Bamoudou N, Desvergee A, Leroy F, Parienti J-J, Ruet A
Service de médecine physique et de réadaptation (MPR), centre hospitalier universitaire de Caen, avenue de la Côte-de-Nacre, 14033 Caen, France.
Service de médecine physique et de réadaptation (MPR), centre hospitalier universitaire de Caen, avenue de la Côte-de-Nacre, 14033 Caen, France; Réseau et service pour une vie autonome (RSVA) Normandie, 2, rue Jean-Perrin, campus Effiscience, bâtiment Innovaparc, 14460 Colombelles, France.
Prog Urol. 2019 Mar;29(4):235-245. doi: 10.1016/j.purol.2018.12.009. Epub 2019 Jan 23.
To assess the prevalence and the management of the lower urinary tract dysfunction (LUTD) in institutionalized handicapped adults.
Descriptive transversal observational study. Epidemiological study.
In this study realized in 150 residents of 6 nursing homes for adult, the prevalence of LUTD in institutionalized handicapped adults was 88.67% (133/150). This prevalence was 91.36% (74/81) for women versus 85.51% (59/69) for men, (P=0.260); 93.33% (14/15) in medical housing units [foyer d'accueil médicalisé (FAM)] versus 88.15% (119/135) in specialized housing units [maison d'accueil spécialisé (MAS)], (P=1); 80% (52/65) for those who walked without technical support, 89.47% (17/19) for those who walked with technical support, 98.08% (51/52) for the wheelchair users who were not able to walk, and 92.86% (13/14) for those who were not able to walk or to use wheelchair, (P=0.004); 69.81% (37/53) for those who were able to signal the need to void versus 98.97% (96/97) for those who were not able, (P=0.0000003); 76.92% (50/60) for those who were able to realize the transfers independently, versus 97.65% (83/85) for those who were not able, (P=0.0002); 67.39% (31/46) for those who could dress and undress by themselves versus 98.08% (102/104) for those who could not, (P=0.0000002); 77.27% (17/22) for water intake>2L, 91.67% (55/60) between 1.5 and 2L, 87.5% (49/56) between 1 and 1.5L, and 100% (12/12) for water intake<1L, (P=0.170). The LUTD were more frequent in people with physical disability (OR=10.70[1.53-75.09], P=0.017), in those with mental disability (OR=5.85[1.39-24.67], P=0.016), and in those with urological comorbidity (OR=9.70[1.25-75.55], P=0.03). For the management of the LUTD, the prevalence of expert medical advice was 9.77%, 24.81% (33/133) for the further examination, 16.54% (22/133) for rehabilitation treatment, 6.77% (9/133) for drug treatment, 2.26% (3/133) for surgical treatment, and 82.71% (110/133) for medical device.
In this study, the prevalence of LUTD in institutionalized handicapped adults was 88.67%.
评估机构收容的残疾成年人下尿路功能障碍（LUTD）的患病率及管理情况。
描述性横断面观察研究。流行病学研究。
在对6家成人疗养院的150名居民进行的本研究中，机构收容的残疾成年人中LUTD的患病率为88.67%（133/150）。女性患病率为91.36%（74/81），男性为85.51%（59/69），（P = 0.260）；医疗住房单元[医疗接待厅（FAM）]中患病率为93.33%（14/15），专业住房单元[专业接待院（MAS）]中为88.15%（119/135），（P = 1）；无需技术支持即可行走的人患病率为80%（52/65），需技术支持才能行走的人患病率为89.47%（17/19），无法行走的轮椅使用者患病率为98.08%（51/52），无法行走或使用轮椅的人患病率为92.86%（13/14），（P = 0.004）；能够示意排尿需求的人患病率为69.81%（37/53），无法示意的人患病率为98.97%（96/97），（P = 0.0000003）；能够独立完成转移的人患病率为76.92%（50/60），无法独立完成的人患病率为97.65%（83/85），（P = 0.0002）；能够自己穿衣和脱衣的人患病率为67.39%（31/46），不能自己穿衣和脱衣的人患病率为98.08%（102/104），（P = 0.0000002）；饮水量>2L的人患病率为77.27%（17/22），饮水量在1.5至2L之间的人患病率为91.67%（55/60），饮水量在1至1.5L之间的人患病率为87.5%（49/56），饮水量<1L的人患病率为100%（12/12），（P = 0.170）。LUTD在身体残疾者中更常见（比值比[OR]=10.70[1.53 - 75.09]，P = 0.017），在精神残疾者中更常见（OR = 5.85[1.39 - 24.67]，P = 0.016），在有泌尿系统合并症者中更常见（OR = 9.70[1.25 - 75.55]，P = 0.03）。对于LUTD的管理，专家医疗建议的患病率为9.77%，进一步检查的患病率为24.81%（33/133），康复治疗的患病率为16.54%（22/133），药物治疗的患病率为6.77%（9/133），手术治疗的患病率为2.26%（3/133），医疗器械的患病率为82.71%（110/133）。
在本研究中，机构收容的残疾成年人中LUTD的患病率为88.67%。
4级。
