/225)因惧怕漏尿故意减少饮水量,5.34%(12/225)因漏尿需频繁更换内裤。因SUI而感到抑郁、焦虑、沮丧难堪、情绪低落、生活乐趣减少的患者分别占25.78%(58/225)、20.45%(46/225)、13.34%(30/225)、29.78%(67/225)和8.45%(19/225),仅有2.23%(5/225)认为对生活质量无影响。结论:北京市密云地区农村老年女性SUI患病率较高,对患者日常生活质量及心理健康均有影响,应引起广大医务工作者的重视。Objective：Investigation on old female stress urinary incontinence（SUI） in miyun county.In order to provide a basis for health education and behavior intervention,rely on Rural-based cooperative medical.Methods：Selected representative rural towns,adopt questionnaire-investigation to collect data,investigation on old female SUI and analysis the effect of SUI on Life Quality.Results：The investigation randomly selected 501 cases women age≥60 years.The symptoms first appears after the menopause in 46.67%（105/225） women;32.89%（74/225）women with SUI has an effect on house-work;27.12%（61/225） women with sui has an effect on taking part in open air activities;19.12%（43/225） women with sui refuse to go the place without bathroom;15.56%（35/225）women with SUI decrease the amount of water drinking because of fearin-g of leak;5.34%（12/225）women need frequent switch of panties.People feel depression/anxiety/despond,embarrassed/in a black mood/diminish their lives of 25.78%（58/225） 20.45%（46/225）、13.34%（30/225）、29.78%（67/225）、8.45%（19/225）res-pectively.Conclusions：The prevalence rate of SUI is high in the old women in miyun country,influencing the quality of life and psychological health of the patients.It demands the medical workers to pay adequate attentions.

关 键 词：尿失禁 压力性 妇女卫生 农村人口 生活质量 

分 类 号：R694.5[医药卫生—泌尿科学]