Topinková E, Sgadari A, Haas T
Oddĕlení gerontologie a geriatrie IPVZ, Praha.
Cas Lek Cesk. 1997 Sep 17;136(18):555-8.
Urinary incontinence (UI) represents a prevalent nursing problem in geriatric facilities. Yet, comparison of the Czech Republic with countries using different chronic care system has not been conducted.
Data from INTERRAI international database from 8 countries: Czech Republic, Denmark, France, Iceland, Italy, Japan, Sweden and USA have been evaluated in the sample of 280,271 nursing home residents. Prevalence of bladder and bowel incontinence and correlates with selected clinical factors have been determined and national samples compared with the results of 1080 patients in the Czech Republic. Prevalence of UI reached from 42.9% in Japan to 65.2% in France. France and CR belong to countries with the highest prevalence of both bladder and bowel incontinence. Cognitive impairment and dependency in ambulation are factors significantly associated with UI in all countries (p < 0.001). Immobility, age, gender and urinary tract infection reached the statistical significance only in some countries.
High prevalence of bladder and bowel incontinence has been demonstrated in an extended sample of nursing home residents. Common protocol Resident Assessment Instrument-Minimum Data Set (RAI-MDS) and creation of a large cross-national database are opening up possibilities for a new level of clinical research in geriatrics.
尿失禁（UI）是老年护理机构中普遍存在的护理问题。然而，尚未对捷克共和国与采用不同长期护理系统的国家进行比较。
对来自捷克共和国、丹麦、法国、冰岛、意大利、日本、瑞典和美国8个国家的INTERRAI国际数据库中的数据进行了评估，样本为280271名养老院居民。确定了膀胱和肠道失禁的患病率及其与选定临床因素的相关性，并将各国样本与捷克共和国1080名患者的结果进行了比较。尿失禁患病率从日本的42.9%到法国的65.2%不等。法国和捷克共和国属于膀胱和肠道失禁患病率最高的国家。认知障碍和行走依赖是所有国家中与尿失禁显著相关的因素（p<0.001）。活动受限、年龄、性别和尿路感染仅在部分国家具有统计学意义。
在养老院居民的扩大样本中已证明膀胱和肠道失禁的高患病率。通用协议居民评估工具-最小数据集（RAI-MDS）以及大型跨国数据库的创建为老年医学临床研究的新水平开辟了可能性。
