2型糖尿病女性的下尿路症状
Lower Urinary Tract Symptoms in Women With Type 2 Diabetes Mellitus.
作者信息
Dereli Yilmaz Sema, Demirgoz Bal Meltem, Celik Selda, Rathfisch Gulay, Kizilkaya Beji Nezihe, Dinccag Nevin, Yalcin Onay
机构信息
Sema Dereli Yilmaz, PhD, Department of Midwifery, Health Sciences Faculty of Selcuk University, Konya, Turkey. Meltem Demirgoz Bal, PhD, Department of Midwifery, Health Sciences Faculty of Marmara University, Istanbul, Turkey. Selda Celik, PhD, University of Health Sciences, Istanbul, Turkey. Gulay Rathfisch, PhD, Department of Gynecologic and Obstetrics Nursing, Florence Nightingale Nursing Faculty of Istanbul University, Istanbul, Turkey. Nezihe Kizilkaya Beji, PhD, Department of Gynecologic and Obstetrics Nursing, Health Sciences Faculty of Biruni University, Istanbul, Turkey. Nevin Dinccag, MD, Division of Endocrinology and Metabolism, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey. Onay Yalcin, MD, Department of Obstetrics and Gynecology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.
出版信息
J Wound Ostomy Continence Nurs. 2016 Sep-Oct;43(5):523-8. doi: 10.1097/WON.0000000000000259.
PURPOSE
The aim of the study was to compare lower urinary tract symptoms (LUTS) in women with and without type 2 diabetes mellitus (DM).
SUBJECTS AND SETTING
The sample was drawn from community-dwelling women in the province of Istanbul who were cared for in the diabetes outpatient clinic of Istanbul Medical School between January and June 2012. Two hundred forty-nine women with DM were compared to 255 women without DM cared for in the obstetrics and gynecology department of the same university hospital. The mean ages of the groups were 55.1 and 53.7 years, respectively.
METHODS
Participants completed a questionnaire that queried sociodemographic and clinical characteristics; the Bristol Female Lower Urinary Tract Symptoms-Short Form (BFLUTS-SF) was used to evaluate LUTS. The questionnaire required 10 to 15 minutes to complete; participants completed the questionnaire in a private room of each of the respective outpatient clinics.
RESULTS
No statistically significant differences were found when groups (women with and without DM) were compared based on age and cigarette smoking (P > .05). In contrast, BMI scores were significantly higher in the women with DM (P < .001). The cumulative BFLUTS scores and the filling and incontinence symptoms subscale sores (P < .001) were significantly higher in women with DM. No differences were observed in voiding symptoms (P = .347), sexual function (P = .380), and health-related quality of life (P = .142) subscale scores. The prevalence of storage symptoms nocturia, voiding frequency, urge incontinence, stress incontinence, frequency of incontinent episodes were higher among women with DM. In addition, women with DM were more likely to report the need to change clothing because of urinary leakage, effect of incontinence on daily tasks, and overall interference with daily activities of living.
CONCLUSIONS
Women with type 2 DM are more likely to experience LUTS as compared to women without DM. Women with type 2 DM should routinely be assessed for LUTS.
目的
本研究旨在比较患有和未患有2型糖尿病（DM）的女性的下尿路症状（LUTS）。
研究对象与背景
样本取自伊斯坦布尔省社区居住的女性，这些女性于2012年1月至6月在伊斯坦布尔医学院糖尿病门诊接受治疗。将249名患有DM的女性与同一大学医院妇产科护理的255名未患有DM的女性进行比较。两组的平均年龄分别为55.1岁和53.7岁。
方法
参与者完成一份询问社会人口统计学和临床特征的问卷；使用布里斯托尔女性下尿路症状简表（BFLUTS-SF）评估LUTS。完成问卷需要10至15分钟；参与者在各自门诊的一个私人房间内完成问卷。
结果
在根据年龄和吸烟情况对两组（患有和未患有DM的女性）进行比较时，未发现统计学上的显著差异（P>.05）。相比之下，患有DM的女性的BMI得分显著更高（P<.001）。患有DM的女性的BFLUTS累积得分以及充盈和失禁症状子量表得分（P<.001）显著更高。在排尿症状（P=.347）、性功能（P=.380）和健康相关生活质量（P=.142）子量表得分方面未观察到差异。患有DM的女性中，储尿症状夜尿、排尿频率、急迫性尿失禁、压力性尿失禁、尿失禁发作频率的患病率更高。此外，患有DM的女性更有可能报告因尿液泄漏而需要更换衣物、尿失禁对日常任务的影响以及对日常生活活动的总体干扰。
结论
与未患有DM的女性相比，患有2型DM的女性更有可能经历LUTS。应常规评估患有2型DM的女性是否存在LUTS。
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