Howard Faith, Steggall Martin
Cancer Services, Barts and the London NHS Trust.
Br J Nurs. 2010;19(12):742, 744, 746, 748-9. doi: 10.12968/bjon.2010.19.12.48651.
Urinary incontinence on its own is not considered life-threatening, yet it has been shown to negatively affect a patient's wellbeing. While it is considered a common problem, with approximately 3 million women in the UK affected, the number of those women seeking help is much lower. This article will explore the relationship between urinary incontinence, quality of life (QoL), and barriers to help-seeking behaviour. Developing an understanding of this patient group will highlight implications for nursing practice. A number of factors appear to contribute to how women experience urinary incontinence, and how it impacts on QoL. While not all of these can be fully explored, the predominant factors appear to be: severity of urinary incontinence; type of urinary incontinence; age; and the actual QoL score itself. QoL 'scores' are significant when women decide whether or not to seek help for urinary incontinence. Seeking help often depends on beliefs and an understanding of how the condition can be treated. Health promotion, the training of health professionals, and further research are required to improve the understanding of women's experiences, and to develop appropriate services with which to manage this condition.
尿失禁本身并不被认为会危及生命,但已证明它会对患者的健康产生负面影响。虽然它被视为一个常见问题,在英国约有300万女性受其影响,但寻求帮助的女性人数要少得多。本文将探讨尿失禁、生活质量(QoL)以及寻求帮助行为的障碍之间的关系。深入了解这一患者群体将凸显对护理实践的启示。许多因素似乎都对女性如何体验尿失禁以及它如何影响生活质量有所影响。虽然并非所有这些因素都能得到充分探讨,但主要因素似乎包括:尿失禁的严重程度;尿失禁的类型;年龄;以及实际的生活质量得分本身。当女性决定是否为尿失禁寻求帮助时,生活质量“得分”很重要。寻求帮助通常取决于信念以及对该病症如何治疗的理解。需要进行健康促进、对健康专业人员的培训以及进一步的研究,以增进对女性经历的理解,并开发出管理这种病症的适当服务。