Liao Yuan-Mei, Yang Chyn-Yng, Kao Ching-Chiu, Dougherty Molly C, Lai Yeur-Hur, Chang Yuanmay, Chen Hsiao-Lien, Chang Lu-I
College of Nursing, Taipei Medical University, 250 Wu-Xin Street, Taipei 110, Taiwan.
Int J Nurs Stud. 2009 May;46(5):633-44. doi: 10.1016/j.ijnurstu.2008.12.001. Epub 2009 Jan 19.
Previous studies about the prevalence and impact of lower urinary tract symptoms (LUTS) were focused on urinary incontinence or overactive bladder in the general population. Little research has been focused on the role that the workplace has in employed women's experiences with LUTS or the impact of LUTS on their health-related quality of life (HRQL).
To estimate the prevalence of LUTS among employed female nurses in Taipei and to compare the HRQL for nurses with and without LUTS.
This study was a cross-sectional, questionnaire survey.
Three medical centers and five regional hospitals in Taipei were selected randomly.
In the selected hospitals, 1065 female nurses were selected randomly. Data analyses were based on 907 usable surveys. All participants were native Taiwanese; most of the female nurses were 26-35 years of age (mean=31.02, SD=6.32), had normal body mass index, and had never given birth. Most nurses' bladder habits were poor or very poor and their personal habits of fluid consumption at work were inadequate.
Data were collected using the Taiwan Nurse Bladder Survey and the Short Form 36 Taiwan version. Chi-square tests were used to compare the prevalence rates of different LUTS for nurses in different age groups. Student's t-tests were conducted to compare the mean scores of HRQL for nurses with and without LUTS.
Based on 907 usable surveys, 590 (65.0%) experienced at least one type of LUTS. The prevalence for different LUTS ranged from 8.0% to 46.5%. Nurses who reported LUTS also reported lower HRQL, more so on physical health than mental health, than nurses who did not report LUTS.
Although most of the nurses in this study were young (< or =35 years) and nulliparous, LUTS were common among this group. The high prevalence rate of LUTS leads to concerns about nurses' possible dysfunctional voiding patterns and possible effects of working environment and poor bladder and personal habits on LUTS. Study results showed a possible negative impact of LUTS on nurses' physical health. Designing a continence-related education program for this group is essential for delivering information about LUTS prevention and management.
以往关于下尿路症状（LUTS）患病率及其影响的研究主要集中在普通人群中的尿失禁或膀胱过度活动症。很少有研究关注工作场所对职业女性LUTS经历的影响，以及LUTS对其健康相关生活质量（HRQL）的影响。
估计台北市职业女性护士中LUTS的患病率，并比较有和没有LUTS的护士的HRQL。
本研究为横断面问卷调查。
随机选择台北市的三家医学中心和五家区域医院。
在选定的医院中，随机选择1065名女性护士。数据分析基于907份可用问卷。所有参与者均为台湾本地人；大多数女性护士年龄在26 - 35岁之间（平均 = 31.02，标准差 = 6.32），体重指数正常，且从未生育。大多数护士的膀胱习惯较差或非常差，她们在工作中的个人饮水习惯也不充足。
使用台湾护士膀胱调查问卷和台湾版简短健康调查问卷（SF - 36）收集数据。采用卡方检验比较不同年龄组护士不同LUTS的患病率。采用学生t检验比较有和没有LUTS的护士的HRQL平均得分。
基于907份可用问卷，590名（65.0%）至少经历过一种类型的LUTS。不同LUTS的患病率在8.0%至46.5%之间。报告有LUTS的护士的HRQL也低于未报告LUTS的护士，在身体健康方面比心理健康方面更明显。
尽管本研究中的大多数护士年龄较轻（≤35岁）且未生育，但LUTS在这一群体中很常见。LUTS的高患病率引发了对护士可能存在的排尿功能障碍模式以及工作环境、不良膀胱和个人习惯对LUTS可能产生的影响的担忧。研究结果显示LUTS可能对护士的身体健康产生负面影响。为该群体设计一项与尿失禁相关的教育计划对于提供有关LUTS预防和管理的信息至关重要。
