Quality of life and seeking help in women with urinary incontinence -: A population-based study
Quality of life and seeking help in women with urinary incontinence -: A population-based study
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DOI：
10.1034/j.1600-0412.2001.801117.x
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发表时间：
2001-11-01
影响因子：
4.3
通讯作者：
Leppert, J
中科院分区：
文献类型：
--
作者：
Hägglund, D;Walker-Engström, ML;Leppert, J
背景这项基于人群的研究的目的是比较以下人群的生活质量（QoL）：（a）与年龄相关的尿失禁（UI）和无尿失禁（wUI）的女性，（B）压力性尿失禁和急迫性尿失禁的女性，（c）因尿失禁而就诊的女性与未就诊的女性。共有787名报告UI症状的女性和787名未报告UI症状的女性，年龄18-72岁，邮寄了简明生活质量调查表（SF-36）和一个关于专业咨询的问题。他们还邮寄了逼尿肌不稳定评分问卷，用于澄清妇女是压力还是冲动性尿失禁。患有UI的女性在SF-36的所有八个维度上的得分均显着降低。有或没有UI的妇女的年龄和生活质量评分之间的相关性较低。压力性尿失禁和急迫性尿失禁的女性在所有八个生活质量维度上的得分均显著低于无尿失禁的女性。然而，压力性尿失禁女性的绝对差异较小。急迫性尿失禁的妇女比压力性尿失禁的妇女更经常地咨询卫生保健服务。咨询过医疗保健的UI女性在8个维度中的7个维度上的QoL评分显著低于未咨询过医疗保健的UI女性。在这一女性普通人群中，急迫性尿失禁女性比压力性尿失禁女性对生活质量的影响更大。求助与生活质量评分显著降低和急迫性尿失禁相关。
Background The aims of this population-based study were to compare the quality of life (QoL) in; (a) women with urinary incontinence (UI) and women without urinary incontinence (wUI) in relation to age, (b) women with stress incontinence and women with urge incontinence, and (c) women who had vs. women who had not consulted a health care service because of UI.Methods. Totally, 787 women who reported symptoms of UI and 787 women who did not report symptoms of UI, aged 18-72 years, were mailed the Short Form-36 QoL questionnaire (SF-36) and a question concerning professional consultation. They were also mailed the Detrusor Instability Score questionnaire, which was used to clarify the women as being stress vs. urge incontinent.Results. Women with UI had significantly lower scores on all eight dimensions of the SF-36. There were low correlations between age and the QoL scores in women with or without UI. Both women with stress incontinence and women with urge incontinence had significantly lower scores on all eight QoL dimensions compared with the women without UI. However, the absolute difference was smaller for women with stress incontinence. Women with urge incontinence consult health care service more often than women with stress incontinence. Women with UI who had consulted health care had significantly lower QoL scores than women with UI who had not consulted health care in seven out of eight dimensions.Conclusions. The QoL, in this female general population, is more affected by women with urge incontinence than women with stress incontinence. Help seeking is associated with substantially lower QoL scores and with urge incontinence.