McGrother C W, Jagger C, Clarke M, Castleden C M
Department of Community Health, University of Leicester.
J Epidemiol Community Health. 1990 Sep;44(3):246-8. doi: 10.1136/jech.44.3.246.
The aim was to explore the relationship between dementia, impairment of mobility, and incontinence and the implications for management.
The study was a survey of a sample population drawn from a general practice register.
A large general practice serving the entire population of Melton Mowbray, Leicestershire, UK.
Of 1329 persons aged 75 or over, 1203 (90%) took part in the survey. Of non-responders, refusers accounted for 5%, deaths 4%, and failure to trace 1%.
12% of the population complained of incontinence. No more than 24% of these cases were demented. Dementia and isolated locomotor problems were significantly associated with presence of incontinence, but 31% of cases were completely free of either problem. A minimum estimate of 56% of cases of incontinence were considered to be due to local physical disorders of the bladder.
A search for local disorders causing incontinence is important, and more attention should be paid to the management of locomotor problems and possibly depression in the relief of incontinence.
旨在探讨痴呆、行动能力受损和失禁之间的关系及其对管理的影响。
该研究是对从全科医疗登记册中抽取的样本人群进行的一项调查。
为英国莱斯特郡梅尔顿莫布雷全体居民服务的一家大型全科医疗诊所。
在1329名75岁及以上的人群中，1203人（90%）参与了调查。在未回应者中，拒绝者占5%，死亡者占4%，无法追踪者占1%。
12%的人群抱怨有失禁问题。这些病例中痴呆患者不超过24%。痴呆和单纯的运动问题与失禁的存在显著相关，但31%的病例完全没有这两个问题中的任何一个。据最低估计，56%的失禁病例被认为是由膀胱局部生理疾病引起的。
查找导致失禁的局部疾病很重要，在缓解失禁方面应更加关注运动问题的管理以及可能存在的抑郁情况。
