深圳市南山区社区绝经过渡期女性压力性尿失禁患病现状调查  

Survey on the Current Status of Stress Urinary Incontinence among Women during Their Menopausal Transition in Communities of Nanshan District,Shenzhen

作　　者：吴永红[1] 胡铧文 韩春艳[1] 

机构地区：[1]广东省深圳市南山区计划生育服务中心,518052

出　　处：《中国全科医学》2014年第12期1400-1403,共4页Chinese General Practice

基　　金：广东省人口和计划生育委员会科研项目(20133054)

摘　　要：目的调查深圳市南山区社区绝经过渡期女性压力性尿失禁患病现状及相关知识的知晓情况，为早期实施干预措施提供依据。方法采用自填式问卷方法，2013年2—6月利用每年计划生育免费为社区女性进行妇科病普查普治的平台选择南山区南头、南山、桃源3个街道36个社区，年龄40—55岁的绝经过渡期女性1200例采用国际尿失禁咨询委员会尿失禁问卷表及压力性尿失禁相关知识问卷进行调查。结果1200例中患有压力性尿失禁211例，总患病率为17．58％。其中轻度185例（15．42％），中度19例（1．58％），重度7例（0．58％）。不同年龄组压力性尿失禁患病程度比较，差异无统计学意义（u=6．67，P〉0．05）。压力性尿失禁疾病知识中，生育孩子越多的女性，越容易发生压力性尿失禁知晓率为37．92％（455／1200）；压力性尿失禁日常生活管理知识中，轻中度的压力性尿失禁可通过调整生活方式和特殊的锻炼得到一定改善知晓率为86．75％（1041／1200）；压力性尿失禁盆底肌锻炼知识中，盆底肌锻炼（提肛训练）有助于缓解压力性尿失禁知晓率为12．25％（147／1200）。211例压力性尿失禁患者就诊率仅为7．11％（15／211）。结论深圳市南山区社区绝经过渡期女性压力性尿失禁患病情况与年龄无关。但压力性尿失禁相关知识缺乏．应加强对社区绝经过渡期女性的宣传教育及相关知识的讲座。增强社区绝经过渡期女性自我保健意识，降低压力性尿失禁的发生，提高生活质量。Objective To investigate current status of stress urinary incontinence and the awareness rate of relevant knowledge among women during their menopausal transition in communities of Nanshan District, Shenzhen, which may provide basis for early intervention. Methods From February to June 2013, by utilizing the platform free general investigation and gener- al therapy of gynecological diseases annually provided by family planning service agency, a baseline survey was conducted in 36 communities of 3 subdistricts （Nantou, Nanshan, Taoyuan）, Nanshan district, 1 200 women aged 40 -55 years during their menopausal transition completed a self - administered questionnaire, the questionnaire included Incontinence Questionnaire by In- ternational Consultant on Incontinence and Stress Incontinence - related Knowledge Questionnaire. Results Among 1 200 cases, 211 cases had stress urinary incontinence, the total prevalence was 17. 58%. 185 （ 15.42% ） women had mild degree of urinary incontinence, 19 （1.58%） women had moderate degree, and 7 （0.58%） women had severe degree of urinary inconti- nence. There was no siginificant difference in stress urinary continence degree among different age groups （ u = 6. 67, P 〉 0. 05 ）. The awareness rate of stress incontinence - related disease knowledge ＂ The more children a woman had, the easier she got stress urinary incontinence＂ was 37. 92% （455/1 200） . The awareness rate of stress incontinence -related daily life management knowledge ＂ Mild and moderate degree of stress urinary incontinence can improve by adjusting life style and doing special exercise＂ was 86.75% （1 041/1 200） . The awareness rate of stress incontinence- related pelvic floor muscle exercise （PFME） knowledge ＂ PFME （Ashwini practice） help ease stress urinary incontinence＂ was 12. 25% （147/1 200） . The rate of visit was 7. 11% （15/211 ） among the patients with stress urinary incontinence. Conclusion The urinary incontinence is not related to age among women duri

关 键 词：社区卫生服务 尿失禁 绝经过渡期 患病率 

分 类 号：R694.54[医药卫生—泌尿科学]