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老年白人女性与黑人女性尿失禁情况比较:一项初步研究

Comparison of Urinary Incontinence in Older White and Black Women: A Pilot Study.

作者信息

Alden Jessica, Ngwa Julius, Ryan Alice S, Sanses Tatiana Vd

机构信息

Department of Occupational Therapy, Howard University, Washington, DC, USA.

Department of Medicine, Howard University College of Medicine, Washington, DC, USA.

出版信息

Int J Nurs Health Care Res (Lisle). 2022;5(7). doi: 10.29011/2688-9501.101324. Epub 2022 Aug 17.

DOI:10.29011/2688-9501.101324
PMID:37207183
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10195058/
Abstract

This pilot-cross sectional study compared Urinary Incontinence symptom type and severity, and impact of UI on Quality of Life among older White and Black women. Outcome measures included a three-day bladder diary (3dbd), Incontinence Impact Questionnaire Short Form (IIQ-7), Urinary Distress Inventory Short Form (UDI-6), Medical Epidemiological Social Aspects of Ageing (MESA) questionnaire, and Patient Global Impact of Severity Scale (PGI-S). Participants' characteristics and UI outcomes were analysed with descriptive statistics, Fisher's Exact and Mann-Whitney U tests. Twenty women (10 White, and 10 Black) with mean age of 76.5 (± 4.9 years) participated in the study. There were no significant differences in most UI symptoms based on 3dbd, MESA, PGI-S, UDI-6, and IIQ-7. However, older Black women reported moderate and/or severe impact of UI on their emotional health more frequently (n=7, 70%) compared to White women (n=1, 10%, p=0.02) based on the IIQ-7.

摘要

这项试点横断面研究比较了老年白人女性和黑人女性的尿失禁症状类型及严重程度,以及尿失禁对生活质量的影响。结果指标包括一份为期三天的膀胱日记(3dbd)、尿失禁影响问卷简表(IIQ - 7)、泌尿困扰量表简表(UDI - 6)、医学流行病学老龄化社会方面问卷(MESA)以及患者严重程度总体影响量表(PGI - S)。采用描述性统计、费舍尔精确检验和曼 - 惠特尼U检验对参与者的特征和尿失禁结果进行分析。20名女性(10名白人,10名黑人)参与了该研究,平均年龄为76.5岁(±4.9岁)。基于3dbd、MESA、PGI - S、UDI - 6和IIQ - 7,大多数尿失禁症状并无显著差异。然而,基于IIQ - 7,与白人女性(n = 1,10%,p = 0.02)相比,老年黑人女性报告尿失禁对其情绪健康有中度和/或严重影响的频率更高(n = 7,70%)。

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本文引用的文献

1
Community-based Versus Traditional Research Among Older Minority Women With Urinary Incontinence.基于社区的方法与传统方法在老年少数族裔女性尿失禁中的应用比较。
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Prevalence and trends in urinary incontinence among women in the United States, 2005-2018.美国女性尿失禁的患病率和趋势,2005-2018 年。
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Identification of the Urogenital Distress Inventory-6 and the Incontinence Impact Questionnaire-7 cutoff scores in urinary incontinent women.
尿失禁女性的泌尿生殖窘迫量表 6 项和尿失禁影响问卷 7 项的截断值识别。
Health Qual Life Outcomes. 2021 Mar 16;19(1):87. doi: 10.1186/s12955-021-01721-z.
4
Prevalence of Urinary Incontinence among a Nationally Representative Sample of Women, 2005-2016: Findings from the Urologic Diseases in America Project.2005-2016 年全国女性尿失禁患病率:美国泌尿科疾病项目研究结果。
J Urol. 2021 Jun;205(6):1718-1724. doi: 10.1097/JU.0000000000001634. Epub 2021 Feb 19.
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Physical performance measures in older women with urinary incontinence: pelvic floor disorder or geriatric syndrome?老年女性尿失禁的身体机能测量:盆底功能障碍还是老年综合征?
Int Urogynecol J. 2021 Feb;32(2):305-315. doi: 10.1007/s00192-020-04603-y. Epub 2020 Nov 17.
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Pharmacologic and Nonpharmacologic Treatments for Urinary Incontinence in Women: A Systematic Review and Network Meta-analysis of Clinical Outcomes.药物和非药物治疗女性尿失禁的临床结局的系统评价和网络荟萃分析。
Ann Intern Med. 2019 Apr 2;170(7):465-479. doi: 10.7326/M18-3227. Epub 2019 Mar 19.
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Urinary Incontinence as a Predictor of Death: A Systematic Review and Meta-Analysis.尿失禁作为死亡的预测指标:一项系统评价与荟萃分析
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The 3-day bladder diary is a feasible, reliable and valid tool to evaluate the lower urinary tract symptoms in women.为期3天的膀胱日记是评估女性下尿路症状的一种可行、可靠且有效的工具。
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