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土耳其女性尿失禁的患病率、风险因素和生活质量:文献综述。

Prevalence, risk factors and quality of life in Turkish women with urinary incontinence: a synthesis of the literature.

机构信息

Gulhane Military Medical Academy, School of Nursing, Ankara, Turkey.

出版信息

Int Nurs Rev. 2013 Dec;60(4):448-60. doi: 10.1111/inr.12048. Epub 2013 Jul 26.

DOI:10.1111/inr.12048
PMID:24251937
Abstract

BACKGROUND

Urinary incontinence (UI) is not a life threatening condition but it adversely affects physical and mental health, sexual function and quality of life in women.

AIM

To review the related literature to identify prevalence, risk factors and quality of life among only Turkish women.

METHODS

Computerized searches on PubMed, Turkish Medline, EBSCO Host; articles from indexed journals related to the topics in this review and published between 1996 and 30 April 2012 were evaluated. After completion of database searches, a final total of 20 studies were identified that fitted the inclusion criteria.

RESULTS

This review revealed that the prevalence of UI among Turkish women was reported by 16 studies ranged from 16.4% to 49.7%. The most common risk factors were age, number of births, body mass index > 25 kg/m(2), recurrent urinary infection, diabetes mellitus and vaginal delivery. The effect of UI on the quality of life was mild to moderate.

CONCLUSIONS

We found that the prevalence of UI of Turkish women showed a wide range. It is important for health professionals to be aware of the high prevalence of UI in women and to ask about its possible presence. Improving the quality of life in women with UI is an important issue and nurses should direct women to seek psychosocial support. The findings of this review could serve as a source of information for health systems that deal with UI, and it may help to inform health professionals and women with UI on early diagnosis, treatment and management.

摘要

背景

尿失禁(UI)虽然不会危及生命,但会对女性的身心健康、性功能和生活质量产生不利影响。

目的

仅对土耳其女性的尿失禁患病率、危险因素和生活质量进行文献回顾。

方法

检索 PubMed、土耳其医学索引、EBSCOHost 等数据库,评估与本综述主题相关的索引期刊中的文章,检索时间截至 2012 年 4 月 30 日。完成数据库检索后,最终确定了 20 项符合纳入标准的研究。

结果

本综述显示,16 项研究报告了土耳其女性尿失禁的患病率,范围为 16.4%至 49.7%。最常见的危险因素是年龄、分娩次数、体重指数>25kg/m²、复发性尿路感染、糖尿病和阴道分娩。尿失禁对生活质量的影响为轻度至中度。

结论

我们发现土耳其女性尿失禁的患病率范围较广。卫生专业人员应意识到女性尿失禁的高患病率,并询问其可能存在的情况。提高尿失禁女性的生活质量是一个重要问题,护士应引导女性寻求社会心理支持。本综述的结果可为处理尿失禁的卫生系统提供信息来源,并有助于向有尿失禁的卫生专业人员和女性提供早期诊断、治疗和管理方面的信息。

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