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默默承受:尼日利亚扎里亚孕妇的尿失禁体验。

Suffering in silence: pregnant women's experience of urinary incontinence in Zaria, Nigeria.

机构信息

Urogynaecology Unit, Department of Obstetrics and Gynaecology, A B U Teaching Hospital Zaria, Kaduna State, Nigeria.

出版信息

Eur J Obstet Gynecol Reprod Biol. 2010 May;150(1):19-23. doi: 10.1016/j.ejogrb.2010.02.008. Epub 2010 Mar 1.

DOI:10.1016/j.ejogrb.2010.02.008
PMID:20189707
Abstract

OBJECTIVE

To determine the prevalence and severity of urinary incontinence during pregnancy in Zaria, Nigeria.

STUDY DESIGN

This was a descriptive, cross-sectional study in which 204 apparently healthy pregnant women attending routine antenatal care (ANC) at the Ahmadu Bello University (ABU) Teaching Hospital in Zaria, Nigeria were screened for urinary incontinence using the International Consultation on Incontinence Questionnaire on Urinary Incontinence (ICIQ-UI Short Form) UK English Version. Nurses working in the antenatal clinic were trained on how to help respondents (most of whom were not literate) to respond to the questions. Uni- and bivariate analysis was performed on the data using SPSS version 15 for Windows.

RESULTS

The prevalence rate of all types of urinary incontinence during pregnancy was 21.1% in the study population. Stress urinary incontinence was the most common type accounting for 60.5%. The majority of the expectant mothers (74.4%) reported leaking no more than once a week; in 90% of them the volume was small in amount. The modal ICIQ score for urinary incontinence was 3 for the study population. The majority (83.4%) of the incontinent women felt their symptom did not interfere with their daily routines.

CONCLUSIONS

About one-fifth of pregnant women in this setting experienced urinary incontinence which they did not report to their primary care providers. Awareness needs to be created for antenatal clients and providers on how to recognize symptoms and manage them. The ICIQ questionnaire has simplified this process.

摘要

目的

在尼日利亚扎里亚确定怀孕期间尿失禁的患病率和严重程度。

研究设计

这是一项描述性的、横断面研究,研究中对 204 名在尼日利亚扎里亚的阿布贾大学教学医院接受常规产前护理(ANC)的明显健康孕妇进行了尿失禁筛查,使用国际尿失禁咨询问卷尿失禁简短问卷(ICIQ-UI 简短形式)英国英语版。在产前诊所工作的护士接受了如何帮助受访者(其中大多数人不识字)回答问题的培训。使用 Windows 版 SPSS 15 对数据进行单变量和双变量分析。

结果

在研究人群中,怀孕期间所有类型尿失禁的患病率为 21.1%。压力性尿失禁是最常见的类型,占 60.5%。大多数孕妇(74.4%)报告每周漏尿不超过一次;在 90%的情况下,漏尿量很小。研究人群的 ICIQ 尿失禁评分中位数为 3。大多数(83.4%)尿失禁的女性认为她们的症状不影响日常生活。

结论

在这种情况下,约五分之一的孕妇经历了尿失禁,但她们没有向初级保健提供者报告。需要提高产前患者和提供者对如何识别和管理症状的认识。ICIQ 问卷简化了这一过程。

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