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尿失禁对接受根治性前列腺切除术患者生活质量的影响。

Impact of urinary incontinence on the quality of life of individuals undergoing radical prostatectomy.

作者信息

Bernardes Mariana Ferreira Vaz Gontijo, Chagas Sabrina de Cássia, Izidoro Lívia Cristina de Resende, Veloso Denny Fabricio Magalhaes, Chianca Tânia Couto Machado, Mata Luciana Regina Ferreira Pereira da

机构信息

Universidade Federal de Minas Gerais, Escola de Enfermagem, Belo Horizonte, MG, Brazil.

Universidade Federal de São João Del Rei, Campus Centro-Oeste Dona Lindu, Divinópolis, MG, Brazil.

出版信息

Rev Lat Am Enfermagem. 2019 Mar 10;27:e3131. doi: 10.1590/1518-8345.2757.3131.

DOI:10.1590/1518-8345.2757.3131
PMID:30916232
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6432995/
Abstract

OBJECTIVE

to assess the level of urinary incontinence and its impact on the quality of life of patients undergoing radical prostatectomy.

METHOD

cross-sectional study carried out with prostatectomized patients. The data were collected from the following instruments: sociodemographic questionnaire, Pad Test, International Consultation on Incontinence Questionnaire - Short Form and King Health Questionnaire. Data were submitted to descriptive and bivariate statistical analysis. The level of significance was set at 0.05.

RESULTS

a total of 152 patients participated, with a mean age of 67 years. Among incontinent patients, there was a predominance of mild urinary incontinence. Urinary incontinence had a very severe impact on the general assessment of quality of life in the first months and severe impact after six months of surgery. The greater the urinary loss, the greater the impact on the quality of life domains Physical Limitations, Social Limitations, Impact of Urinary Incontinence and Severity Measures. Most participants reported no erection after surgery and therefore did not respond to the question of the presence of urinary incontinence during sexual intercourse.

CONCLUSION

the present study evidenced the occurrence of urinary incontinence after radical prostatectomy at different levels and its significant impact on the quality of life of men, which reveals the need of interventions for controlling it.

摘要

目的

评估根治性前列腺切除术后患者的尿失禁水平及其对生活质量的影响。

方法

对接受前列腺切除术的患者进行横断面研究。数据收集自以下工具:社会人口学调查问卷、尿垫试验、国际尿失禁咨询问卷简表和金氏健康问卷。数据进行描述性和双变量统计分析。显著性水平设定为0.05。

结果

共有152名患者参与,平均年龄67岁。在尿失禁患者中,轻度尿失禁占主导。尿失禁在术后最初几个月对生活质量的总体评估有非常严重的影响,术后六个月后有严重影响。尿失禁量越大,对生活质量领域身体限制、社会限制、尿失禁影响和严重程度测量的影响就越大。大多数参与者报告术后无勃起,因此未回答性交时是否存在尿失禁的问题。

结论

本研究证明了根治性前列腺切除术后不同程度尿失禁的发生及其对男性生活质量的显著影响,这表明需要采取干预措施来控制尿失禁。