Department of Nursing, Soonchunhyang Univeristy, Cheonan, Korea.
Int Neurourol J. 2010 Dec;14(4):250-5. doi: 10.5213/inj.2010.14.4.250. Epub 2010 Dec 31.
Urinary incontinence (UI) has substantial and important impacts on quality of life (QoL). The purpose of this study was to identify the associated risk factors of QoL in middle-aged women with UI.
The participants were 127 women aged 40-64 years who experienced UI. Data were collected from October to November, 2008 using a self-reported questionnaires. The data were analyzed through t-test, one-way ANOVA, Scheffe test, and multiple linear regression with SPSS ver. 16.0 program.
The distribution of UI severity was mild 18.1%, moderate 40.2% and severe 41.7%. In univariate analysis, differences in the score for QoL according to participants' characteristics were statistically significant on the type of delivery, number of births and severity of UI. In multiple linear regression analysis after adjustment of other variables, the most powerful predictor of QoL is severity of UI. Number of births was also significant predictor. These two variables explained 25% of variance in QoL of women with UI.
UI is highly prevalent and causes suffering and impaired QoL among middle-aged women, but it stands beyond our attention. The results of this study suggest that women with moderate to severe UI should be screened for QoL by health care providers regularly. Further research is needed to determine comprehensive factors including psychosocial factors predicting the QoL for incontinent women.
尿失禁（UI）对生活质量（QoL）有重大且重要的影响。本研究的目的是确定中年女性 UI 患者 QoL 的相关危险因素。
参与者为 127 名 40-64 岁经历 UI 的女性。2008 年 10 月至 11 月使用自我报告问卷收集数据。使用 SPSS 16.0 程序进行 t 检验、单因素方差分析、Scheffe 检验和多元线性回归分析。
UI 严重程度的分布为轻度 18.1%、中度 40.2%和重度 41.7%。在单因素分析中，根据参与者特征的 QoL 评分差异在分娩方式、分娩次数和 UI 严重程度方面具有统计学意义。在调整其他变量后的多元线性回归分析中，QoL 的最强预测因子是 UI 的严重程度。分娩次数也是显著的预测因子。这两个变量解释了 UI 女性 QoL 变化的 25%。
UI 在中年女性中患病率很高，会导致痛苦和 QoL 受损，但却未引起足够重视。本研究结果表明，中重度 UI 女性应定期由医疗保健提供者筛查 QoL。需要进一步研究确定包括社会心理因素在内的综合因素，以预测失禁女性的 QoL。
