Health Science Faculty, Nursing Department, Ondokuz Mayıs University, Samsun, Turkey.
Psychogeriatrics. 2024 Sep;24(5):1087-1094. doi: 10.1111/psyg.13162. Epub 2024 Jul 28.
The aim of this study is to examine the relationship between the frequency of use of non-medication coping strategies with urinary incontinence (UI) and depression in older adults.
This study followed a descriptive design and was conducted with 345 older adults over the age of 65. The data of the study were collected using the Geriatric Depression Scale Short Form and the Frequency of Non-Medication Coping Strategies with Urinary Incontinence Scale. The data analysis of the study was conducted using descriptive statistics, Pearson correlation analysis, and hierarchical multiple regression analysis. The significance level was accepted as P < 0.05.
The mean age of the participants was 71.86 ± 5.43 years. Among the older adults, 58.8% were male and 50.2% were primary school graduates. It was determined that 43.8% of the participants experienced the frequency of UI more than once a week, 36.2% experienced stress incontinence, 51.9% consulted a physician due to UI, 53.6% received treatment for UI, and 47.8% reported that UI had an impact on their social life. The relationship between the frequency of use of non-medication coping strategies with UI and geriatric depression (β = -0.017; P = 0.043) was found to be significant and negative. It was found that there was a significant and positive relationship between age, frequency of UI, type of UI, the impact of UI on social life, and geriatric depression (P < 0.05).
The older adults in this study were found to have moderate depression. It was determined that the level of depression was higher in the older adults who experienced UI more than once a week, those who experienced stress UI, those whose social lives were impacted, and those who had a higher frequency of non-medication coping strategies.
本研究旨在探讨老年人群中非药物应对策略使用频率与尿失禁（UI）和抑郁之间的关系。
本研究采用描述性设计，对 345 名年龄在 65 岁以上的老年人进行了研究。研究数据采用老年抑郁量表短表和非药物应对策略与尿失禁频率量表收集。采用描述性统计、皮尔逊相关分析和分层多元回归分析对研究数据进行分析。显著性水平接受 P<0.05。
参与者的平均年龄为 71.86±5.43 岁。在老年人中，58.8%为男性，50.2%为小学毕业生。确定 43.8%的参与者每周经历 UI 频率超过一次，36.2%经历压力性尿失禁，51.9%因 UI 咨询医生，53.6%接受 UI 治疗，47.8%报告 UI 对他们的社交生活有影响。非药物应对策略使用频率与老年抑郁（β=-0.017；P=0.043）之间的关系被发现是显著负相关。发现年龄、UI 频率、UI 类型、UI 对社交生活的影响与老年抑郁之间存在显著正相关（P<0.05）。
本研究中的老年人被发现有中度抑郁。确定每周经历 UI 次数较多、经历压力性 UI、社交生活受到影响以及非药物应对策略使用频率较高的老年人抑郁程度较高。
