Ito Hiroki, Hagiwara Masayuki, Furuuchi Toru, Kanai Kunimitsu, Kodaira Kiichiro, Ninomiya Akiharu, Nakamura So
The Department of Urology, Saiseikai Central Hospital, Japan.
Hinyokika Kiyo. 2010 May;56(5):255-9.
The differences in quality of life (QOL) impairment due to urinary incontinence between elderly and younger women were evaluated using King's Health Questionnaire (KHQ) and International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF). The subjects were 313 women who consulted the Women's Urinary Incontinence Clinic of Saiseikai Central Hospital between March, 2005 and January, 2008. They were divided into those below or above the cut-off age of 55, 60 or 65 years. The difference in QOL impairment was greatest when the cut-off age was 60 years. Similar comparisons were made by dividing the subjects into those aged 65-74 years and those aged 75 years and above, but no significant difference was noted in the score of any KHQ domain or ICIQ-SF between the two groups. The stress urinary incontinence occurred in younger women and caused the severest impairment. The response rate to KHQ in this study was low especially in the elderly, but that to ICIQ-SF was as high in the elderly as in younger age group. Social activities and lifestyle change around age 60 were considered to be associated with the change of QOL impairment in women with urinary incontinence. The stress urinary incontinence caused the severest impairment. KHQ was often difficult for the elderly to complete, but, ICIQ-SF seemed to be easy.
使用国王健康问卷（KHQ）和国际尿失禁咨询问卷简表（ICIQ-SF）评估老年女性和年轻女性因尿失禁导致的生活质量（QOL）损害差异。研究对象为2005年3月至2008年1月期间在西医院妇女尿失禁诊所就诊的313名女性。她们被分为55岁、60岁或65岁临界年龄以下或以上的人群。当临界年龄为60岁时，生活质量损害差异最大。通过将研究对象分为65 - 74岁组和75岁及以上组进行类似比较，但两组之间在任何KHQ领域得分或ICIQ-SF上均未发现显著差异。压力性尿失禁发生在年轻女性中，造成的损害最严重。本研究中KHQ的应答率较低，尤其是在老年人中，但ICIQ-SF在老年人中的应答率与年轻年龄组一样高。60岁左右的社交活动和生活方式变化被认为与尿失禁女性生活质量损害的变化有关。压力性尿失禁造成的损害最严重。老年人通常难以完成KHQ，但ICIQ-SF似乎很容易。
