Bani-issa Wegdan A, Halabi Jehad O, Abdullah Abdul Ridha, Hasan Haydar A, Raigangar Veena L
University of Sharjah, Sharjah, United Arab Emirates.
J Transcult Nurs. 2014 Jan;25(1):42-50. doi: 10.1177/1043659613503873. Epub 2013 Sep 26.
To estimate the prevalence and risk factors for urinary incontinence among a sample of Emirati women with diabetes.
A cross-sectional survey design using probability sampling was employed to evaluate incontinence among 350 Emirati diabetic women. Age, body mass index, history of urinary tract infections, parity, diabetes duration, and type of diabetes management were evaluated as potential risk factors for incontinence. To assess type and frequency of incontinence, items from the National Health and Nutrition Examination Survey-Kidney Condition-Urology were used.
A total of 225 (64.3%) participants reported incontinence, with 110 (31.4%) expressed having an episode once a week or more. Both stress (n = 197, 56.3%) and urge incontinence (n = 208, 59.4%) were seen; 96 (48.7%) reported at least weekly stress incontinence episodes, and 109 (52.4%) reported weekly or more urge episodes. Results of logistic regression indicated that diabetes duration was the most significant risk factor for incontinence.
Prevalence of incontinence in Emirati women was higher than that reported by diabetic women in other cultures.
Clinicians working with Emirati diabetic women should endeavor to enhance screening for incontinence and design culturally appropriate strategies for teaching and treating this complication of diabetes.
评估阿联酋糖尿病女性样本中尿失禁的患病率及危险因素。
采用概率抽样的横断面调查设计，对350名阿联酋糖尿病女性的尿失禁情况进行评估。将年龄、体重指数、尿路感染史、产次、糖尿病病程以及糖尿病管理类型作为尿失禁的潜在危险因素进行评估。为评估尿失禁的类型和频率，使用了来自美国国家健康和营养检查调查 - 肾脏疾病 - 泌尿外科的项目。
共有225名（64.3%）参与者报告有尿失禁，其中110名（31.4%）表示每周发作一次或更多次。压力性尿失禁（n = 197，56.3%）和急迫性尿失禁（n = 208，59.4%）均有出现；96名（48.7%）报告至少每周有压力性尿失禁发作，109名（52.4%）报告每周或更多次急迫性尿失禁发作。逻辑回归结果表明，糖尿病病程是尿失禁最显著的危险因素。
阿联酋女性尿失禁的患病率高于其他文化背景下糖尿病女性的报告患病率。
诊治阿联酋糖尿病女性的临床医生应努力加强对尿失禁的筛查，并制定适合文化背景的教学和治疗糖尿病这一并发症的策略。
