Why older community-dwelling adults do not discuss urinary incontinence with their primary care physicians
Why older community-dwelling adults do not discuss urinary incontinence with their primary care physicians
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DOI：
10.1046/j.1532-5415.2001.49094.x
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发表时间：
2001-04-01
影响因子：
6.3
通讯作者：
Albertson, E
中科院分区：
文献类型：
--
作者：
Dugan, E;Roberts, CP;Albertson, E
目的：这项研究探讨了为什么患有尿失禁(UI)的老年人没有与他们的初级保健提供者讨论或寻求UI治疗的原因。设计：一项涉及41个初级保健站点的随机前瞻性对照试验。设置：初级保健诊所。对象：49名60岁及以上的老年人，以前没有经过他们的初级保健医生筛查尿失禁。测量：人口统计学数据，使用问卷自我报告的膀胱控制信息，以及健康状况。结果：没有讨论UI的成年人比那些讨论UI的成年人年龄更大，泄漏事故更少，夜间排空更少，也更少受到UI的困扰。患者不寻求帮助的两个主要原因是认为尿失禁不是大问题(45%)，是衰老的正常部分(19%)。结论：尴尬或对治疗方案缺乏认识不是讨论尿失禁的主要障碍。有相当高频率尿失禁的成年人(平均每天1.7次)并不认为尿失禁是异常或严重的健康状况。
OBJECTIVES: This study explored reasons why older adults with urinary incontinence (UI) do not initiate discussions with or seek treatment for UI from their primary care provider.DESIGN: A randomized, prospective controlled trial involving 41 primary care sites.SETTING: Primary care practice sites.PARTICIPANTS: 49 older adults age 60 and older not previously screened for UI by their primary care doctor.MEASUREMENTS: Demographic data, self-reported bladder-control information using questionnaires, and health status.RESULTS: Adults who did not discuss UI were older, had less-frequent leaking accidents and fewer nighttime voids and were less bothered by UI than those who did. The two main reasons why patients did not seek help were the perceptions that UI was not a big problem (45%) and was a normal part of aging (19%).CONCLUSIONS: Embarrassment or lack of awareness of treatment options were not significant barriers to discussing UI. Adults with a fairly high frequency of UI (average of 1.7 episodes per day) did not view UI as abnormal or a serious medical condition.