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体弱老年女性尿失禁的患病率及危险因素

Prevalence and Risk Factors of Urinary Incontinence in Frail Elderly Females.

作者信息

Aly Walaa W, Sweed Hala S, Mossad Nora A, Tolba Mohammad F

机构信息

Geriatric and Gerontology Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt.

出版信息

J Aging Res. 2020 Apr 27;2020:2425945. doi: 10.1155/2020/2425945. eCollection 2020.

Abstract

/. Urinary incontinence (UI) is an important geriatric health problem, and it is linked to frailty syndrome. We had conducted a study to detect the prevalence and risk factors of UI and its effect on quality of life (QOL) among frail elderly females living in Cairo, Egypt. . We carried out a cross-sectional study on 130 frail elderly females sixty years and older, attending Ain Shams Geriatrics Hospital, Cairo, Egypt. Each patient gave oral consent and then was subjected to history taking, full clinical examination, diagnosis of frailty (clinical frailty scale), assessment of UI by the Arabic version of International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form (ICIQ-UI SF), assessment of QOL by using the Arabic version of Incontinence Impact Questionnaire Short Form (IIQ-7 SF), and complete urine analysis. . The prevalence of UI among the studied population was 80%. Mixed UI was the most prevalent type. UI was significantly associated with older age, functional impairment, multiparity, osteoarthritis, stroke, vaginal prolapse, and laxative use. All IIQ-7 subscales were higher (worse health-related QOL) for women with mixed UI. . Urinary incontinence is prevalent in frail elderly females. Mixed UI, compared with other types, has a significant negative impact on all domains of quality of life.

摘要

/. 尿失禁(UI)是一个重要的老年健康问题,且与衰弱综合征相关。我们开展了一项研究,以检测埃及开罗体弱老年女性中尿失禁的患病率、危险因素及其对生活质量(QOL)的影响。

. 我们对130名60岁及以上、前往埃及开罗艾因·沙姆斯老年病医院就诊的体弱老年女性进行了一项横断面研究。每位患者均给予口头同意,然后接受病史采集、全面临床检查、衰弱诊断(临床衰弱量表)、使用阿拉伯语版《国际尿失禁咨询问卷 - 尿失禁简表》(ICIQ - UI SF)评估尿失禁、使用阿拉伯语版《尿失禁影响问卷简表》(IIQ - 7 SF)评估生活质量以及完整的尿液分析。

. 研究人群中尿失禁的患病率为80%。混合性尿失禁是最常见的类型。尿失禁与高龄、功能障碍、多产、骨关节炎、中风、阴道脱垂和使用泻药显著相关。混合性尿失禁女性的所有IIQ - 7子量表得分更高(与健康相关的生活质量更差)。

. 尿失禁在体弱老年女性中很普遍。与其他类型相比,混合性尿失禁对生活质量的所有领域都有显著的负面影响。

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