Pilarska Beata, Strojek Katarzyna, Radzimińska Agnieszka, Weber-Rajek Magdalena, Jarzemski Piotr
Department of Urology, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University, 85-067 Bydgoszcz, Poland.
Department of Physiotherapy, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University, 85-067 Bydgoszcz, Poland.
J Clin Med. 2025 Jul 8;14(14):4839. doi: 10.3390/jcm14144839.
: Urinary incontinence (UI) is associated with uncontrolled urine leakage and is treated as a serious disability that prevents the fulfillment of life roles and negatively affects quality of life. Many women do not have knowledge about the nature of UI and treatment options, and the embarrassing nature of the disease makes it difficult to seek specialist care. The aim of this study was to assess quality of life among women with UI and how it affects various areas of their daily functioning. Defining factors that modify the impact of UI on quality of life can provide prognostic information about functional limitations, which will facilitate the rapid implementation of preventive and therapeutic measures. : This study included 158 women with UI. Patients were asked to complete a set of questionnaires, including the Questionnaire for Urinary Incontinence Diagnosis (QUID), Revised Urinary Incontinence Scale (RUIS), King's Health Questionnaire (KHQ), Acceptance of Illness Scale (AIS), Inventory for Measuring Coping with Stress (Mini-COPY), and Set of Scales for Self-Assessment of the relationship with a partner. : Based on the analyses, it was determined that women with MUI experienced a lower quality of life, greater limitations in daily activities, and greater physical limitations compared to women with UUI and SUI. There was a correlation between the severity of UI, the duration of the disease, the level of acceptance of the disease, the education level of the subjects, and quality of life in all areas of functioning. : Numerous functional limitations and reduced quality of life have been observed among patients with UI. As part of UI management in clinical practice, it seems reasonable to include measures aimed at identifying patients who are likely to experience more severe consequences of UI so that they can receive targeted care.
尿失禁（UI）与不受控制的尿液泄漏相关，被视为一种严重的残疾，它妨碍履行生活角色，并对生活质量产生负面影响。许多女性对尿失禁的本质和治疗选择并不了解，而且这种疾病令人尴尬的性质使得寻求专科护理变得困难。本研究的目的是评估尿失禁女性的生活质量以及它如何影响她们日常功能的各个方面。确定改变尿失禁对生活质量影响的因素可以提供有关功能限制的预后信息，这将有助于迅速实施预防和治疗措施。
本研究纳入了158名尿失禁女性。患者被要求完成一系列问卷，包括尿失禁诊断问卷（QUID）、修订版尿失禁量表（RUIS）、国王健康问卷（KHQ）、疾病接受量表（AIS）、应对压力测量量表（Mini-COPY）以及自我评估与伴侣关系的量表集。
基于分析结果确定，与急迫性尿失禁（UUI）和压力性尿失禁（SUI）女性相比，混合性尿失禁（MUI）女性的生活质量较低，日常活动受限更大，身体限制也更大。尿失禁的严重程度、疾病持续时间、疾病接受程度、受试者的教育水平与所有功能领域的生活质量之间存在相关性。
在尿失禁患者中观察到了许多功能限制和生活质量下降的情况。在临床实践中进行尿失禁管理时，纳入旨在识别可能经历尿失禁更严重后果的患者的措施似乎是合理的，以便他们能够接受针对性的护理。
