Do urinary tract infections affect morale among very old women?
Do urinary tract infections affect morale among very old women?
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DOI：
10.1186/1477-7525-8-73
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发表时间：
2010-07-22
影响因子：
3.6
通讯作者：
Olofsson, Birgitta
中科院分区：
文献类型：
--
作者：
Eriksson, Irene;Gustafson, Yngve;Olofsson, Birgitta
背景：尿路感染（UTI）是所有年龄段女性中最常见的细菌感染之一，但发病率随着年龄的增长而增加。尽管尿路感染是一个普遍的问题，但对其与经验丰富的健康和士气的关系的调查仍然很少。本研究的目的是探讨诊断出有症状的尿路感染（UTI）是否接受持续治疗对高龄妇女的士气或主观幸福感的影响。方法：在一项以人群为基础的横断面研究中，对504名年龄在85岁及以上（84-104岁）的女性进行持续尿路感染评估。其中，319人（63.3%）能够回答费城老年中心士气量表（PGCMS）的问题，该量表用于评估士气或主观幸福感。结果：在目前319名女性的研究样本中，46名（14.4%）在评估时被诊断为患有尿路感染，无论是否接受持续治疗。接受或不接受持续治疗的UTI妇女的PGCMS评分显著低于未接受治疗的UTI妇女（10.4 vs 11.9, p = 0.003），这表明对老年妇女的士气或主观幸福感有显著影响。在多元回归模型中，抑郁（p < 0.001）、尿路感染（p = 0.014）和便秘（p = 0.018）是与情绪低落有显著独立关联的医学诊断。结论：由于尿路感染似乎与士气低落或主观幸福感差独立相关，因此需要更加重视老年妇女尿路感染的预防、诊断和治疗。
Background: Urinary tract infection (UTI) is among the most common bacterial infections in women of all ages but the incidence increases with older age. Despite the fact that UTI is a common problem it is still poorly investigated regarding its connection with experienced health and morale. The aim of this study was to explore the impact of a diagnosed, symptomatic urinary tract infection (UTI) with or without ongoing treatment on morale or subjective wellbeing among very old women.Methods: In a cross-sectional, population-based study, 504 women aged 85 years and older (range 84-104) were evaluated for ongoing UTI. Of these, 319 (63.3%), were able to answer the questions on the Philadelphia Geriatric Center Morale Scale (PGCMS) which was used to assess morale or subjective wellbeing.Results: In the present study sample of 319 women, 46 (14.4%) were diagnosed as having had a UTI with or without ongoing treatment when they were assessed. Women with UTI with or without ongoing treatment had significantly lower PGCMS scores (10.4 vs 11.9, p = 0.003) than those without UTI, indicating a significant impact on morale or subjective wellbeing among very old women. Depression (p < 0.001), UTI (p = 0.014) and constipation (p = 0.018) were the medical diagnoses significantly and independently associated with low morale in a multivariate regression model.Conclusions: As UTI seems to be independently associated with low morale or poor subjective wellbeing, there needs to be more focus on prevention, diagnosis and treatment of UTI in old women.