Junqueira Jaqueline Betteloni, Santos Vera Lúcia Conceição de Gouveia
Especialist, Stomal Therapy Especialization, MSc, Escola de Enfermagem, Universidade de São Paulo, São Paulo, SP, Brazil, Nursing, Medic Clinical, Hospital Universitário da Universidade de São Paulo, São Paulo, SP, Brazil.
Post-Doctoral degree, Associate Professor, Departamento de Enfermagem Médico-Cirúrgica, Escola de Enfermagem da Universidade de São Paulo, São Paulo, SP, Brazil.
Rev Lat Am Enfermagem. 2018 Jan 8;25:e2970. doi: 10.1590/1518-8345.2139.2970.
to analyze the prevalence of urinary incontinence and its associated factors in hospital patients.
this is a cross-sectional epidemiological study whose data were collected using the instruments Sociodemographic and Clinical Data, Characteristics of Urinary Leakage and International Consultation on Incontinence Questionnaire - Short Form. Prevalence was surveyed on a single day for four consecutive months. Data were analyzed using Chi-square test, Fisher's exact test, Student t-test, Mann-Whitney test and logistic regression (forward stepwise).
the final sample consisted of 319 hospital adults (57.1% female), mean age of 47.9 years (SD=21.1). The prevalence of urinary incontinence was 22.9% (28% in women and 16.1% in men) and the associated factors were: female sex (OR=3.89), age (OR=1.03), asthma (OR=3.66), use of laxatives (OR=3.26), use of diaper during the evaluation (OR=2.75), use of diaper at home (OR=10.29), and use of diaper at some point during the hospital stay (OR=6.74).
the findings of this study differ from those found in the scarce existing literature on the subject in hospital patients. There is a need for previous studies such as this before proposing the implementation of preventive and therapeutic actions during the hospital stay.
分析住院患者尿失禁的患病率及其相关因素。
这是一项横断面流行病学研究,使用社会人口统计学和临床数据、尿失禁特征以及国际尿失禁咨询问卷简表收集数据。连续四个月在单日进行患病率调查。采用卡方检验、费舍尔精确检验、学生t检验、曼-惠特尼检验和逻辑回归(向前逐步法)分析数据。
最终样本包括319名成年住院患者(女性占57.1%),平均年龄47.9岁(标准差=21.1)。尿失禁患病率为22.9%(女性为28%,男性为16.1%),相关因素包括:女性(比值比=3.89)、年龄(比值比=1.03)、哮喘(比值比=3.66)、使用泻药(比值比=3.26)、评估期间使用尿布(比值比=2.75)、在家使用尿布(比值比=10.29)以及住院期间在某个时间点使用尿布(比值比=6.74)。
本研究结果与现有关于住院患者该主题的稀少文献中的结果不同。在提出在住院期间实施预防和治疗措施之前,需要开展这样的前期研究。