Hoshi T, Nakahara T, Hashimoto S, Hayashi M, Takabayashi K, Miki K, Takigawa Y, Kitagawa S
Tokyo Metropolitan University.
Nihon Koshu Eisei Zasshi. 1995 Jul;42(7):482-90.
In order to estimate the prevalence of persons experiencing urinary incontinence among the institutionalized aged 60 and over in Japan, a questionnaire survey was conducted in 16 prefectures in February 1991. The questionnaires were distributed and collected by the nurses in hospitals and in other facilities. A total of 10,022 residents were asked to answer a questionnaire on their urinary incontinence condition and 9,798 responses were analysed. The main results were as follows; 1) The prevalence rate of urinary incontinence occurring almost daily in hospitalized persons aged 60 and over was 23.3% for men, 23.8% for women. 2) The prevalence rate of urinary incontinence occurring almost daily in institutionalized persons aged 60 and over in special nursing homes was 64.2% of the aged 60 and over for men, 67.9% for women. 3) The prevalence of urinary incontinence increased with age for both sexes especially in hospitalized persons. 4) The 95% confidence interval estimate for the number of the hospitalized over 60 years old suffering from almost daily urinary incontinent incidents was estimated to be from 31,000 to 113,000 in men and from 60,000 to 182,000 in women. 5) The 95% confidence interval estimate for the number of the institutionalized in special nursing home over 60 years old suffering from almost daily urinary incontinent incidents was estimated to be from 34,000 to 50,000 in men and from 97,000 to 119,000 in women. 6) The 95% confidence interval estimate for the number of the institutionalized over 60 years old suffering from almost daily urinary incontinent incidents was estimated to be from 318,800 to 570,600 in both sexes. 7) A random sampling survey is required to elucidate the actual state of prevalence in all generations. 8) Future research should emphasize the assessment of preventive and medical interventions, as incontinence is preventable and medical and surgical treatment options are available.
为了估算日本60岁及以上机构养老者中尿失禁患者的患病率，1991年2月在16个县开展了问卷调查。问卷由医院及其他机构的护士发放和回收。共有10022名居民被要求回答关于其尿失禁情况的问卷，对9798份回复进行了分析。主要结果如下：1）60岁及以上住院男性几乎每日发生尿失禁的患病率为23.3%，女性为23.8%。2）在特别养老院中，60岁及以上机构养老男性几乎每日发生尿失禁的患病率为64.2%，女性为67.9%。3）男女尿失禁患病率均随年龄增长而上升，尤其是住院患者。4）60岁以上住院男性几乎每日发生尿失禁事件的人数的95%置信区间估计为31000至113000人，女性为60000至182000人。5）60岁以上特别养老院机构养老男性几乎每日发生尿失禁事件的人数的95%置信区间估计为34000至50000人，女性为97000至119000人。6）60岁以上机构养老者几乎每日发生尿失禁事件的人数的95%置信区间估计为男女合计318800至570600人。7）需要进行随机抽样调查以阐明各年龄段患病率的实际情况。8）未来研究应着重评估预防和医疗干预措施，因为尿失禁是可预防的，且有医疗和手术治疗方案可供选择。
