摘要
目的了解成年女性尿失禁的流行现状和生活质量,探讨影响其生活质量的相关因素。方法在问卷星平台随机对1000例成年女性进行问卷调查,包括调查对象的一般情况(年龄、教育程度、职业、人均月收入、生活环境、是否分娩、生过几个孩子、分娩方式、月经状况)、尿失禁诊断问卷简体中文版、尿失禁生活质量问卷。将尿失禁患者生活质量得分作为因变量,年龄、教育程度、职业、人均月收入、生活环境、是否分娩、生过几个孩子、分娩方式、月经状况、尿失禁亚型作为自变量,其中年龄为连续变量,其他自变量为分类变量,采用广义线性回归模型分析尿失禁患者生活质量的影响因素。结果共获得有效问卷915份。被调查对象的年龄≥24岁,平均(36.39±8.8)岁。成年女性尿失禁的检出率为21%,其中压力性尿失禁、急迫性尿失禁、混合性尿失禁的检出率分别为16.7%,7.2%和3.0%,压力性尿失禁占比最高。30岁以上女性随着年龄增长,尿失禁的检出率增加(P<0.05),高峰年龄段为60岁以上人群,检出率为42.9%。混合性尿失禁人群生活质量较低,其生活质量总分低于压力性尿失禁、急迫性尿失禁人群(P<0.05)。对尿失禁人群生活质量的影响因素进行分析显示,人均月收入≤2000元/月(与人均月收入≥10000元/月比较)、家住城镇和农村(与外地务工人员比较)、都是剖宫产(与顺产、剖宫产都有的人群比较)、压力性尿失禁和急迫性尿失禁人群(与混合性尿失禁人群比较)生活质量得分较高(P<0.05)。结论成年女性人群尿失禁检出率较高,其中压力性尿失禁是最常见的亚型,年龄越大,尿失禁检出率越高。尿失禁人群生活质量与其收入、生活环境、分娩方式、尿失禁的亚型相关,对收入高、外地务工人员、顺产、剖宫产都有、混合性尿失禁患者应给予重点关注。
【Objective】To understand the prevalence and quality of life of adult female urinary incontinence,and to explore the related factors affecting their quality of life.【Methods】One thousand adult women were randomly surveyed on the questionnaire platform,including the general information of the respondents(age,education level,occupation,per capita monthly income,living environment,whether or not to give birth,how many children were born,delivery mode,menstrual status),urinary incontinence diagnosis questionnaire(simplified Chinese version),and urinary incontinence quality of life questionnaire.Taking the life quality score of urinary incontinence patients as the dependent variable,age,education level,occupation,per capita monthly income,living environment,whether or not to give birth,how many children have been born,delivery mode,menstrual status,and urinary incontinence subtype as the independent variable,in which age is a continuous variable,and other independent variables are categorical variable,the influencing factors of life quality of urinary incontinence patients were analyzed by using the generalized linear regression model.【Results】A total of 915 valid questionnaires were obtained.The age of the surveyed subjects is≥24 years old,with an average of 36.39±8.8 years old.The detection rate of adult female urinary incontinence was 21%,of which the detection rates of stress urinary incontinence,urgent urinary incontinence and mixed urinary incontinence were 16.7%,7.2%and 3.0%,respectively,and stress urinary incontinence accounted for the highest proportion.The detection rate of urinary incontinence increased with the age of women over 30 years old(P<0.05),and the peak age group was the population aged 60 and above,with a detection rate of 42.9%.The quality of life of mixed urinary incontinence was lower than that of stress urinary incontinence and urgent urinary incontinence(P<0.05).The analysis of the influencing factors of the quality of life of the population with urinary incontinence shows that people with a per capita monthly income of≤2000 yuan/month(compared with the per capita monthly income of≥10000 yuan/month),people living in urban and rural areas(compared with migrant workers),people who are all caesarean section(compared with those who have both natural and caesarean section deliveries),people who have stress urinary incontinence and people who have urgent urinary incontinence(compared with people with mixed urinary incontinence)have higher scores of quality of life,and the difference is statistically significant(P<0.05).【Conclusion】The detection rate of urinary incontinence in adult female population is high,and stress urinary incontinence is the most common subtype.The older the age,the higher the detection rate of urinary incontinence.The quality of life of urinary incontinence population is related to its income,living environment,delivery mode and urinary incontinence subtype.Special attention should be paid to patients with high income,migrant workers,spontaneous labor,caesarean section and mixed urinary incontinence.
作者
邓玲
高莉莎
DENG Ling;GAO Lisha(Health Medicine Department,Yueyang People's Hospital,Yueyang,Hunan 414000,China;Department of Gynecology,Taojiang County People's Hospital,Yiyang,Hunan 413400,China)
出处
《中国医学工程》
2023年第9期95-100,共6页
China Medical Engineering
关键词
尿失禁
影响因素
生活质量
urinary incontinence
influencing factors
quality of life
作者简介
通信作者:高莉莎,E-mail:124107164@qq.com,Tel:17726170421。
