Badia Llach X, Castro Díaz D, Perales Cabañas L, Pena Outeriño J M, Martínez-Agulló E, Conejero Sugrañés J, Arañó Beltrán P, Marqués Queimadelos A, Roset Gamisans M, Perulero Escobar N
Institut de Salut Pública de Catalunya, Universidad de Barcelona.
Actas Urol Esp. 1999 Jul-Aug;23(7):565-72.
To prepare and validate a simple and self-administered questionnaire for the clinical rating of patients with urinary incontinence (UI) for use in the clinical practice.
The questionnaire was prepared based on a review of the literature on urinary incontinence and the views of 7 urodynamic urologists. The initial questionnaire UI-5 included 5 items related to UI symptoms that divided patients into three categories: stress incontinence (UEI), urge incontinence (UUI) or mixed urinary incontinence (MUI). An additional question evaluates the impact of UI type on the quality of life. The of construct validity was analyzed correlating the responses to UI-5 items and the question on quality of life. The area under the ROC curve was calculated for each UI type correlating the UI-5 scores and the results of the urodynamic test. The cut-off values for each scale were determined based on sensitivity (SE) and specificity (SP).
The study included 188 females with UI (73.4% with UEI, 13.3% with UUI and 13.3% with MUI; based on the urodynamics). Only 4.3% patients did not answer some UI-5 items. One item related to the protective material used was excluded as it was not related to UI types, and so the final questionnaire included only 4 items (UI-4). The results show that UI-4 discriminates the different types of incontinence: UEI (SE: 0.69/SP: 0.76; 1 item), UUI (SE: 0.83/SP: 0.65; 2 items), MUI (SE: 0.72/SP: 0.65; 1 item). 100% patients with MUI, 84% with UUI and 59.9% with UEI report some impact on their quality of life.
UI-4 is simple, valid and easy to administer, and can be particularly valuable in the clinical rating of UI in settings where urodynamic testing is not easily available such is primary health care.
准备并验证一份简单的、可自行填写的问卷，用于尿失禁（UI）患者的临床评级，以应用于临床实践。
该问卷是在回顾尿失禁相关文献以及7位尿动力学泌尿科医生的意见基础上编制的。最初的问卷UI-5包含5个与UI症状相关的项目，将患者分为三类：压力性尿失禁（UEI）、急迫性尿失禁（UUI）或混合性尿失禁（MUI）。另一个问题评估UI类型对生活质量的影响。通过将对UI-5项目的回答与生活质量问题进行关联分析结构效度。计算每种UI类型的ROC曲线下面积，将UI-5评分与尿动力学测试结果进行关联。根据敏感性（SE）和特异性（SP）确定每个量表的临界值。
该研究纳入了188名患有UI的女性（根据尿动力学，73.4%为UEI，13.3%为UUI，13.3%为MUI）。只有4.3%的患者未回答部分UI-5项目。一个与所使用的防护材料相关的项目被排除，因为它与UI类型无关，因此最终问卷仅包含4个项目（UI-4）。结果表明，UI-4能够区分不同类型的尿失禁：UEI（SE：0.69/SP：0.76；1个项目），UUI（SE：0.83/SP：0.65；2个项目），MUI（SE：0.72/SP：0.65；1个项目）。100%的MUI患者、84%的UUI患者和59.9%的UEI患者报告其生活质量受到了一定影响。
UI-4简单、有效且易于实施，在尿动力学测试不易进行的环境（如初级卫生保健机构）中，对于UI的临床评级可能具有特别重要的价值。
