Yu Hong-Jeng, Wong Wai-Yan, Chen Jun, Chie Wei-Chu
Department of Urology, College of Medicine, National Taiwan University, Taipei, Taiwan.
Qual Life Res. 2003 May;12(3):327-33. doi: 10.1023/a:1023250632395.
The objective of this study was to investigate the quality of life (QOL) impact of urinary incontinence (UI) and to examine its relationship with treatment seeking in adult Taiwanese women. We conducted a cross-section in-person questionnaire interview of 1608 adult women living in the Taipei area. The characteristics and incontinence status were recorded. A short form incontinence impact questionnaire (IIQ-7) was used to evaluate the QOL impact of UI. Multiple logistic regression analysis was used to assess the determinative factors for treatment seeking. The mean IIQ-7 score of the 205 (12.7%) women who reported urinary leakage more than once per month in the preceding 12 months was 5.0 (range: 0-19), which showed a significant correlation with the severity of incontinence (r = 0.59, p < 0.001). Women with mixed type UI had a higher IIQ-7 score compared to those with stress or urge UI. Fifty-five (26.8%) incontinent women had sought medical help. Treatment seeking was highly related to IIQ-7 scores as 75% of incontinent women with an IIQ-7 score > 10 in contrast to 5% of those with an IIQ-7 score < or = 3 (p < 0.001) had sought medical care. On multiple logistic regression analysis, perceiving UI as a disease and a higher IIQ-7 score were independent factors predicting treatment seeking. We concluded that UI is a common problem that brings substantial QOL impact to Taiwanese women. The IIQ-7 questionnaire may provide a useful measurement to quantitate the degree of QOL impact, which is largely affected by the severity and type of incontinence. Women who perceive UI as a disease and those with a higher degree of QOL impact are more likely to seek medical help. Furthermore, treatment seeking in Taiwanese women with significant UI may be more common than thought as a great majority of women with higher IIQ-7 scores had sought medical help.
本研究的目的是调查尿失禁（UI）对生活质量（QOL）的影响，并探讨其与成年台湾女性寻求治疗之间的关系。我们对居住在台北地区的1608名成年女性进行了横断面的面对面问卷调查访谈。记录了她们的特征和尿失禁状况。使用简短版尿失禁影响问卷（IIQ-7）来评估UI对生活质量的影响。采用多元逻辑回归分析来评估寻求治疗的决定性因素。在过去12个月中每月漏尿不止一次的205名（12.7%）女性的IIQ-7平均得分为5.0（范围：0-19），这与尿失禁的严重程度显著相关（r = 0.59，p < 0.001）。与压力性或急迫性尿失禁的女性相比，混合性尿失禁的女性IIQ-7得分更高。55名（26.8%）尿失禁女性寻求过医疗帮助。寻求治疗与IIQ-7得分高度相关，IIQ-7得分>10的尿失禁女性中有75%寻求过医疗护理，而IIQ-7得分≤3的女性中只有5%寻求过医疗护理（p < 0.001）。在多元逻辑回归分析中，将UI视为一种疾病以及较高的IIQ-7得分是预测寻求治疗的独立因素。我们得出结论，UI是一个常见问题，给台湾女性带来了巨大的生活质量影响。IIQ-7问卷可能提供一种有用的测量方法来量化生活质量影响的程度，这在很大程度上受尿失禁的严重程度和类型影响。将UI视为一种疾病的女性以及生活质量影响程度较高的女性更有可能寻求医疗帮助。此外，患有严重UI的台湾女性寻求治疗的情况可能比想象的更普遍，因为大多数IIQ-7得分较高的女性都寻求过医疗帮助。
