Economic and personal impact of fecal and urinary incontinence
Economic and personal impact of fecal and urinary incontinence
复制标题
DOI：
10.1053/j.gastro.2003.10.056
复制
发表时间：
2004-01-01
期刊：
影响因子：
29.4
通讯作者：
Miner, PB
中科院分区：
文献类型：
--
作者：
Miner, PB
不能控制排便或排尿会造成心理压力，使医疗疾病和管理复杂化，并造成重大经济后果。患者经常以羞耻和尴尬来描述大便和尿失禁的影响，并报告说这导致他们将自己与朋友和家人隔离。尿失禁往往导致早期决定机构的老年亲属，因为家庭有困难在家里处理尿失禁。不出所料，失禁患者的抑郁和焦虑症状增加，生活质量下降，这已被标准化评估工具记录在案。尿失禁的直接保健费用估计为每年163亿美元（1995年费用）。没有单独的大便失禁费用估计。迫切需要进行方法学上合理的研究，记录尿失禁对经济和个人的影响，以便为这一重大公共卫生问题制定卫生保健资源和研究经费的分配准则。这种需求对大便失禁尤其巨大，因为与尿失禁相比，关于大便失禁的医疗保健经济数据要少得多。
Failure to control the elimination of urine or stool causes psychological stress, complicates medical illnesses and management, and has major economic consequences. Patients often describe the impact of both fecal and urinary incontinence in terms of shame and embarrassment and report that it causes them to isolate themselves from friends and family. Incontinence frequently results in an early decision to institutionalize elderly relatives because families have difficulty coping with incontinence at home. Not surprisingly, there is an increase in symptoms of depression and anxiety in patients with incontinence as well as degradation in quality of life that has been documented by standardized assessment instruments. The direct health care costs for urinary incontinence are estimated to be $16.3 billion per year (1995 costs). Separate cost estimates for fecal incontinence are not available. There is an acute need for methodologically sound studies to document the economic and personal impact of incontinence to develop guidelines for the allocation of health care resources and research funding to this major public health problem. This need is especially great for fecal incontinence, for which there is much less health care economic data than for urinary incontinence.