Choo Myung-Soo, Ku Ja Hyeon, Park Choal Hee, Lee You Sik, Lee Kyu-Sung, Lee Jeong Gu, Park Won-Hee
Department of Urology, University of Ulsan College of Medicine, Seoul, Korea.
Neurourol Urodyn. 2008;27(1):60-4. doi: 10.1002/nau.20458.
The purpose of this study was to evaluate the prevalence of nocturia in Korea, to examine the relationship between nocturia and demographic variables, and to determine the impact of nocturia on daily living.
A national telephone survey using quota sampling methods was conducted in Korea. The clinically validated computer-assisted telephone interview approach was used for the survey.
Of 2005 subjects (1,005 women and 1,000 men) interviewed, 33.5% reported voiding once per night and 48.2% twice or more per night. Nocturia increased with age among both genders and was more common among young women than young men. In all subjects, multivariate analysis indicated that female gender, older age and an overweight condition were independent risk factors. Body mass index was associated with an increased likelihood of nocturia in male but not in female subjects. In female subjects, the likelihood of at least one night-time void was related to delivery number (odds ratio 1.17, 95% confidence interval 1.04-1.32). An impact of nocturia on daily life was reported by 14.6% of subjects and only 3.8% (4.0% of men and 3.7% of women) sought medical care. Commonly reported reasons for not seeking medical care were the belief that nocturia is a normal consequence of aging or is not a disease (92.8% of subjects reporting an impact of nocturia on daily life).
Although nocturia is highly prevalent in the Korean population, it has only a minor impact on daily living, and few individuals seek medical care. Our study provides a valuable insight into the need for tailored nocturia education addressed to the population who view the condition as trivial.
本研究旨在评估韩国夜尿症的患病率，研究夜尿症与人口统计学变量之间的关系，并确定夜尿症对日常生活的影响。
在韩国采用配额抽样方法进行全国电话调查。调查采用经临床验证的计算机辅助电话访谈方法。
在接受访谈的2005名受试者（1005名女性和1000名男性）中，33.5%的人报告每晚排尿一次，48.2%的人报告每晚排尿两次或更多次。男女夜尿症患病率均随年龄增长而增加，且在年轻女性中比年轻男性中更为常见。在所有受试者中，多因素分析表明女性、年龄较大和超重是独立危险因素。体重指数与男性而非女性夜尿症发生可能性增加有关。在女性受试者中，至少夜间排尿一次的可能性与分娩次数有关（比值比1.17，95%置信区间1.04-1.32）。14.6%的受试者报告夜尿症对日常生活有影响，只有3.8%（男性为4.0%，女性为3.7%）寻求医疗护理。未寻求医疗护理的常见原因是认为夜尿症是衰老的正常结果或不是疾病（92.8%报告夜尿症对日常生活有影响的受试者）。
尽管夜尿症在韩国人群中非常普遍，但它对日常生活的影响较小，很少有人寻求医疗护理。我们的研究为针对认为该病症无关紧要的人群开展有针对性的夜尿症教育的必要性提供了有价值的见解。
