Chen Fong-Ying, Dai Yu-Tzu, Liu Chih-Kuang, Yu Hong-Jeng, Liu Cheng-Ying, Chen Tony Hsiu-Hsi
School of Nursing, Hung Kuang University, Taichuang County, Taiwan, Republic of China.
Int Urogynecol J Pelvic Floor Dysfunct. 2007 Apr;18(4):431-6. doi: 10.1007/s00192-006-0167-x. Epub 2006 Jul 28.
We investigated the perception of nocturia and possible explanatory factors for medical consultation among community-dwelling women. Between October 2004 and February 2005, women aged > or =40 years living in Matsu, Taiwan, who were identified as having nocturia in a previous epidemiological survey, were interviewed with a questionnaire eliciting information about nocturia-specific quality of life impact (N-QOL), perceptions of nocturia, and medical-consultation behavior. A total of 328 women completed this study. Of these, 187 (57%), 99 (30.2%), 30 (9.1%), and 12 (3.7%) reported one, two, three, and four or more nocturia episodes, respectively, per night during the past 4 weeks. Most women attributed nocturia to aging or excessive fluid intake and had a lack of medical information. Overall, only 13.1% had visited a doctor for this condition. Nocturia episodes [> or = three vs <three, odds ratio (OR) 3.8], N-QOL score (OR 2.0, per 10-point decrement), linking nocturia to a disease (OR 2.9), and medical information (OR 2.2) were independent factors associated with medical-consultation, whereas the lack of knowledge that nocturia was treatable appeared to be an important barrier to medical-consultation. Only 62.8% of the women were offered treatment upon consultation, even though nearly half of those treated reported significant improvement. A few women with nocturia have sought medical help, which appears to be affected by a compendium of factors. This study suggests that more information about nocturia should be provided to health providers and patients to identify and meet their most essential needs.
我们调查了社区居住女性对夜尿症的认知以及就医的可能解释因素。在2004年10月至2005年2月期间，对居住在台湾马祖、年龄≥40岁且在之前的流行病学调查中被确定患有夜尿症的女性进行问卷调查，以获取有关夜尿症特定生活质量影响（N-QOL）、夜尿症认知和就医行为的信息。共有328名女性完成了这项研究。其中，187名（57%）、99名（30.2%）、30名（9.1%）和12名（3.7%）女性分别报告在过去4周内每晚有1次、2次、3次以及4次或更多次夜尿发作。大多数女性将夜尿症归因于衰老或液体摄入过多，并且缺乏医学信息。总体而言，只有13.1%的女性因这种情况看过医生。夜尿发作次数[≥3次与<3次，比值比（OR）为3.8]、N-QOL评分（OR为2.0，每降低10分）、将夜尿症与疾病联系起来（OR为2.9）以及医学信息（OR为2.2）是与就医相关的独立因素，而不知道夜尿症可治疗似乎是就医的一个重要障碍。即使近一半接受治疗的女性报告有显著改善，但只有62.8%的女性在咨询时得到了治疗。少数患有夜尿症的女性寻求了医疗帮助，这似乎受到一系列因素的影响。这项研究表明，应该向医疗服务提供者和患者提供更多关于夜尿症的信息，以识别并满足他们最基本的需求。
