Li Yakun, Wang Hongxia
School of Nursing, Jinzhou Medical University, Jinzhou, China.
Front Public Health. 2025 Jan 15;12:1496539. doi: 10.3389/fpubh.2024.1496539. eCollection 2024.
With the global trend of aging, stress urinary incontinence is becoming more common in older adults, which may have some impact on patients' quality of life. Social alienation can generate negative emotions such as anxiety, depression, loneliness, and morbid stigma, and reduce patients' quality of life. However, the current status of social alienation is different among different older adult female patients with stress urinary incontinence. Therefore, this study categorizes older adult female stress urinary incontinence patients through potential analysis to understand the category characteristics of social alienation level of older adult female stress urinary incontinence patients, and explores the influencing factors of social alienation level of different categories of older adult female stress urinary incontinence patients, which can provide a reference to personalized intervention programs for the characteristics of social alienation of older adult female stress urinary incontinence in the future.
A convenience sampling method was used to select 365 cases of older adult female stress urinary incontinence patients from March 2023 to April 2024 in three communities in Jinzhou City. The General Information Questionnaire, the Family Care Index Scale, the Toronto Alexithymia Scale, and the General Alienation Scale were used to conduct the survey.
A total of 365 respondents were included, and three potential categories of social alienation were finally identified, namely, low social alienation (29.0%), medium social alienation-self alienation (49.4%), and high social alienation (21.6%). The results of multifactorial logistic regression analysis showed that occupational status, marital status, whether living alone, place of residence, BMI, whether other chronic diseases, level of narrative disorders, and level of family care were the influencing factors of social alienation in older adult female patients with stress urinary incontinence ( < 0.05).
The social alienation of older adult female patients with stress urinary incontinence is characterized by a significant number of categories, and healthcare professionals can identify the characteristics and influencing factors of each category at an early stage, which can provide a basis for the development of targeted clinical interventions to help patients reduce the level of social alienation.
随着全球老龄化趋势，压力性尿失禁在老年人中越来越普遍，这可能对患者的生活质量产生一定影响。社会疏离会产生焦虑、抑郁、孤独和病态污名等负面情绪，并降低患者的生活质量。然而，不同的老年女性压力性尿失禁患者的社会疏离现状有所不同。因此，本研究通过潜在分析对老年女性压力性尿失禁患者进行分类，以了解老年女性压力性尿失禁患者社会疏离水平的类别特征，并探讨不同类别老年女性压力性尿失禁患者社会疏离水平的影响因素，为未来针对老年女性压力性尿失禁患者社会疏离特征的个性化干预方案提供参考。
采用便利抽样法，选取2023年3月至2024年4月锦州市三个社区的365例老年女性压力性尿失禁患者。使用一般资料问卷、家庭关怀指数量表、多伦多述情障碍量表和一般疏离感量表进行调查。
共纳入365名受访者，最终确定了社会疏离的三个潜在类别，即低社会疏离（29.0%）、中度社会疏离-自我疏离（49.4%）和高社会疏离（21.6%）。多因素logistic回归分析结果显示，职业状况、婚姻状况、是否独居﹑居住地点、BMI﹑是否患有其他慢性病、叙事障碍水平和家庭关怀水平是老年女性压力性尿失禁患者社会疏离的影响因素（<0.05）。
老年女性压力性尿失禁患者的社会疏离具有类别显著的特点，医护人员可以在早期识别各类别的特征及影响因素，为制定有针对性的临床干预措施提供依据，以帮助患者降低社会疏离水平。
