Chen Yi-Ming, Hwang Shinn-Jang, Chen Liang-Kung, Chen Der-Yuan, Lan Chung-Fu
Division of Allergy, Immunology and Rheumatology, Department of Internal Medicine, Taipei, Taiwan.
Neurourol Urodyn. 2009;28(4):335-8. doi: 10.1002/nau.20628.
To explore prevalence and related factors for urinary incontinence (UI) among the oldest old institutionalized Chinese men in Taiwan.
All residents living in Banciao Veterans Care Home were invited for study. UI was defined as urinary leakage at least once weekly. Additional data items from the Minimum Data Set (MDS Nursing Home Chinese Version 2.1) were used to explore impact associated with physical function, cognitive status and quality of life (social engagement, SocE). Depressive symptoms were screened by the Short Form Geriatric Depression Scale.
Data from 594 male residents (mean age: 80.9 +/- 5.3 years) were analyzed. Among all study subjects, 92.8% were functionally independent, 20.4% had certain cognitive impairment and 8.2% had depressive symptoms. The prevalence of UI in the Banciao Veterans Care Home was 10.1%. Compared with residents without UI, subjects with UI had poorer physical function, cognitive status, and more depressive symptoms. The mean SocE score was 1.5 +/- 1.3, and was similar between UI (+) and UI (-) subjects (1.4 +/- 1.2 vs. 1.6 +/- 1.3, P = 0.411). By multivariate logistic regression, poorer physical functional status, cognitive impairment and depressive symptoms were independent risk factors for UI (P < 0.05).
Poorer physical function, poorer cognitive status and depressive symptoms were all statistically significant independent risk factors for UI. However, SocE score (proxy indicator of quality of life) did not differ between subjects with and without UI. Further investigations are needed to evaluate the impact of UI on quality of life among oldest old institutionalized Chinese men in Taiwan.
探讨台湾地区高龄男性机构养老者尿失禁（UI）的患病率及相关因素。
邀请板桥荣民之家的所有居民参与研究。尿失禁定义为每周至少发生一次漏尿。使用最小数据集（中文版MDS护理之家2.1）中的其他数据项来探讨与身体功能、认知状态和生活质量（社会参与度，SocE）相关的影响因素。采用老年抑郁量表简版筛查抑郁症状。
分析了594名男性居民（平均年龄：80.9±5.3岁）的数据。在所有研究对象中，92.8%功能独立，20.4%有一定程度的认知障碍，8.2%有抑郁症状。板桥荣民之家尿失禁的患病率为10.1%。与无尿失禁的居民相比，有尿失禁的居民身体功能、认知状态较差，抑郁症状更多。平均社会参与度得分是1.5±1.3，尿失禁阳性组和尿失禁阴性组之间相似（1.4±1.2 vs. 1.6±1.3，P = 0.411）。多因素逻辑回归分析显示，身体功能状态较差、认知障碍和抑郁症状是尿失禁的独立危险因素（P < 0.05）。
身体功能较差、认知状态较差和抑郁症状均为尿失禁具有统计学意义的独立危险因素。然而，社会参与度得分（生活质量的替代指标）在有尿失禁和无尿失禁的受试者之间没有差异。需要进一步研究来评估尿失禁对台湾地区高龄男性机构养老者生活质量的影响。
