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2023年秘鲁南部尿失禁女性的相关因素与生活质量

Associated factors and quality of life in women with urinary incontinence in southern Peru, 2023.

作者信息

Sologuren-García Gema, Linares Carmen L, Flores Jackeline R, Escobar-Bermejo Gloria, Sotelo-Gonzales Soledad, Fagerstrom Cristhel K

机构信息

Jorge Basadre Grohmann National University, Tacna, Peru.

School of Obstetrics and Childcare, Faculty of Medicine, Universidad Andrés Bello, Santiago, Chile.

出版信息

Front Public Health. 2024 Dec 18;12:1487330. doi: 10.3389/fpubh.2024.1487330. eCollection 2024.

Abstract

BACKGROUND

Urinary incontinence (UI), which can be classified as stress, urgency, or mixed, represents a public health problem that mainly affects adult women. This study aimed to determine the prevalence, association of sociodemographic and obstetric factors with the types of UI as well as the perceived impact on quality of life of women attending primary health facilities in the Tacna region from Peru.

METHODS

A quantitative, non-experimental, correlational, and cross-sectional study was conducted. Stratified sample. A total of 346 women aged 30 to 64 years were surveyed, applying two short version instruments: the Urinary Discomfort Inventory Questionnaire (UDI-6) and the Urinary Incontinence Impact Questionnaire (IIQ-7). Descriptive statistics, parameters of the multinomial logistic regression, with the values, odds ratio (OR) and significance level ( < 0.05).

RESULTS

The prevalence of UI was 80.9%, with mixed UI being more frequent (48.8%). A significant association was found between the sociodemographic factor of educational level and type of UI ( = 0.004). Obstetric factors: higher frequency of mixed urinary incontinence (MUI) in vaginal delivery (30.6%) and newborns weighing 2,500-3,999 grams (35.5%). Additionally, an association between quality of life and type of urinary incontinence was observed, with a greater impact on those who had MUI (18.2%).

CONCLUSION

There is a high prevalence of UI in women in the Tacna region, the sociodemographic associated is educational level. There is an association between quality of life and UI, with MUI being more frequent.

摘要

背景

尿失禁(UI)可分为压力性、急迫性或混合性,是一个主要影响成年女性的公共卫生问题。本研究旨在确定秘鲁塔克纳地区初级卫生保健机构就诊女性中尿失禁的患病率、社会人口统计学和产科因素与尿失禁类型的关联以及对生活质量的感知影响。

方法

进行了一项定量、非实验性、相关性横断面研究。采用分层抽样。共对346名年龄在30至64岁的女性进行了调查,应用了两种简短版本的工具:尿不适量表问卷(UDI - 6)和尿失禁影响问卷(IIQ - 7)。描述性统计,多项逻辑回归参数,包括P值、比值比(OR)和显著性水平(P < 0.05)。

结果

尿失禁的患病率为80.9%,其中混合性尿失禁更为常见(48.8%)。发现教育水平这一社会人口统计学因素与尿失禁类型之间存在显著关联(P = 0.004)。产科因素:阴道分娩中混合性尿失禁(MUI)的发生率较高(30.6%),新生儿体重在2500 - 3999克之间的产妇中混合性尿失禁发生率也较高(35.5%)。此外,观察到生活质量与尿失禁类型之间存在关联,对混合性尿失禁患者的影响更大(18.2%)。

结论

塔克纳地区女性尿失禁患病率较高,与之相关的社会人口统计学因素是教育水平。生活质量与尿失禁之间存在关联,混合性尿失禁更为常见。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/617b/11688278/4fa71692e17e/fpubh-12-1487330-g001.jpg

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