Aggazzotti G, Pesce F, Grassi D, Fantuzzi G, Righi E, De Vita D, Santacroce S, Artibani W
Department of Biomedical Science (Epidemiological Methodology and Hygiene), University of Modena and Reggio Emilia, Modena, Italy.
Urology. 2000 Aug 1;56(2):245-9. doi: 10.1016/s0090-4295(00)00643-9.
To determine the prevalence of urinary incontinence among institutionalized elderly people.
A cross-sectional study was conducted on 839 subjects, resident in 14 residential or nursing homes. A questionnaire was administered to the study population and their clinical records were reviewed.
The overall prevalence of urinary incontinence was 54.5%, higher in women (59.8%) than in men (39.2%). The prevalence increased significantly with age, from 26.5% in subjects 65 years old or younger to 73.7% in subjects 95 years old or older; with worsening of mental status, from 36.2% in well-oriented subjects to 76.7% in poorly oriented subjects; and with worsening of mobility, from 23.8% in self-sufficient subjects to 82.1% in bedridden patients. The prevalence was significantly associated with parity, from 54.1% in nulliparous women to 65.4% in multiparous women. Urinary incontinence was also associated with urinary tract infection, constipation, and fecal incontinence.
The results of our study are in accordance with other similar studies. That more than one half of the elderly residents of nursing and residential homes have urinary incontinence shows the relevance of this condition. We believe that urinary incontinence in institutionalized elderly people can be managed essentially by measures of tertiary prevention, aimed at reducing the handicapping conditions and at slowing down the process of self-sufficiency impairment.
确定机构养老老年人尿失禁的患病率。
对居住在14所养老院或护理院的839名受试者进行了一项横断面研究。对研究人群进行问卷调查，并查阅他们的临床记录。
尿失禁的总体患病率为54.5%，女性（59.8%）高于男性（39.2%）。患病率随年龄显著增加，65岁及以下受试者为26.5%，95岁及以上受试者为73.7%；随精神状态恶化而增加，定向良好的受试者为36.2%，定向差的受试者为76.7%；随活动能力恶化而增加，自理受试者为23.8%，卧床患者为82.1%。患病率与产次显著相关，未生育女性为54.1%，多产女性为65.4%。尿失禁还与尿路感染、便秘和大便失禁有关。
我们的研究结果与其他类似研究一致。养老院和护理院超过一半的老年居民患有尿失禁，这表明了这种情况的相关性。我们认为，机构养老老年人的尿失禁基本上可以通过三级预防措施来管理，旨在减少致残状况并减缓自理能力受损的过程。
