Roe B, Doll H
Institute of Human Ageing, University of Liverpool, UK.
J Clin Nurs. 2000 Mar;9(2):178-87. doi: 10.1046/j.1365-2702.2000.00346.x.
A postal survey of two random samples of adult populations within two health authorities in the UK was undertaken during 1994. One health authority had an established continence advisory service (HA1) and the other one did not have a continence advisory service (HA2). A total of 12,529 patients (HA1, 6319; HA2, 6210) were mailed a structured questionnaire and 53% (n = 6139) returned completed questionnaires. A point prevalence of current urinary incontinence of 9% (n = 519, 95% CI, or confidence interval, from 7.9% to 9.3%) was found. A large number of people within the populations had experienced urinary incontinence at some time during their adult years (23%, n = 1427, 95% CI from 22.2% to 24.3%). People who were incontinent had a significantly lower health status than people who were continent (mean scores across all eight domains of the Short Form 36, SF36, P < 0.0001), indicative of greater health and social care needs. The prevalence of urinary incontinence in the adult populations of two communities indicates that it is a sizeable public health and primary healthcare issue.
1994年，对英国两个卫生当局辖区内的两个成年人群随机样本进行了邮政调查。其中一个卫生当局设有既定的尿失禁咨询服务（HA1），另一个则没有尿失禁咨询服务（HA2）。总共向12529名患者（HA1为6319名；HA2为6210名）邮寄了结构化问卷，53%（n = 6139）的患者返回了填写完整的问卷。发现当前尿失禁的点患病率为9%（n = 519，95%置信区间，即CI，从7.9%至9.3%）。大量人群在成年后的某个时期经历过尿失禁（23%，n = 1427，95% CI从22.2%至24.3%）。尿失禁患者的健康状况明显低于无尿失禁者（简短健康调查问卷SF36所有八个领域的平均得分，P < 0.0001），这表明他们对健康和社会护理有更大的需求。两个社区成年人群中尿失禁的患病率表明，这是一个相当大的公共卫生和初级医疗保健问题。
