Oh Seung-June, Ku Ja Hyeon
Department of Urology, Seoul National University Hospital, Seoul, South Korea.
Int Urogynecol J Pelvic Floor Dysfunct. 2007 Jan;18(1):65-71. doi: 10.1007/s00192-006-0112-z. Epub 2006 Mar 31.
We examined the impact of stress urinary incontinence (SUI) and overactive bladder (OAB) on micturition habits and health-related quality of life (QOL). A total of 250 Korean women were included in the study. The Medical Outcomes Study Short Form (SF-36) and the King's Health Questionnaire (KHQ) were used to assess QOL in the patient (SUI, n=158 and OAB, n=92) and control (n=70) groups. A control group was recruited at the Health Promotion Center of our hospital. Each of the dimension scores in the SF-36 represents better health, while that of the KHQ does worse health perception. On the frequency-volume charts, patients with OAB had more nighttime voids than those with SUI (P=0.001). Of the eight domains in the SF-36 questionnaire, four domains were significantly different between the control and OAB groups. Patients with SUI had a significantly lower score on one domain than the controls. Between the SUI and OAB groups, only one domain showed a significant difference. Regarding the KHQ, all domain scores in control subjects were significantly lower than those in the SUI and OAB groups. Between the SUI and OAB groups, the OAB group had higher scores on 'general health perception' and 'sleep/energy disturbances', while the scores of 'physical limitations' and 'severity measures' were higher in the SUI group. Women with OAB have a higher number of nocturic episodes than those with SUI, but the QOL is not less affected by SUI than by OAB. Furthermore, simultaneous disease-specific QOL instruments should be used in the evaluation of urinary incontinence because the generic QOL instrument is not a sensitive tool for measuring QOL in this population.
我们研究了压力性尿失禁（SUI）和膀胱过度活动症（OAB）对排尿习惯及健康相关生活质量（QOL）的影响。共有250名韩国女性纳入本研究。采用医学结局研究简表（SF - 36）和国王健康问卷（KHQ）评估患者（SUI组，n = 158；OAB组，n = 92）及对照组（n = 70）的生活质量。对照组在我院健康促进中心招募。SF - 36中各维度得分越高代表健康状况越好，而KHQ中得分越高代表健康感知越差。在频率 - 尿量图表上，OAB患者夜间排尿次数多于SUI患者（P = 0.001）。在SF - 36问卷的八个领域中，对照组与OAB组之间有四个领域存在显著差异。SUI患者在一个领域的得分显著低于对照组。SUI组与OAB组之间，仅一个领域存在显著差异。关于KHQ，对照组所有领域得分均显著低于SUI组和OAB组。SUI组与OAB组之间，OAB组在“总体健康感知”和“睡眠/精力障碍”方面得分较高，而SUI组在“身体限制”和“严重程度测量”方面得分较高。与SUI患者相比，OAB女性夜间排尿次数更多，但SUI对生活质量的影响并不亚于OAB。此外，在评估尿失禁时应同时使用特定疾病的生活质量评估工具，因为通用的生活质量评估工具并非测量该人群生活质量的敏感工具。
