Division of Geriatric Medicine, Clinic Barmelweid, Barmelweid, Switzerland.
University Clinic for Acute Geriatric Care, City Hospital Waid Zurich, Zurich, Switzerland.
Age Ageing. 2022 Sep 2;51(9). doi: 10.1093/ageing/afac199.
The prevalence of urinary incontinence (UI) is strongly associated with increasing age. Twenty five percent of women over 80 years of age have clinically significant symptoms in population surveys, but prevalence is as high as 70% in older hospital in-patients and residents of care homes with nursing. UI substantially affects quality of life and well-being, and generates significant economic burden for health and social care. Sadly, UI is considered as taboo by society, leading to isolation, depression and reluctance to seek help. As with all aspects of care of older people, a multi-modal approach to assessment and management is needed. Key to effective management of incontinence is recognition. As a minimum, clinicians should actively ask patients about continence, especially in older adults living with frailty. Careful evaluation and establishment of any underpinning diagnosis and aetiological factors requires comprehensive, multimodal, usually multidisciplinary, assessment. A lack of awareness of the problem and what can be done about it exists in both laypeople and clinicians, this needs correcting. An interdisciplinary approach to research and management must be the way into the future.
尿失禁（UI）的患病率与年龄增长密切相关。在人群调查中，25%的 80 岁以上女性有临床显著症状，但在老年住院患者和有护理的养老院居民中，患病率高达 70%。UI 严重影响生活质量和幸福感，并给卫生和社会保健带来巨大的经济负担。可悲的是，UI 被社会视为禁忌，导致孤立、抑郁和不愿寻求帮助。与老年人护理的所有方面一样，需要采取多模式方法进行评估和管理。失禁有效管理的关键是识别。至少，临床医生应主动询问患者有关控尿的问题，尤其是在身体虚弱的老年患者中。需要全面、多模式、通常是多学科的评估，以仔细评估和确定任何潜在的诊断和病因因素。无论是在普通民众还是在临床医生中，都存在对该问题及其解决方法缺乏认识的情况，这需要加以纠正。研究和管理必须采用跨学科的方法，这是未来的发展方向。
