北京社区老年人尿失禁患病率及其对生活质量自评的影响  

Prevalence of urinary incontinence and its impact on life quality self-assessment in community-dwelling elderly residents of Beijing

作　　者：关绍晨 吴晓光 王淳秀 刘红军 候城北 方向华 

机构地区：[1]首都医科大学宣武医院循证医学中心北京市老年病医疗研究中心神经变性病教育部重点实验室,100053

出　　处：《中华老年医学杂志》2018年第3期330-334,共5页Chinese Journal of Geriatrics

基　　金：北京市科委项目（D121100004912002）;“十二五”国家科技支撑计划项目（2011BAI11B01）

摘　　要：目的了解北京社区老年人尿失禁（UI）的患病率，并探讨其对老年人生活质量自我评估的影响。方法2013年7月至2014年12月采用分层随机整群抽样的方法，对北京地区抽样的4个区县的65岁及以上老年人2878例进行问卷调查和体格检查，尿失禁采用国际尿失禁委员会尿失禁问卷表简表（ICIQ-SF）进行评估，采用2010年北京市标准人口对患病率进行标化并评估北京市患病人数。结果调整后的北京地区老年人UI患病率为24．6％，男、女性分别为18．5％和29．8％，估计UI患病人数为44．5万，其中男性15．3万、女性29．2万。采用Logistic回归分析结果显示，调整了人口学、生活方式、慢病患病等因素后，老年人的生活质量自评、健康状况满意度自评、睡眠质量自评、日常生活能力满意度自评、性生活满意度自评及人际关系满意度自评均与UI相关，患有UI的老年人上述诸项自评均较差，近4周负性情绪也与UI有关（均P〈0．05）。结论北京地区近1／3老年人患有UI，尤其是女性；UI对老年人生活质量自评有消极影响，与老年人负性情绪有关，应尽早进行相应的干预以改善老年人的生活质量，促进健康老龄化。Objective To find out the prevalence of urinary incontinence（UI）, as well as its impact on self-assessed life quality in community-dwelling elderly Beijing residents. Methods A total of 2 878 local elderly residents （≥65 years）were enrolled through stratified cluster random sampling from July 2013 to December 2014 in geijing. A face-to face questionnaire survey and physical examination were conducted by trained investigators. UI was screened using ICIQ-SF. Prevalence of UI was adjusted by the standard population of Beijing and the number of elderly people with UI was estimated. Results The overall prevalence of UI was 24.6 %. The morbidity of UI was 18.5% in male and 29.8% in female participants. The estimated number of elderly UI patients in Beijing was about 445 thousands,with 153 thousand male and 292 female patients. After adjustment for potential confounding demographic, lifestyle and chronic disease factors,logistic regression analysis revealed that UI was negatively correlated with several self-assessed measures,including quality of life, health, sleep quality,activities of daily life,sexual life and relationship with other people（all P〈0.05）. Moreover, negative emotions in the last four weeks increased in the elderly with UI. Conclusions Nearly one quarter of the aged population, especially among aged women, in geijing suffer from UI. UI severely affects the quality of life and emotions in aged persons. It is necessary to take early interventions to improve quality of life and promote healthy aging.

关 键 词：尿失禁 生活质量 

分 类 号：R694.54[医药卫生—泌尿科学]