Nazzal Zaher, Khatib Batool, Al-Quqa Bayan, Abu-Taha Lina, Jaradat Ahmad
Department of Family and Community Medicine, Faculty of Medicine and Health Sciences, An-Najah National University, Nablus, Palestine.
Faculty of Medicine and Health Sciences, An-Najah National University, Nablus, Palestine.
Arab J Urol. 2019 Dec 9;18(1):34-40. doi: 10.1080/2090598X.2019.1699340. eCollection 2020.
: To determine the prevalence of urinary incontinence (UI) in women with type 2 diabetes mellitus (T2DM) in the North West Bank, Palestine, and to assess the role of potential risk factors including age and DM control. : Adult women with DM attending governmental primary healthcare centres in the North West Bank were interviewed using the Centers for Disease Control and Prevention National Health and Nutrition Examination Survey (NHANES) standardised UI questionnaire. The prevalence of UI was estimated and differences between groups were evaluated using the chi-square test. A multivariate logistic model was used to estimate the adjusted relationships and to control for confounders. The statistical significance level was set at < 0.05. The study was approved by the Institutional Review Board at An-Najah National University. : The study included 381 women with T2DM, aged 30-83 years, of whom 43.2% (95% confidence interval [CI] = 37.9-47.8%) reported UI regardless of the type. About 40% reported that they were extremely bothered by the condition and 35.2% stated that their daily routine life was greatly affected. Amongst the women with UI, 133 (80.6%) and 128 (77.6%) were found to have urge and stress UI, respectively. UI was found to be significantly associated with a history of recurrent urinary tract infection (adjusted odds ratio [OR] 3.0, 95% CI 1.9-4.9; < 0.001) and parity (adjusted OR 1.7, 95% CI 1.1-2.7; = 0.04) : The prevalence of UI amongst Palestinian women with T2DM regardless of the type is high. The findings highlight the importance of educating women with T2DM about UI. The medical team should focus on this problem as it is often neglected; physicians should be alert for UI as it is often underreported and therefore undertreated. BMI: body mass index; (T2)DM: (type 2) diabetes mellitus; HbA: haemoglobin A; MoH: Ministry of Health; NHANES: National Health and Nutrition Examination Survey; OR: odds ratio; QoL: quality of life; (S)(U)UI: (stress) (urge) urinary incontinence.
确定巴勒斯坦约旦河西岸2型糖尿病（T2DM）女性中尿失禁（UI）的患病率，并评估包括年龄和糖尿病控制情况等潜在危险因素的作用。
使用美国疾病控制与预防中心的国家健康与营养检查调查（NHANES）标准化UI问卷，对在约旦河西岸政府初级医疗保健中心就诊的成年糖尿病女性进行访谈。估计UI的患病率，并使用卡方检验评估组间差异。采用多因素逻辑模型估计调整后的关系并控制混杂因素。设定统计显著性水平为<0.05。该研究获得了纳贾赫国立大学机构审查委员会的批准。
该研究纳入了381名年龄在30 - 83岁的T2DM女性，其中43.2%（95%置信区间[CI]=37.9 - 47.8%）报告有不同类型的UI。约40%的人报告称她们因这种情况极度困扰，35.2%的人表示日常生活受到很大影响。在有UI的女性中，分别有133人（80.6%）和128人（77.6%）被发现有急迫性和压力性UI。发现UI与复发性尿路感染病史（调整后的优势比[OR]3.0，95%CI 1.9 - 4.9；<0.001）和产次（调整后的OR 1.7，95%CI 1.1 - 2.7；=0.04）显著相关。
巴勒斯坦T2DM女性中无论何种类型的UI患病率都很高。研究结果凸显了对T2DM女性进行UI教育的重要性。医疗团队应关注这个经常被忽视的问题；医生应警惕UI，因为它常常报告不足，因此治疗也不足。
体重指数；（T2）DM：（2型）糖尿病；HbA：糖化血红蛋白；卫生部；NHANES：国家健康与营养检查调查；OR：优势比；生活质量；（S）（U）UI：（压力性）（急迫性）尿失禁
