Mladenović Segedi Ljiljana, Segedi Dimitrije, Parezanović Ilić Katarina
Clinical Center of Vojvodina, Clinic of Gynecology and Obstetrics, Novi Sad, Serbia.
Med Glas (Zenica). 2011 Aug;8(2):237-42.
To determine the characteristics of urinary incontinence and its impact on the quality of life in adult women with urinary incontinence who presented to a tertiary care clinic of Vojvodina from September 2008 to May 2009 for treatment
We used a prospective case-control study. Cases were defined as patients (47) with urinary incontinence symptoms. Controls (50) were defined as patients without urinary incontinence who presented to a tertiary care gynecology clinic for other reasons. Both, cases and controls, completed two questionnaires recommended for the evaluation of symptoms, The Urinary Distress Inventory, and quality of life impact The Urinary Impact Questionnaire.
There was a significant correlation between aging (r=0.614; p<0.01), body mass index (r=0.357; p<0.01) and menopause (r= -0.572; p<0.01) and urinary incontinence. All patients had symptoms of stress incontinence, 61.7% had urge incontinence symptoms, 21.3% voiding difficulty and 85.1% dysuria. Ninety-four patients believed that urinary incontinence impaired their quality of life: 50% of patients reported an impaired ability to do household activities, 59.1% avoided social activities, 70.4% reported an impaired ability to travel more than 30 minutes by car or bus, 88.6% avoided leisure activities, 45.5% of patients had impaired emotional health and 34% felt frustrated.
The dominant type of urinary incontinence in more than half of the respondents was a mixed type, with moderate to very severe problems. Symptoms of urinary incontinence interfere with the performance of everyday household and social activities, causing the appearance of anxiety, depression and frustration, and in more than 50% of women leads to reduced quality of life.
确定2008年9月至2009年5月在伏伊伏丁那三级护理诊所就诊的成年女性尿失禁患者的尿失禁特征及其对生活质量的影响
我们采用前瞻性病例对照研究。病例定义为有尿失禁症状的患者（47例）。对照（50例）定义为因其他原因到三级护理妇科诊所就诊且无尿失禁的患者。病例组和对照组均完成了两份推荐用于评估症状的问卷，即《尿路困扰量表》和生活质量影响问卷《尿路影响问卷》。
年龄（r = 0.614；p < 0.01）、体重指数（r = 0.357；p < 0.01）和绝经（r = -0.572；p < 0.01）与尿失禁之间存在显著相关性。所有患者均有压力性尿失禁症状，61.7%有急迫性尿失禁症状，21.3%有排尿困难，85.1%有尿痛。94名患者认为尿失禁损害了他们的生活质量：50%的患者报告做家务的能力受损，59.1%避免社交活动，70.4%报告乘车或乘公共汽车旅行超过30分钟的能力受损，88.6%避免休闲活动，45.5%的患者情绪健康受损，34%感到沮丧。
超过半数受访者中占主导地位的尿失禁类型为混合型，存在中度至非常严重的问题。尿失禁症状会干扰日常家务和社交活动的进行，导致焦虑、抑郁和沮丧情绪的出现，并且在超过50%的女性中会导致生活质量下降。
