Costa P, Mottet N
Department of Urology and Andrology, University Hospital, Nîmes, France.
Eur Urol. 1997;32 Suppl 2:25-7.
Urinary incontinence (UI) is a symptom. Patients seeking medical attention do so because of this symptom. As individuals' views of bothersomeness vary significantly, the objective degree of symptom severity is less important than the patient's overall outlook. Assessing well-being can be done by symptom evaluation, and general or condition-specific health-related quality of life questionnaire (HRQOL). Several studies using HRQOL questionnaires documented the negative effects of UI on the patient's well-being, especially on daily activities and psychological distress. Generalised HRQOL instruments can be used but they may lack sensitivity to the characteristics of incontinence and its impact. Recently condition-specific UI questionnaires have been developed for a better assessment of specific issues and a greater sensitivity to changes after treatments. They reveal a substantial impact on everyday life, but a poor correlation was observed between the objective and subjective measurements. More useful short-form versions have recently been developed that meet many of the needs of therapists.
尿失禁（UI）是一种症状。寻求医疗护理的患者是因为出现了这种症状才这样做。由于个体对困扰程度的看法差异很大，症状严重程度的客观程度不如患者的整体看法重要。可以通过症状评估以及一般或特定疾病的健康相关生活质量问卷（HRQOL）来评估幸福感。多项使用HRQOL问卷的研究记录了尿失禁对患者幸福感的负面影响，尤其是对日常活动和心理困扰的影响。可以使用通用的HRQOL工具，但它们可能对尿失禁的特征及其影响缺乏敏感性。最近已经开发出特定疾病的尿失禁问卷，以便更好地评估特定问题，并对治疗后的变化具有更高的敏感性。它们揭示了对日常生活的重大影响，但在客观测量和主观测量之间观察到相关性较差。最近已经开发出更有用的简短版本，满足了治疗师的许多需求。
