中国全科医学2024，Vol.27Issue(10)：1252-1260,9.DOI:10.12114/j.issn.1007-9572.2023.0486
贵州省40～60岁女性尿失禁的流行病学调查及其对生活质量的影响研究
Epidemiological Survey of Urinary Incontinence and Its Impact on Quality of Life in Women Aged 40-60 Years in Guizhou Province
摘要
Abstract
Background Urinary incontinence often occurs in women aged 40-60 years and contributes to a significant impact on women's physical health and quality of life.Objective To explore the prevalence and influencing factors of urinary incontinence and its impact on quality of life in women aged 40-60 years in Guizhou Province.Methods From June 2022 to January 2023,women aged 40-60 years who underwent health checkups in 10 hospitals in 7 regions of Guizhou Province were selected as the study subjects.A self-designed general data questionnaire was used to collect the basic data of the study subjects,and International Consultation on Incontinence Questionnaire-Female Lower Urinary Tract Symptoms(ICIQ-FLUTS)and Incontinence Quality of Life Measure(I-QoL)were used to determine the severity of urinary incontinence and the level of quality of life of the study subjects,respectively.Different types of incontinence,including stress incontinence,urge incontinence,and mixed incontinence,were determined according to the diagnostic criteria established by the International Continence Society(ICS).Multivariate Logistic regression analysis was used to explore the influencing factors of urinary incontinence,and explore the effects of different types and severity levels of urinary incontinence on patients'quality of life.Results A total of 3 000 questionnaires were distributed,and 2 966 valid questionnaires were collected,with a valid recovery rate of 98.9%.The prevalence of urinary incontinence among the 2 966 study subjects was 33.4%(991/2 966),including 20.1%(596/2 966)for stress incontinence,2.0%(58/2 966)for urge incontinence,and 11.4%(337/2 966)for mixed incontinence.Multivariate Logistic regression analysis showed that physical exercise,menstrual status,parity,history of pelvic organ prolapse,perineal laceration,and lateral episiotomy were the influencing factors of stress incontinence(P<0.05);history of pelvic surgery,number of miscarriages,and neonatal weight were the influencing factors of urge incontinence(P<0.05),waist circumference,history of chronic pelvic pain,pelvic organ prolapse,perineal laceration were factors associated with mixed incontinence(P<0.05).The total score of I-QoL,scores of behavioral limitations,psychological impact,and social activities impairment were lower in patients with mixed incontinence than those with stress and urge incontinence(P<0.05);the total score of I-QoL,scores of behavioral limitations,psychological impact,and social activity impairment were lower in the severe incontinence patients than those with mild and moderate incontinence(P<0.05).Conclusion Guizhou Province has a higher prevalence of urinary incontinence of 33.41%in women aged 40-60 years,influencing factors differ for different types of urinary incontinence,mixed incontinence and severe urinary incontinence have the greatest impact on patients'quality of life,to provide a reference basis for prevention and health management in this population.关键词
尿失禁/尿失禁,压力性/尿失禁,急迫性/混合性尿失禁/生活质量/流行病学/贵州省Key words
Urinary incontinence/Urinary incontinence,stress/Urinary incontinence,urge/Mixed urinary incontinence/Quality of life/Epidemiology/Guizhou province分类
医药卫生引用本文复制引用
吴春艳,高艳,杨秀英,许海娜,卢然,冉利梅,邓映岚,赵平,胡仕秀,吴小燕,朱焱,黎香彦,谢正州,王蓉..贵州省40～60岁女性尿失禁的流行病学调查及其对生活质量的影响研究[J].中国全科医学,2024,27(10):1252-1260,9.基金项目
贵州省科技计划项目(黔科合成果-LC[2022]003) （黔科合成果-LC[2022]003）
中国健康促进基金会博士联盟项目(横向课题) （横向课题）
贵州医科大学附属医院院内课题项目(2021-GMHCT-011) （2021-GMHCT-011）
贵阳市科技计划项目(科筑合同[2022]-4-2-1) （科筑合同[2022]-4-2-1）
