中华全科医师杂志
中華全科醫師雜誌
중화전과의사잡지
CHINESE JOURNAL OF GENERAL PRACTITIONERS
2012年
3期
192-194
,共3页
尿失禁%生活质量%问卷调查
尿失禁%生活質量%問捲調查
뇨실금%생활질량%문권조사
Urinary incontinence%Quality of life%Questionnaires
目的 初步分析武汉大学人民医院妇科门诊中尿失禁患者的流行病学特征及影响就诊的因素.方法 通过现场访谈和发放调查问卷两种方式,对2009年8月至2011年4月来我院妇科门诊就诊的82 125例患者进行尿失禁评估,分析尿失禁患病情况及影响因素.结果 共发现尿失禁患者15 300例(18.63％),同期妇科其他疾病患者66 825例(81.37％).尿失禁的发病比例随着年龄的增加呈上升趋势,且与BMI( OR=1.147,95％ CI=0.982～1.342)、顺产次(OR=1.095,95％ CI=1.024 ～1.236)、手术次(OR=1.329,95％CI=1.256～1.730)等相关.54.63％(8358/15 300)患者拒绝就诊求助,其中,29.78％(2489/8358)因为经济因素,25.83％(2159/8358)因为心理压力,24.30％(2031/8358)因为不信任医生或治疗效果,20.09％(1679/8358)不了解疾病.结论 尿失禁给患者的生活带来许多不便,严重影响患者的身心健康.许多患者不愿就诊,医务人员应做好宣教工作,主动帮助患者提高生存质量.
目的 初步分析武漢大學人民醫院婦科門診中尿失禁患者的流行病學特徵及影響就診的因素.方法 通過現場訪談和髮放調查問捲兩種方式,對2009年8月至2011年4月來我院婦科門診就診的82 125例患者進行尿失禁評估,分析尿失禁患病情況及影響因素.結果 共髮現尿失禁患者15 300例(18.63％),同期婦科其他疾病患者66 825例(81.37％).尿失禁的髮病比例隨著年齡的增加呈上升趨勢,且與BMI( OR=1.147,95％ CI=0.982～1.342)、順產次(OR=1.095,95％ CI=1.024 ～1.236)、手術次(OR=1.329,95％CI=1.256～1.730)等相關.54.63％(8358/15 300)患者拒絕就診求助,其中,29.78％(2489/8358)因為經濟因素,25.83％(2159/8358)因為心理壓力,24.30％(2031/8358)因為不信任醫生或治療效果,20.09％(1679/8358)不瞭解疾病.結論 尿失禁給患者的生活帶來許多不便,嚴重影響患者的身心健康.許多患者不願就診,醫務人員應做好宣教工作,主動幫助患者提高生存質量.
목적 초보분석무한대학인민의원부과문진중뇨실금환자적류행병학특정급영향취진적인소.방법 통과현장방담화발방조사문권량충방식,대2009년8월지2011년4월래아원부과문진취진적82 125례환자진행뇨실금평고,분석뇨실금환병정황급영향인소.결과 공발현뇨실금환자15 300례(18.63％),동기부과기타질병환자66 825례(81.37％).뇨실금적발병비례수착년령적증가정상승추세,차여BMI( OR=1.147,95％ CI=0.982～1.342)、순산차(OR=1.095,95％ CI=1.024 ～1.236)、수술차(OR=1.329,95％CI=1.256～1.730)등상관.54.63％(8358/15 300)환자거절취진구조,기중,29.78％(2489/8358)인위경제인소,25.83％(2159/8358)인위심리압력,24.30％(2031/8358)인위불신임의생혹치료효과,20.09％(1679/8358)불료해질병.결론 뇨실금급환자적생활대래허다불편,엄중영향환자적신심건강.허다환자불원취진,의무인원응주호선교공작,주동방조환자제고생존질량.
Objective We investigated urinary incontinence (UI) among patients of the Gynecological Department of Renmin Hospital of Wuhan University,to observe characteristics of women with UI in our province,and to analyze preliminary factors affecting their treatment.Methods We evaluated 15 300 patients treated for UI from August 2009 to April 2011,using site information and questionnaires.We also compared them to 66 825 other gynecology outpatients at our hospital over the same period.Results We found that the incidence of UI tended to increase with age,and was associated with body mass index,parturition,and surgery history.But 54.63％ (8358/15 300) of them refused surgical treatment.Of these 8358 patients,29.78％ (2489/8358) because of economic factors,25.83％ (2159/8358) because of mental stress,and 24.30％ (2031/8358) because of lack of faith in the efficacy of surgical treatment,20.09％ (1679/8358) did so because of knowing little of the disease.Conclusions UI is inconvenient to patients,and seriously affects their physical and mental health. Many patients refuse surgical treatment.Medical staff should attempt to educate patients better with regard to treatment,and to offer them help to improve the quality of their lives.
