Elmelund Marlene, Klarskov Niels, Biering-Sørensen Fin
Clinic for Spinal Cord Injuries, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.
Department of Obstetrics and Gynecology, Herlev and Gentofte Hospital, University of Copenhagen, Herlev, Denmark.
Spinal Cord. 2018 Dec;56(12):1124-1133. doi: 10.1038/s41393-018-0157-0. Epub 2018 Jun 12.
Cross-sectional study.
There is a knowledge gap on urinary incontinence in women with spinal cord injury. Hence, the aim of this study was to determine the prevalence and conditions associated with urinary incontinence in this population.
Clinic for Spinal Cord Injuries, Rigshospitalet, Denmark.
Women with a spinal cord injury between September 1999 and August 2016, who attended a consultation in our clinic during August 2010-August 2016, were included. Data were obtained from an electronic medical record database, in which standardized questionnaires were filled out by the treating physician during the consultation. Data regarding the injury, bladder function, mobility, spousal/cohabitation status, and quality of life were obtained from the most recently filled-out questionnaires.
Of the 609 included women, 299 (49%) experienced urinary incontinence: 27% daily, 13% weekly, and 9% monthly. The odds of urinary incontinence increased if the woman used a wheelchair permanently (odds ratio (OR) 2.16, 95% confidence interval (CI) 1.24-3.77), needed aids to walk (OR 1.73, 95% CI 1.08-2.76), and if the woman's spousal/cohabitation status was unmarried/not living with a partner (OR 1.60, 95% CI 1.11-2.32). Conversely, the odds of urinary incontinence decreased if the woman used an indwelling catheter (OR 0.35, 95% CI 0.18-0.67) compared with normal bladder-emptying method. Finally, incontinence was associated with decreased quality of life on the general, physical, and emotional domain.
Urinary incontinence is a prevalent problem in women with spinal cord injury, affecting half of the population, and it is associated with impaired mobility, unmarried/non-cohabiting status, and reduced quality of life.
横断面研究。
脊髓损伤女性患者在尿失禁方面存在知识缺口。因此，本研究的目的是确定该人群中尿失禁的患病率及相关情况。
丹麦里格霍斯医院脊髓损伤诊所。
纳入1999年9月至2016年8月期间脊髓损伤且在2010年8月至2016年8月期间到我们诊所就诊的女性。数据来自电子病历数据库，在会诊期间由主治医生填写标准化问卷。关于损伤、膀胱功能、活动能力、配偶/同居状况及生活质量的数据来自最近填写的问卷。
在纳入的609名女性中，299名（49%）有尿失禁经历：27%为每日失禁，13%为每周失禁，9%为每月失禁。如果女性长期使用轮椅（比值比（OR）2.16，95%置信区间（CI）1.24 - 3.77）、需要辅助行走（OR 1.73，95%CI 1.08 - 2.76）以及配偶/同居状况为未婚/未与伴侣同住（OR 1.60，95%CI 1.11 - 2.32），尿失禁的几率会增加；相反，与正常膀胱排空方法相比，如果女性使用留置导尿管（OR 0.35，95%CI 0.18 - 0.67），尿失禁的几率会降低。最后，尿失禁与总体、身体和情感领域的生活质量下降有关。
尿失禁是脊髓损伤女性中的一个普遍问题，影响了一半的人群，并且与活动能力受损、未婚/非同居状况及生活质量降低有关。
