Herzog A R, Fultz N H, Normolle D P, Brock B M, Diokno A C
Institute of Gerontology, University of Michigan, Ann Arbor 48109-2007.
J Am Geriatr Soc. 1989 Apr;37(4):339-47. doi: 10.1111/j.1532-5415.1989.tb05502.x.
This paper addresses the ways that noninstitutionalized older adults deal with involuntary urine loss. The data come from a 1983-1984 sample survey of Washtenaw County, Michigan residents aged 60 and over. Five hundred twelve self-reported incontinent respondents are included in the analyses. About a quarter of the incontinent respondents had discussed their condition with a doctor in the previous year, while 66% used one or more methods to control urine loss. Respondents preferred using absorbent products (47% of those who used some method) and locating a toilet upon reaching a destination (42%). Fewer respondents manipulated their voiding patterns (29%) or diet and fluid intake (17%), or did pelvic muscle exercises (10%). Only 7% were taking medication for their incontinence. Logistic regression analyses were performed to identify factors associated with the choice of actions. Predictors were taken from theoretical models of health service utilization and health behavior, and included predisposing characteristics, health beliefs, enabling factors, and illness variables. Illness variables, particularly severity and type of incontinence, were the best predictors of consultation with a doctor and use of any urine control method. The predictors were less useful for understanding the choice of a specific method.
本文探讨了非机构化老年人应对非自愿性尿失禁的方式。数据来自1983 - 1984年对密歇根州沃什特瑙县60岁及以上居民的抽样调查。分析纳入了512名自我报告有尿失禁问题的受访者。约四分之一的尿失禁受访者在过去一年中与医生讨论过他们的病情，而66%的人使用了一种或多种方法来控制尿失禁。受访者更喜欢使用吸收性产品（在使用某种方法的人中占47%）以及在到达目的地后找到厕所（占42%）。较少的受访者会调整排尿模式（29%）、饮食和液体摄入量（17%）或进行盆腔肌肉锻炼（10%）。只有7%的人因尿失禁而服药。进行了逻辑回归分析以确定与行动选择相关的因素。预测因素取自卫生服务利用和健康行为的理论模型，包括易患特征、健康信念、促成因素和疾病变量。疾病变量，特别是尿失禁的严重程度和类型，是与医生咨询以及使用任何尿失禁控制方法的最佳预测因素。这些预测因素对于理解特定方法的选择作用较小。
