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沙特女性的尿失禁:患病率、风险因素及其对生活质量的影响。

Urinary incontinence among Saudi women: prevalence, risk factors, and impact on quality of life.

机构信息

Department of Urology, College of Medicine, Majmaah University, Al-Majmaah, Saudi Arabia.

出版信息

Eur Rev Med Pharmacol Sci. 2021 Oct;25(20):6311-6318. doi: 10.26355/eurrev_202110_27001.

DOI:10.26355/eurrev_202110_27001
PMID:34730211
Abstract

OBJECTIVE

This study was done to determine UI prevalence among women in Saudi Arabia and identify the associated risk factors.

PATIENTS AND METHODS

This cross-sectional study was conducted from January 2020 to September 2020 in Saudi women who came to the Urology Department at King Khalid Hospital, Majmaah, Saudi Arabia. In the age group of 20 to 50 years, Saudi women who are not seriously ill or pregnant or in the postnatal period or diagnosed with pelvic organ prolapse were included as participants. A semi-structured questionnaire modified from the International Consultation Incontinence Questionnaire-Short Form was used to collect data on frequency, the severity, consequences, and impact of UI on quality of life. Data were analyzed by SPSS 23 (IBM, Armonk, NY, USA) with the calculation of mean and standard deviation for quantitative variables. Logistic regression analyses were applied to determine the predictors of UI.

RESULTS

A total of 451 participants were included in the final analysis. The mean age of the study population was 42.52 years (SD 11.75). Among risk factors, 45 (10%) had diabetes, 56 (12.4%) had hypertension, 36 (8%) had asthma, 80 (17.7%) had UTI/STDs. Out of 451 participants, 188 (41.7%) had urinary incontinence (UI). Sociodemographic characteristics and risk factors like family income, urinary and genital infections (UTI/STDs), pelvic/uterine prolapse, any other disease, and cough were found to have a statistically significant association with urinary incontinence (p-value <0.05).

CONCLUSIONS

The prevalence of UI was 41.7% among the study population. The various risk factors associated with UI are older age, parity, multiple vaginal deliveries, hypertension, history of asthma, and chronic cough. Poor health-seeking behavior was observed. Creating awareness and the need for early diagnosis with timely intervention is recommended.

摘要

目的

本研究旨在确定沙特阿拉伯女性中 UI 的患病率,并确定相关的危险因素。

方法

这是一项横断面研究,于 2020 年 1 月至 9 月在沙特阿拉伯迈季迈阿的哈立德国王医院泌尿科就诊的沙特女性中进行。年龄在 20 至 50 岁之间、无重病、未怀孕或处于产后期间、未诊断为盆腔器官脱垂的沙特女性被纳入研究对象。采用改良自国际尿失禁咨询问卷-简短表的半结构式问卷收集尿失禁的频率、严重程度、后果和对生活质量的影响等数据。使用 SPSS 23(IBM,Armonk,NY,USA)进行数据分析,对定量变量进行均值和标准差计算。应用逻辑回归分析确定尿失禁的预测因素。

结果

共有 451 名参与者纳入最终分析。研究人群的平均年龄为 42.52 岁(SD 11.75)。在危险因素中,45 名(10%)患有糖尿病,56 名(12.4%)患有高血压,36 名(8%)患有哮喘,80 名(17.7%)患有尿路感染/性传播疾病。在 451 名参与者中,188 名(41.7%)患有尿失禁(UI)。社会人口统计学特征和危险因素,如家庭收入、尿路和生殖器感染(UTI/STD)、盆腔/子宫脱垂、其他任何疾病和咳嗽,与尿失禁具有统计学显著相关性(p 值<0.05)。

结论

在研究人群中,UI 的患病率为 41.7%。与 UI 相关的各种危险因素包括年龄较大、多胎分娩、多次阴道分娩、高血压、哮喘病史和慢性咳嗽。观察到健康寻求行为不佳。建议提高认识并需要早期诊断和及时干预。

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