摘要
目的调查社区中老年居民尿失禁患病率和在三级医疗机构的就诊率,指导社区预防保健工作。方法调查对象为北京市某社区40～70岁常住居民,采用国际尿失禁咨询委员会尿失禁问卷表简表(ICI-Q-SF)和居民就医状况调查表进行调查。结果 40～70岁居民尿失禁总体患病率为42.5%,其中轻度、中度、重度患病率分别为21.3%、12.4%和8.7%,且女性患病率与男性比较,差异有统计学意义(χ2=34.5,P<0.05)。随着年龄的增加,尿失禁患病率增加,40～49岁、50～59岁、60～70岁的患病率分别为30.2%、46.1%和60.6%。在尿失禁筛查阳性居民中,总体就诊率为32.4%,且首选社区卫生站、二级医院、三级医院的比例分别为9.2%、18.1%和72.7%,而影响患者选择的最主要原因是医疗水平。结论社区医务人员应普及尿失禁知识、提高居民对尿失禁的认识和指导居民合理选择医疗机构。
Objective To investigation the prevalence of urinary incontinence and attendance rate in third-class medical institutions among community middle-aged residents with the hope to guide the preventive health care in communities. Methods International consultation committee on incontinence questionnaire short form（ICI-Q-SF） and questionnaire of residents medical service were completed by residents of 40～70 years old in a community in Beijing voluntarily. Results Total prevalence of urinary incontinence was 42.5% for 40～70 years old residents and the prevalence of mild,moderate,severe incontinence were 21.3%,12.4%,8.7%,respectively,with prevalence of urinary incontinence in females significantly higher than in males（χ2=34.5,P〈0.05）.Prevalence of urinary incontinence increased with age and rates for the age groups of 40～49,50～59,60～70 were 30.2%,46.1%,60.6%,respectively.Attendance rate for medical service in all was 32.4% and the preference rates for community health center,second-class hospital,third-class hospital were 9.2%,18.1%,72.7%,respectively.Quality of medical service was the main patient concern. Conclusion Community health workers should improve their knowledge concerning urinary incontinence and provide guidance for rational choices of medical institutions for the residents.
出处
《中国全科医学》
CAS
CSCD
北大核心
2011年第34期3973-3975,共3页
Chinese General Practice
关键词
尿失禁
患病率
三级医疗机构
中老年居民
Urinary incontinence
Prevalence
Third-class medical institutions
Middle-aged residents
