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前往家庭健康中心就诊的女性尿失禁的发病率及危险因素

Incidence and risk factors of urinary incontinence in women visiting Family Health Centers.

作者信息

Kılıç Meral

机构信息

Department of Midwifery, Faculty of Health Science, Ataturk University, Erzurum, Turkey.

出版信息

Springerplus. 2016 Aug 11;5(1):1331. doi: 10.1186/s40064-016-2965-z. eCollection 2016.

Abstract

BACKGROUND

The objective of this study is to determine the incidence and the risk factors of the urinary incontinence in women visiting the Health Family Center.

METHODS

430 women, who visited three Family Health Centers in the city center of Erzurum for any reason between 25 November and 20 January 2016, were included in this study without any sampling. The data were collected by using the face-to-face interview method. Percentage distribution, Chi square test, and logistic regression analysis were used in order to analyze the data.

RESULTS

It was determined that 37.2 % of these women had urinary incontinence, but only 29.3 % of them visited a physician because of this complaint. Among a total of 160 women with urinary incontinence findings, stress type incontinence was observed at the highest rate (33.7 %), which was followed by mixed type (31.8 %), urge type (20.6 %) and other types (overflow, continuous urinary incontinence) (13.7 %). It was found that urinary incontinence had a significant correlation with the number of children, genital prolapse, duration of delivery longer than 24 h, diabetes and urogenital infection, but not with the age at the first and last childbirth, presence of the episiotomy, birth weight over 4 kg, and smoking.

CONCLUSIONS

It was determined that one-third of the women had urinary incontinence and certain medical and obstetric conditions were affecting the development of urinary incontinence. It is thought that it is important for the healthcare personnel to take the progression of the urinary incontinence under control by preventing the risk factors and to encourage the patients to seek treatment with the help of the proper information indicating that urinary incontinence is a treatable and preventable condition.

摘要

背景

本研究的目的是确定前往健康家庭中心就诊的女性尿失禁的发生率及危险因素。

方法

2016年11月25日至1月20日期间,因任何原因前往埃尔祖鲁姆市中心三家家庭健康中心就诊的430名女性被纳入本研究,未进行任何抽样。通过面对面访谈法收集数据。使用百分比分布、卡方检验和逻辑回归分析来分析数据。

结果

确定这些女性中有37.2%患有尿失禁,但其中只有29.3%因该症状就诊。在总共160名有尿失禁症状的女性中,压力性尿失禁的发生率最高(33.7%),其次是混合性尿失禁(31.8%)、急迫性尿失禁(20.6%)和其他类型(充溢性、持续性尿失禁)(13.7%)。发现尿失禁与子女数量、生殖器脱垂、分娩持续时间超过24小时、糖尿病和泌尿生殖系统感染显著相关,但与首次和末次分娩年龄、会阴切开术的存在、出生体重超过4千克以及吸烟无关。

结论

确定三分之一的女性患有尿失禁,某些医学和产科情况会影响尿失禁的发生。认为医护人员通过预防危险因素来控制尿失禁的进展,并借助适当信息鼓励患者寻求治疗很重要,这些信息表明尿失禁是一种可治疗和可预防的疾病。

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