社区女性尿失禁患者生活质量的研究及相关因素分析  

Research on life quality and relevant factors of women in community with incontinentia urinae

作　　者：叶卫央 陈筱波[1] 张碧云[1] 周浩尚[2] 

机构地区：[1]浙江省慈溪市人民医院妇产科,浙江慈溪315300 [2]浙江省慈溪市人民医院泌尿科,浙江慈溪315300

出　　处：《中国现代医生》2015年第17期72-75,共4页China Modern Doctor

基　　金：浙江省宁波市四批科技项目(2012C50028)

摘　　要：目的探讨社区女性尿失禁患者生活质量和相关因素情况。方法采用问卷调查的方法 ,收集社区200例女性尿失禁患者临床资料,通过尿失禁患者生活质量评分标准进行分组,≥88分患者为尿失禁生活质量影响轻度组40例,<88分患者为尿失禁生活质量影响中、重度组160例。观察两组女性尿失禁患者年龄、身高、体重一般资料情况;观察两组尿失禁患者文化程度、月经状况、尿漏频率、尿漏量、尿失禁的类型、尿失禁年限、尿失禁的严重程度等影响患者生活质量的单因素情况;观察两组尿失禁患者生活质量影响因素的Logistic回归分析情况。结果两组患者的年龄、身高、体重一般资料无明显差异(P>0.05);中、重度组女性尿失禁患者高中及以下、月经不规律、尿漏频率>1次/周、尿漏大量、混合型尿失禁、尿失禁年限≤3年、重度尿失禁比例均高于轻度组女性尿失禁患者(P<0.05)。通过Logistic回归分析,女性尿失禁患者文化程度、月经状况、尿漏频率、尿漏量、尿失禁的类型、尿失禁年限、尿失禁的严重程度均是影响生活质量的相关因素,差异均有统计学意义(P<0.05)。结论有效预防和控制女性尿失禁影响因素并给予相应的健康教育和宣传,对提高尿失禁患者生活质量具有重要的意义。Objective To explore the life quality and relevant factors of women in community with incontinentia urinae. Methods 200 cases of clinical information of women with ineontinentia urinae in community were collected by ques- tionnaire survey, which were divided into groups in accordance with life quality score of patients with incontinentia uri- nae, 40 cases of light influence on life quality of incontinentia urinae group（≥ 88 scores）, and 160 cases of moderate and heavy influence on life quality of ineontinentia urinae group （〈88 scores）. The general information of age, height and weight of women with incontinentia urinae, single factors of cuhural level, menstrual status, urinary leakage frequency and amount, type, year and severity of incontinentia urinae and etc in two groups, and Logistic regression of life quality influence factors of patients with incontinentia urinae in two groups were observed as well. Results After comparing the general information of age, height, and weight of women of incontinentia urinaein two groups, there was no obvious dif ferences （P〉0.05）. The education level of senior high school and below, irregular menses, urinary leakage frequency （〉 once a week）, large amount of urinary leakage, mixed incontinence, year of incontinentia urinae （≤ 3 years）, and heavy incontinentia urinae rates of women with incontinentia urinae in moderate and heavy group were all higher than those in women with incontinentia urinae in light group （P〈0.05）, and the differences were significant. By logistic regres- sion, cultural level, menstrual status, urinary leakage frequency and amount, type, year and severity of incontinentia urinae of women with incontinentia urinae were all the relevant factors to influence the life quality, and the differences were significant （P〈0.05）. Conclusion Effective prevention and control of the influence factors of women incontinentia urinae and relevant health education and promotion have important significance on the improvement of l

关 键 词：社区 女性 尿失禁 生活质量 相关因素 LOGISTIC回归 

分 类 号：R694.5[医药卫生—泌尿科学]