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女性对因尿失禁接受泌尿妇科手术后生活质量的选定方面及疾病接受度的评估。

Assessment by Women on Selected Aspects of Quality of Life and on Disease Acceptance after Undergoing Urogynecological Procedures for Urinary Incontinence.

作者信息

Baczewska Bożena, Wiśniewska Katarzyna, Muraczyńska Bożena, Pasek Małgorzata, Słuszniak Jolanta, Gębicka Katarzyna, Guzak Beata

机构信息

Department of Internal Medicine and Internal Medicine in Nursing, Faculty of Health Sciences, Medical University of Lublin, Chodźki 7, 20-093 Lublin, Poland.

Faculty of Health Sciences, Radom College, 1905 Roku 26/28, 26-600 Radom, Poland.

出版信息

J Clin Med. 2023 Jul 26;12(15):4894. doi: 10.3390/jcm12154894.

Abstract

Urinary incontinence is a common social and health problem that affects both men and women. Women, however, are twice as likely as men to experience unintentional and involuntary bladder emptying due to their anatomical structure and biological functions. Urinary incontinence is associated with great discomfort, a sense of shame, and a significant reduction in self-esteem, often resulting in the limiting of, or withdrawing from, professional, social, and community life. The aim of this study was to evaluate selected aspects of the quality of life and disease acceptance by women who had undergone urogynecological procedures for urinary incontinence. The study encompassed 77 women. The diagnostic tools used in the study were the Polish versions of the King's Health Questionnaire (KHQ), the Acceptance of Illness Scale (AIS), and the authors' own survey questionnaire. From the undertaken research, we found that women with urinary incontinence who underwent urogynecological procedures rated their overall health well. What worsened the most regarding the quality of life of women post-procedure for urinary incontinence was the impact of bladder problems on their lives and the discomfort they felt due to bladder problems. The relationship between the time elapsed since the procedure and the quality of life of the respondents with regard to the emotions they experienced was also found to be significant. The longer the time since the procedure, the lower the intensity of negative emotions, and thus the higher the quality of life. Despite the varied opinions of the respondents about the impact of bladder dysfunction on various areas of their lives, acceptance of the disease, as measured by the AIS scale, appeared to be high.

摘要

尿失禁是一个常见的社会和健康问题,影响着男性和女性。然而,由于女性的解剖结构和生理功能,她们出现意外和非自主性膀胱排空的可能性是男性的两倍。尿失禁会带来极大的不适、羞耻感,并显著降低自尊,常常导致职业、社交和社区生活受到限制或退出。本研究的目的是评估接受尿失禁泌尿妇科手术的女性的生活质量和疾病接受度的选定方面。该研究涵盖了77名女性。研究中使用的诊断工具是波兰语版的国王健康问卷(KHQ)、疾病接受量表(AIS)以及作者自己的调查问卷。通过所进行的研究,我们发现接受泌尿妇科手术的尿失禁女性对她们的整体健康评价良好。对于尿失禁手术后女性的生活质量而言,最恶化的是膀胱问题对她们生活的影响以及她们因膀胱问题而感到的不适。还发现手术以来的时间与受访者在经历的情绪方面的生活质量之间的关系也很显著。手术时间越长,负面情绪的强度越低,因此生活质量越高。尽管受访者对膀胱功能障碍对其生活各个领域的影响有不同看法,但用AIS量表衡量的疾病接受度似乎很高。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e45d/10419866/303002aeeb77/jcm-12-04894-g001.jpg

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