85岁及以上社区居住老年人尿失禁和下尿路症状的患病率。

Prevalence of urinary incontinence and lower urinary tract symptoms for community-dwelling elderly 85 years of age and older.

作者信息

Song Hyo Jeong, Bae Jong Myon

机构信息

Department of Nursing, College of Medicine, Cheju National University, Jeju-do, South Korea.

出版信息

J Wound Ostomy Continence Nurs. 2007 Sep-Oct;34(5):535-41. doi: 10.1097/01.WON.0000290733.15947.d7.

DOI:10.1097/01.WON.0000290733.15947.d7

PMID:17876216

Abstract

OBJECTIVE

We sought to identify the prevalence of urinary incontinence (UI) and lower urinary tract symptoms (LUTS) and to evaluate the risk factors of community-dwelling South Korean elders for developing UI.

DESIGN

We undertook a cross-sectional study based on interviews using a structured questionnaire.

SETTING AND SUBJECTS

One hundred thirty-five community-dwelling elders, aged 85 years and older residing in 9 villages of Jeju Island, South Korea, were interviewed. Of 218 persons registered by the provincial government, interviews with 135 (62%) persons were completed.

METHODS

Between April 5, 2004 and May 31, 2004, a researcher or 1 of 3 research assistants visited each subject's home. The interview took approximately 40 minutes to complete. Data were recorded by a research assistant and interviews were performed by the primary investigator or research assistant.

INSTRUMENTS

LUTS severity was assessed by the Korean version of the International Prostate Symptom Score (IPSS) (7 items), and 3 additional items that specifically queried Urinary Incontinence (UI). Cognitive function and depression were assessed using the Korean version of the Mini Mental State Examination (MMSE-K) (13 items) and Geriatric Depression Scale Short Form Korean Version (GDSSF-K) (15 items).

RESULTS

Forty-seven elderly (34.8%) reported UI more than once a week during the prior 12 months. Mixed UI symptoms were reported by 29 subjects (61.7%), pure urge UI symptoms by 16 (34.0%), and pure stress UI symptoms by 2 respondents (4.3%). The mean IPSS score of the subjects was 6.0 +/- 6.3 (range: 0-35). Risk factors for developing UI were moderate (odds ratio (OR) 17.6; 95% confidence interval (CI) 6.87-45.30) and severe LUTS (OR 36.5; 95% CI 3.86-345.07) measured by the IPSS.

CONCLUSIONS

UI was found to affect 34.8% (47) of the community-dwelling elders 85 years or older in this study and mixed UI symptoms were predominant. LUTS was associated with an increased risk of UI.

摘要

目的

我们试图确定尿失禁（UI）和下尿路症状（LUTS）的患病率，并评估韩国社区居住老年人发生UI的风险因素。

设计

我们采用结构化问卷进行访谈，开展了一项横断面研究。

设置与研究对象

对居住在韩国济州岛9个村庄的135名85岁及以上的社区居住老年人进行了访谈。在省政府登记的218人中，完成了对135人（62%）的访谈。

方法

2004年4月5日至2004年5月31日期间，一名研究人员或三名研究助理中的一名走访了每位受试者的家中。访谈大约需要40分钟完成。数据由一名研究助理记录，访谈由首席研究员或研究助理进行。

工具

使用韩国版国际前列腺症状评分（IPSS）（7项）以及另外3项专门询问尿失禁（UI）的项目评估LUTS严重程度。使用韩国版简易精神状态检查表（MMSE-K）（13项）和老年抑郁量表简表韩国版（GDSSF-K）（15项）评估认知功能和抑郁情况。

结果

47名老年人（34.8%）报告在过去12个月中每周尿失禁超过一次。29名受试者（61.7%）报告有混合性UI症状，16名（34.0%）报告有单纯急迫性UI症状，2名受访者（4.3%）报告有单纯压力性UI症状。受试者的平均IPSS评分为6.0±6.3（范围：0 - 35）。根据IPSS测量，发生UI的风险因素为中度（比值比（OR）17.6；95%置信区间（CI）6.87 - 45.30）和重度LUTS（OR 36.5；95% CI 3.86 - 345.07）。