Seim A, Sandvik H, Hermstad R, Hunskaar S
Department of Public Health and Primary Health Care, University of Bergen, Norway.
Fam Pract. 1995 Mar;12(1):18-21. doi: 10.1093/fampra/12.1.18.
The objective was to study explanatory factors for help-seeking among incontinent women, and what was the outcome of the treatment. A questionnaire was mailed to all 2366 women aged 20 or over in the rural community of Rissa, Norway. Women confirming incontinence gave information about duration, precipitating factors, frequency, amount of leakage, and impact. Questions about doctor consultation or planned consultation, treatment and results were included. Women with incontinence which had resolved without treatment were also recorded. A total of 77% answered the questionnaire. Twenty per cent of women with incontinence (n = 535) had consulted a doctor, 18% had planned to consult. Increasing age and duration, and urge/mixed type of incontinence were determinative factors for doctor consultation, while increasing severity and impact were determinative for planned consultation. Drugs, exercises, pads, and electrostimulation were all important treatment options: 21% were cured, 40% much better after treatment. Of all the women, 8% reported that they had been incontinent in the past, and only 18% of these had consulted a doctor.
目的是研究大小便失禁女性寻求帮助的解释性因素以及治疗的结果。向挪威里萨农村社区所有2366名20岁及以上的女性邮寄了一份调查问卷。确认有大小便失禁的女性提供了关于病程、诱发因素、频率、漏尿量及影响方面的信息。问卷还包括有关就医咨询或计划咨询、治疗及结果的问题。对未经治疗大小便失禁已痊愈的女性也进行了记录。共有77%的女性回复了问卷。20%有大小便失禁的女性（n = 535）咨询过医生，18%计划咨询。年龄增长、病程延长以及急迫性/混合型大小便失禁是咨询医生的决定性因素，而严重程度增加及影响则是计划咨询的决定性因素。药物、锻炼、护垫及电刺激都是重要的治疗选择：21%治愈，40%治疗后明显好转。在所有女性中，8%报告她们过去有过大小便失禁，其中只有18%咨询过医生。
