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意大利北部四家医院中年女性的女性尿失禁:一项多中心患病率研究。

Female urinary incontinence in middle-aged women in four hospitals in Northern Italy: A multicentre prevalence study.

作者信息

Trapani Sara, De Angeli Giada, Villa Giulia, Bagnato Elisabetta, Caglioni Martina, Rinaldi Stefania, Salvatore Stefano, Candiani Massimo, Manara Duilio Fiorenzo

机构信息

Department of Obstetrics and Gynaecology, IRCCS San Raffaele Hospital, Milan 20132, Italy.

Department of Biomedicine and Prevention, University of Rome Tor Vergata, Rome 00133, Italy.

出版信息

MethodsX. 2024 Sep 27;13:102987. doi: 10.1016/j.mex.2024.102987. eCollection 2024 Dec.

DOI:10.1016/j.mex.2024.102987
PMID:39415876
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11480259/
Abstract

Urinary Incontinence (UI) has been identified as a health priority by the World Health Organization. Despite being a widely discussed topic, UI remains an underrecognized condition: affected individuals often refrain from reporting it due to its status as a socially sensitive topic and a source of embarrassment. UI exhibits a markedly higher prevalence in the female population compared to males and significantly diminishes the quality of life for those affected. It impacts various personal, relational, and social domains in which women aged 40-65 years are often actively engaged. Moreover, the most recent Italian prevalence publications date back to the early 2000s. Consequently, an observational study focused on UI in Italy could provide valuable insights. This paper outlines a protocol designed to investigate the point prevalence, risk factors, quality of life, social impact and economic burden of UI in female patients, caregivers, healthcare and administrative workers aged 40-65 years across four hospitals in Northern Italy using a survey (UI SURVEY) and two questionnaires validated in Italian (ICIQ UI-SF and IIQ-7). The findings of this study could also inform nursing and midwifery practices in the management of women affected by UI.

摘要

尿失禁已被世界卫生组织确定为一项健康重点问题。尽管这是一个被广泛讨论的话题,但尿失禁仍然是一种未得到充分认识的病症:由于其作为一个社会敏感话题和尴尬来源的性质,受影响的个体往往不愿报告。与男性相比,尿失禁在女性人群中的患病率明显更高,并且显著降低了受影响者的生活质量。它影响着40至65岁女性经常积极参与的各个个人、人际关系和社会领域。此外,意大利最近的患病率出版物可追溯到21世纪初。因此,一项针对意大利尿失禁情况的观察性研究可能会提供有价值的见解。本文概述了一项研究方案,该方案旨在通过一项调查(尿失禁调查)以及两份已在意大利语中得到验证的问卷(ICIQ UI-SF和IIQ-7),对意大利北部四家医院中年龄在40至65岁的女性患者、护理人员、医护人员及行政人员的尿失禁现患率、危险因素、生活质量、社会影响及经济负担进行调查。这项研究的结果也可为管理受尿失禁影响的女性的护理及助产实践提供参考。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/234a/11480259/a034b8303e32/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/234a/11480259/a034b8303e32/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/234a/11480259/a034b8303e32/ga1.jpg

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本文引用的文献

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Advances in the natural history of urinary incontinence in adult females.成年女性尿失禁自然史的研究进展。
J Obstet Gynaecol. 2023 Dec;43(1):2171774. doi: 10.1080/01443615.2023.2171774.
2
Healthcare resource use and cost burden of urinary incontinence to United States payers.尿失禁对美国支付者的医疗资源利用和费用负担。
Neurourol Urodyn. 2022 Sep;41(7):1553-1562. doi: 10.1002/nau.24989. Epub 2022 Jun 16.
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Urinary Incontinence: Understanding the Silent Plight of Women.尿失禁:了解女性的沉默困境。
J Coll Physicians Surg Pak. 2022 Apr;32(4):519-521. doi: 10.29271/jcpsp.2022.04.519.
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Prevalence and factors related to urinary incontinence in older adults women worldwide: a comprehensive systematic review and meta-analysis of observational studies.全球老年女性尿失禁的患病率及相关因素:一项观察性研究的综合系统评价和荟萃分析。
BMC Geriatr. 2021 Mar 29;21(1):212. doi: 10.1186/s12877-021-02135-8.
5
Rasch analysis of the Incontinence Impact Questionnaire short version (IIQ-7) in women with urinary incontinence.尿失禁女性尿失禁影响问卷简版(IIQ - 7)的拉施分析
Int J Rehabil Res. 2020 Sep;43(3):261-265. doi: 10.1097/MRR.0000000000000422.
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The Onset of Urinary Incontinence in Different Subgroups and its Relation to Menopausal Status: A Hospital-based Study.不同亚组女性尿失禁的发病情况及其与绝经状态的关系:一项基于医院的研究。
In Vivo. 2020 Mar-Apr;34(2):923-928. doi: 10.21873/invivo.11859.
7
Italian versions of the Urogenital Distress Inventory-6 and Incontinence Impact Questionnaire-7: translation and validation in women with urinary incontinence.意大利版尿生殖窘迫量表-6 和尿失禁影响问卷-7:在女性尿失禁患者中的翻译和验证。
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Am Fam Physician. 2019 Sep 15;100(6):339-348.
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