Shaw Christine, Das Gupta Roben, Williams Kate S, Assassa R Philip, McGrother Catherine
Cardiff University, Cardiff, Wales, UK.
BJU Int. 2006 Apr;97(4):752-7. doi: 10.1111/j.1464-410X.2006.06071.x.
To establish the prevalence of treatment-seeking in women with stress urinary incontinence (SUI), the extent and type of treatment provision, and the levels of unmet need in women who have and have not accessed care, as SUI in women is common but only a small proportion seek help, and there are reports suggesting that few women receive appropriate treatment.
A cross-sectional postal survey was conducted in which questionnaires were sent to a random sample of community-dwelling women aged > or = 40 years, registered with participating general practitioners (GPs) and living in Leicestershire. The questionnaires addressed urinary symptoms and their impact on quality of life, and service use in the preceding 12 months; 15 359 questionnaires were mailed and 9340 (60.8%) were returned complete.
Of the respondents, 7.7% reported SUI monthly or more often, and 15% of those had sought help. Help-seekers reported more severe symptoms and greater impact on quality of life. Most (78%) had spoken to their GP, and 77% had received some form of treatment or advice, but only 35% had received recommended treatments. The effects on quality of life were not related to treatment provision.
Most women with SUI are treated in primary care; access to appropriate treatments is poor and may, in part, be the cause of the high levels of unmet need observed in this study. Health education interventions may aid appropriate help-seeking and self-care strategies.
压力性尿失禁（SUI）在女性中很常见，但只有一小部分人寻求帮助，且有报告表明很少有女性接受适当治疗。本研究旨在确定SUI女性寻求治疗的比例、治疗的范围和类型，以及已接受和未接受治疗的女性未满足需求的程度。
开展一项横断面邮寄调查，向年龄≥40岁、在莱斯特郡参与调查的全科医生（GP）处注册且居住在当地社区的女性随机样本发送问卷。问卷涉及泌尿系统症状及其对生活质量的影响，以及过去12个月内的医疗服务使用情况；共邮寄15359份问卷，9340份（60.8%）完整返回。
在受访者中，7.7%报告每月或更频繁出现SUI，其中15%寻求过帮助。寻求帮助者报告症状更严重，对生活质量影响更大。大多数（78%）曾与她们的全科医生交谈过，77%接受过某种形式的治疗或建议，但只有35%接受了推荐的治疗。对生活质量的影响与治疗提供情况无关。
大多数SUI女性在初级保健机构接受治疗；获得适当治疗的情况较差，这可能部分是本研究中观察到的未满足需求水平较高的原因。健康教育干预可能有助于适当的寻求帮助行为和自我护理策略。
