Lepire Edith, Hatem Marie
Université Laval, Québec, Québec, Canada.
J Obstet Gynecol Neonatal Nurs. 2007 May-Jun;36(3):222-30. doi: 10.1111/j.1552-6909.2007.00143.x.
To describe the use of health services by primiparous women with urinary incontinence by (a) examining the quality of life of these women and (b) describing the different predictors associated with their use of health services.
This correlative study is a secondary analysis of a broader epidemiologic study.
The 382 women identified as having urinary incontinence in the main epidemiologic study in Quebec, Canada.
Consultation rate; quality of life, predictors of quality of life, and use of health services; treatments received; and reasons for not seeking help.
Consultation rate was 11.1%. Many sociodemographic, clinical, and urinary incontinence factors were significantly associated with a decreased quality of life. Only frequency of nocturia, severe urinary incontinence, use of sanitary protection, and lower scores on the quality-of-life scale were significantly associated with differences in consultation rates. Physiotherapy was the most popular treatment received (71.4%). Most women with urinary incontinence did not consult because they considered urinary incontinence to be normal (47.3%).
Few women with urinary incontinence used health services for their urinary incontinence problem despite a decreased quality of life. Health professionals need to intervene early and promptly to help women with urinary incontinence deal more adequately with urinary incontinence and to inform women on how and where to seek help.
通过（a）检查初产妇尿失禁患者的生活质量以及（b）描述与她们使用卫生服务相关的不同预测因素，来阐述初产妇尿失禁患者对卫生服务的使用情况。
这项相关性研究是一项更广泛的流行病学研究的二次分析。
在加拿大魁北克进行的主要流行病学研究中确定的382名患有尿失禁的女性。
咨询率；生活质量、生活质量的预测因素以及卫生服务的使用情况；接受的治疗；以及不寻求帮助的原因。
咨询率为11.1%。许多社会人口学、临床和尿失禁因素与生活质量下降显著相关。只有夜尿频率、严重尿失禁、使用卫生防护用品以及生活质量量表得分较低与咨询率差异显著相关。物理治疗是接受最多的治疗方法（71.4%）。大多数尿失禁女性没有咨询，因为她们认为尿失禁是正常现象（47.3%）。
尽管生活质量下降，但很少有尿失禁女性因尿失禁问题使用卫生服务。卫生专业人员需要尽早且及时地进行干预，以帮助尿失禁女性更充分地应对尿失禁问题，并告知女性如何以及在何处寻求帮助。
