VALIDATION OF A SEVERITY INDEX IN FEMALE URINARY-INCONTINENCE AND ITS IMPLEMENTATION IN AN EPIDEMIOLOGIC SURVEY
VALIDATION OF A SEVERITY INDEX IN FEMALE URINARY-INCONTINENCE AND ITS IMPLEMENTATION IN AN EPIDEMIOLOGIC SURVEY
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DOI：
10.1136/jech.47.6.497
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发表时间：
1993-12-01
影响因子：
6.3
通讯作者：
BRATT, H
中科院分区：
文献类型：
--
作者：
SANDVIK, H;HUNSKAAR, S;BRATT, H
研究目的-目的是验证一个简单的女性尿失禁严重程度指数，用于随后的流行病学调查。设计-该指数是通过将报告的频率（四个级别）乘以泄漏量（两个级别）创建的。所得指数值（1-8）进一步分为轻度（1-2）、中度（3-4）和重度（6-8）。通过48小时“垫重”试验进行验证。此后，进行了匿名邮寄问卷调查，并使用该指数来评估泄漏的严重程度。一个关于尿失禁的影响的问题也包括在内。设置-妇产科，特隆赫姆大学医院和里萨，挪威农村社区的门诊部。尿失禁-共有116名尿失禁妇女转介到诊所由他们的家庭医生和所有2366名成年妇女生活在里萨。结果：中度和轻度尿失禁患者尿垫重量的中位数差异为9 g/24 h（95%置信区间0-27）。重度和中度尿失禁之间的相应差异为17 g/24 h（95% CI 5-30）。在流行病学调查中，29.4%的人报告尿失禁（应答率77%）。中年和老年人的患病率往往最高。46%被归类为轻微，27%为中度，27%为重度。严重程度和影响之间存在强相关性（R=0.59，p
Study objective-The aim was to validate a simple severity index of female urinary incontinence for subsequent use in an epidemiological survey.Design-The index was created by multiplying the reported frequency (four levels) by the amount of leakage (two levels). The resulting index value (1-8) was further categorised into slight (1-2), moderate (3-4), and severe (6-8). It was validated against a 48 hour ''pad weighing'' test. Thereafter, an anonymous postal questionnaire survey was performed and the index was used to assess the severity of the leakage. A question about the impact of incontinence was also included.Setting-The outpatient clinic of the Department of Gynaecology and Obstetrics, Trondheim University Hospital and the rural community of Rissa, Norway.Participants-Altogether 116 incontinent women referred to the clinic by their GP and all 2366 adult women living in Rissa. Results-The difference in median pad weights between moderate and slight incontinence was 9g/24h (95% confidence interval 0-27). The corresponding difference between severe and moderate incontinence was 17g/24h (95% CI 5-30). In the epidemiological survey 29.4% reported urinary incontinence (response rate 77%). The prevalence tended to be highest in middle life and old age. Forty six per cent were classified as slight, 27% moderate, and 27% severe. There was a strong correlation between severity and impact (R=0.59, p