中华健康管理学杂志
中華健康管理學雜誌
중화건강관이학잡지
CHINESE JOURNAL OF HEALTH MANAGEMENT
2012年
6期
394-397
,共4页
唐芳%王京晨%刘广丽%荣风年
唐芳%王京晨%劉廣麗%榮風年
당방%왕경신%류엄려%영풍년
尿失禁%流行病学%健康管理
尿失禁%流行病學%健康管理
뇨실금%류행병학%건강관리
Urinary incontinence%Epidemiology%Health management
目的 调查山东省女性尿失禁患病情况、探讨其影响因素及健康管理策略.方法 采用问卷调查的方式,于2011年1月至12月分别对山东省东部沿海、中部、西南部地区的4105名女性进行尿失禁的流行病学抽样调查；采用logistic回归模型筛选尿失禁相关影响因素,根据尿失禁对生活质量影响程度对尿失禁患者进行危险度分级.结果 调查显示,山东省女性尿失禁的总体患病率为33.84％(1389/4105),其中,患者生活质量受到轻度影响者占77.68％ (1079/1389),中度影响者为21.38％ (297/1389),重度影响者占0.94％ (13/1389),但总体就诊率仅为1.08％ (15/1389).年龄的增加、产次的增多、初次分娩年龄的推迟、有会阴损伤史、慢性咳嗽史、便秘史会增加女性患尿失禁的危险性；分娩时行剖宫产和工作性质以脑力劳动为主可减少女性患尿失禁的危险性.结论 尿失禁患者生活质量受影响程度以轻中度为主,应对不同等级患者进行适宜个性化健康管理.
目的 調查山東省女性尿失禁患病情況、探討其影響因素及健康管理策略.方法 採用問捲調查的方式,于2011年1月至12月分彆對山東省東部沿海、中部、西南部地區的4105名女性進行尿失禁的流行病學抽樣調查；採用logistic迴歸模型篩選尿失禁相關影響因素,根據尿失禁對生活質量影響程度對尿失禁患者進行危險度分級.結果 調查顯示,山東省女性尿失禁的總體患病率為33.84％(1389/4105),其中,患者生活質量受到輕度影響者佔77.68％ (1079/1389),中度影響者為21.38％ (297/1389),重度影響者佔0.94％ (13/1389),但總體就診率僅為1.08％ (15/1389).年齡的增加、產次的增多、初次分娩年齡的推遲、有會陰損傷史、慢性咳嗽史、便祕史會增加女性患尿失禁的危險性；分娩時行剖宮產和工作性質以腦力勞動為主可減少女性患尿失禁的危險性.結論 尿失禁患者生活質量受影響程度以輕中度為主,應對不同等級患者進行適宜箇性化健康管理.
목적 조사산동성녀성뇨실금환병정황、탐토기영향인소급건강관리책략.방법 채용문권조사적방식,우2011년1월지12월분별대산동성동부연해、중부、서남부지구적4105명녀성진행뇨실금적류행병학추양조사；채용logistic회귀모형사선뇨실금상관영향인소,근거뇨실금대생활질량영향정도대뇨실금환자진행위험도분급.결과 조사현시,산동성녀성뇨실금적총체환병솔위33.84％(1389/4105),기중,환자생활질량수도경도영향자점77.68％ (1079/1389),중도영향자위21.38％ (297/1389),중도영향자점0.94％ (13/1389),단총체취진솔부위1.08％ (15/1389).년령적증가、산차적증다、초차분면년령적추지、유회음손상사、만성해수사、편비사회증가녀성환뇨실금적위험성；분면시행부궁산화공작성질이뇌력노동위주가감소녀성환뇨실금적위험성.결론 뇨실금환자생활질량수영향정도이경중도위주,응대불동등급환자진행괄의개성화건강관리.
Objective To investigate the prevalence,related factors and individualized health management strategy of female urinary incontinence.Methods Questionnaire survey has been adopted on 4105 female subjects in the east coastal,middle and southwest areas of Shandong Province from Jan.2011 to Dec.2011.Logistic regression model was used to analyze the influencing factors of urinary incontinence.The degree of risk was conducted according to the UI affected to the quality of life.Results The available questionnaires were 4105.Logistic analysis showed that age,delivery frequency,first delivery age,newborn birth weight,perineum injury history,chronic cough and constipation were risk factors of urinary incontinence.However,the protective factors of urinary incontinence included abdominal delivery and whitecollar worker.Mild,moderate and strong impacts of urinary incontinence on the quality of life were found 77.68％ (1079/1389),21.38％ (297/1389) and 0.94％ (13/1389) of the participants,respectively.Unfortunately,doctor's office visiting was as low as 1.08％ (15/1389).Along with the increase of age,parity,age of first time delivery,injury of perineum,chronic cough,constipation,may add the risk of incidence of urinary incontinence while caesarean section and brainwork may decrease the risk of incidence of urinary incontinence.Conclusions The overall of incidence of urinary incontinence in Shandong province is in a high level.Urinary incontinence may significantly reduce the quality of life of the patients.More investigation on individualized health management strategy for female patients with urinary incontinence should be needed in the future.
