Mahfoudi Hajar, El Harch Ibtissam, Maiouak Moncef, Benmaamar Soumaya, Bourkhime Hind, Omari Mohammed, Qarmiche Noura, Tachfouti Nabil, Otmani Nada, El Fakir Samira
Department of Epidemiology, Clinical Research and Community Health, Faculty of Medicine, Pharmacy and Dentistry of Fez, Sidi Mohamed Ben Abdellah University, Fez, MAR.
Biostatistics-Informatics Unit, Department of Epidemiology, Clinical Research and Community Health, Faculty of Medicine, Pharmacy and Dentistry of Fez, Sidi Mohamed Ben Abdellah University, Fez, MAR.
Cureus. 2024 Dec 31;16(12):e76673. doi: 10.7759/cureus.76673. eCollection 2024 Dec.
Background Urinary incontinence is a significant health problem with physical, social, economic, and psychological consequences for patients and their quality of life. The aim of our study is to determine the impact of urinary incontinence on the quality of life and to identify its determinants in patients with this condition. Materials and methods A cross-sectional study was carried out in the diagnostic center of Centre Hospitalier Universitaire (CHU) Hassan II in Fez, Morocco, between June and September 2019. We used the Moroccan Arabic dialect version of the "I-QoL" (incontinence quality of life) questionnaire to assess the quality of life in patients suffering from UI. Results Two hundred and seventy-eight patients with urinary incontinence participated in the study. Seventy-eight percent were women, and 21.2% were men. Three-quarters (70.9%) of participants were over 50 years old. The scores for the different scales ranged from 39.05 to 54.02. "The Social Embarrassment" scale obtained the lowest score (39.05). The "Psychosocial Impact" scale had a mean score of 54.02. The total I-QoL score was 46.08 ± 24.80. Factors significantly associated with a better quality of life-related to UI (high total I-QoL score) were lighter UI: β = 11.211; 95% CI: 1.748; 20.674. Daily frequency of urination between 1 to 4 times per day: β = 8.062; 95% CI: 1.471; 14.653. Not needing to use protection: β = 9.466; 95% CI: 4.987; 13.946 or changing underwear frequently: β = 24.871; 95% CI: 19.975; 29.767. Factors significantly associated with a lower quality of life (low total I-QoL score) were rural residents (β = -8.094; 95% CI: -13.043; -3.145) after adjusting for all variables. Conclusion Due to Morocco's cultural diversity, which is primarily rooted in modesty, the impact of urinary incontinence on quality of life is often underestimated. This highlights the need to incorporate this aspect into treatment follow-up and guidance.
尿失禁是一个严重的健康问题，会给患者带来身体、社会、经济和心理方面的影响，进而影响其生活质量。我们研究的目的是确定尿失禁对生活质量的影响，并找出这种情况下患者尿失禁的决定因素。
2019年6月至9月期间，在摩洛哥非斯的哈桑二世大学中心医院（CHU）诊断中心进行了一项横断面研究。我们使用了“ I-QoL”（尿失禁生活质量）问卷的摩洛哥阿拉伯方言版本来评估尿失禁患者的生活质量。
278例尿失禁患者参与了研究。其中78%为女性，21.2%为男性。四分之三（70.9%）的参与者年龄超过50岁。不同量表的得分范围为39.05至54.02。“社交尴尬”量表得分最低（39.05）。“心理社会影响”量表的平均得分为54.02。I-QoL总得分是46.08±24.80。与尿失禁相关的生活质量较好（I-QoL总分高）显著相关的因素有：较轻的尿失禁：β = 11.211；95%置信区间：1.748；20.674。每天排尿频率为1至4次：β = 8.062；95%置信区间：1.471；14.653。不需要使用防护用品：β = 9.466；95%置信区间：4.987；13.946或频繁更换内衣：β = 24.871；95%置信区间：19.975；29.767。在对所有变量进行调整后，与生活质量较低（I-QoL总分低）显著相关的因素是农村居民（β = -8.094；95%置信区间：-13.043；-3.145）。
由于摩洛哥的文化多样性主要源于谦逊，尿失禁对生活质量的影响常常被低估。这凸显了将这一方面纳入治疗随访和指导的必要性。
