Biyik Ismail, Kucuk Bilgen, Arpaci Husniye F, Demirci Hakan
Department of Obstetrics and Gynecology, Karacabey State Hospital, Bursa, Turkey.
Department of Family Medicine, University of Health Sciences Bursa Yuksek Ihtisas Training and Research Hospital, Bursa, Turkey.
Low Urin Tract Symptoms. 2019 Sep;11(4):200-205. doi: 10.1111/luts.12261. Epub 2019 Mar 27.
This study analyzed the reasons for avoiding visiting a doctor among women aged ≥50 years with urinary incontinence (UI), as well as factors influencing visits to the doctor.
In all, 402 women aged ≥50 years who were enrolled in Bursa healthcare centers, 150 with UI and 252 without UI, participated in the study. This study was conducted between January 2018 and August 2018. Participants were asked to complete the International Consultation on Incontinence Questionnaire - Short Form (ICIQ-SF) questionnaire. Quality of life was evaluated using the Incontinence Impact Questionnaire, Short Form (IIQ-7) questionnaire.
The prevalence of UI was 37%. Of the women with UI, 52 (34.67%) visited a doctor for complaints. The most frequent reason for seeing a doctor because of UI was that it had started to affect activities of daily living. The most frequent reason for avoiding visiting a doctor was the belief that UI was normal. Scores on the ICIQ-SF were higher among women who visited a doctor. Physical activity, social relationships, and mental health scores on the IIQ-7 were also higher among patients who visited a doctor.
Patients who suffer from severe UI and whose quality of life is affected more negatively are more likely to visit a doctor. Women who believe that UI is normal are less likely to visit a doctor. Awareness about UI should be increased in order to increase the rate of visiting a doctor for this condition.
本研究分析了年龄≥50岁的尿失禁（UI）女性避免就医的原因以及影响就医的因素。
共有402名年龄≥50岁的女性参与了本研究，她们均登记于布尔萨医疗中心，其中150名有尿失禁，252名无尿失禁。本研究于2018年1月至2018年8月进行。参与者被要求完成国际尿失禁咨询问卷简表（ICIQ-SF）。使用尿失禁影响问卷简表（IIQ-7）评估生活质量。
尿失禁的患病率为37%。在有尿失禁的女性中，52名（34.67%）因相关症状就医。因尿失禁就医最常见的原因是其开始影响日常生活活动。避免就医最常见的原因是认为尿失禁是正常现象。就医女性的ICIQ-SF得分更高。就医患者的IIQ-7身体活动、社交关系和心理健康得分也更高。
患有严重尿失禁且生活质量受到更负面影响的患者更有可能就医。认为尿失禁正常的女性就医可能性较小。为了提高针对这种情况的就医率，应提高对尿失禁的认识。
