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老年尿失禁的临床特征与管理方法:来自卡塔尔三家医院的证据

Clinical features and management approaches for Urinary Incontinence in Older Adults: Evidence from Three Hospitals in Qatar.

作者信息

Abbas Asma, Sathian Brijesh, Elawady Mostafa, Khan Shafi Hashmath Ulla, Abdalla Amir Ibrahim, Hasabelgawy Ahmed Hayati Mohamed Ahmed, Ghafouri Ardalan Abdolgafor, Osman Susan Mohieldeen, Hamad O Alzubier Abdelrahman, Idris Osama Elnour Abdelnour, Al Hamad Hanadi

机构信息

Geriatrics and long-term care department, Rumailah Hospital, Doha, Qatar.

Hamad Medical Corporation, Qatar.

出版信息

Nepal J Epidemiol. 2024 Sep 2;14(2):1333-1341. doi: 10.3126/nje.v14i2.69365. eCollection 2024 Sep.

Abstract

BACKGROUND

Urinary incontinence (UI) is a common medical problem that seriously affects patients' physical, psychological, social, and financial well-being. To identify the most effective drug management techniques, this retrospective study aimed to describe the demographics, etiology, and medical traits of people with UI.

METHODS

This retrospective study was conducted at Rumailah Hospital, Ambulatory Care Centre, and Hamad General Hospital to investigate UI risk factors, causes, and management practices in people aged ≥ 65 years within the Hamad Medical Corporation (HMC) in Qatar.

RESULTS

The 272 patients enrolled in the study had a marked male preponderance, and a larger percentage of non-Qatari residents than Qataris residents. Solifenacin (24.9%), Tolterodine (4.1%), and Oxybutynin (1.1%) were the most commonly administered anticholinergic drugs, while Tamsulosin (82.9%), Alfuzosin (14.5%), and Doxazosin (1.7%) were the most frequently prescribed alpha-blockers.

CONCLUSION

This study underscores the importance of investigating UI in institutionalized older adult populations considering the limited research available in Qatar. The identified preventable risk factors can be proactively addressed to mitigate UI. This study also highlights the need for thorough documentation of the diagnosis and reasons for improving the standards of patient care. The findings of this study provide important information that can be used to design medication management methods for enhancing patient outcomes.

摘要

背景

尿失禁(UI)是一个常见的医学问题,严重影响患者的身体、心理、社会和经济福祉。为了确定最有效的药物管理技术,这项回顾性研究旨在描述尿失禁患者的人口统计学特征、病因和医学特征。

方法

这项回顾性研究在鲁迈拉医院、门诊护理中心和哈马德总医院进行,以调查卡塔尔哈马德医疗公司(HMC)中65岁及以上人群的尿失禁风险因素、病因和管理方法。

结果

纳入研究的272名患者中男性占比显著更高,非卡塔尔居民的比例高于卡塔尔居民。索利那新(24.9%)、托特罗定(4.1%)和奥昔布宁(1.1%)是最常用的抗胆碱能药物,而坦索罗辛(82.9%)、阿夫唑嗪(14.5%)和多沙唑嗪(1.7%)是最常处方的α受体阻滞剂。

结论

考虑到卡塔尔现有的研究有限,本研究强调了在机构化老年人群中调查尿失禁的重要性。已确定可预防的风险因素可得到积极解决以减轻尿失禁。本研究还强调了对诊断和改善患者护理标准的原因进行全面记录的必要性。本研究结果提供了重要信息,可用于设计药物管理方法以改善患者预后。

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本文引用的文献

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