THE INFLUENCE OF DEMENTIA ON THE PREVALENCE OF URINARY AND FECAL INCONTINENCE IN 85-YEAR-OLD MEN AND WOMEN
THE INFLUENCE OF DEMENTIA ON THE PREVALENCE OF URINARY AND FECAL INCONTINENCE IN 85-YEAR-OLD MEN AND WOMEN
复制标题
DOI：
10.1016/0167-4943(94)90021-3
复制
发表时间：
1994-07-01
影响因子：
4
通讯作者：
SKOOG, I
中科院分区：
文献类型：
--
作者：
HELLSTROM, L;EKELUND, P;SKOOG, I
从瑞典哥德堡市随机抽取485名85岁老人，通过精神病学访谈、体格检查、头部计算机断层扫描和脑脊液分析，研究痴呆对尿便失禁患病率的影响。尿失禁和大便失禁由泌尿治疗师进行评估。痴呆症、尿失禁和大便失禁的定义是根据严格的、国际公认的标准。尿便失禁和痴呆的患病率分别为38%、17%和29%。痴呆症男性(50%)和女性(60%)的尿失禁频率高于非痴呆症男性(18%)和女性(36%)。痴呆患者大便失禁的发生率(34.8%)高于非痴呆患者(6.7%)。尿失禁和大便失禁在女性中的发病率(分别为43%和20%)均高于男性(分别为27%和11%)。居民、养老院或医院的尿便失禁和痴呆症的患病率(分别为74%、51%和92%)高于居家受试者(分别为32%、9%和18%)。在住在精神病院的痴呆症受试者中，78%的人大小便失禁，相比之下，37%的人住在家里。18%的男性和33%的女性使用了大小便失禁辅助设备，随着痴呆症严重程度的增加，他们的使用也增加了。痴呆症影响了尿失禁的流行，这两种情况相互独立，强烈影响了对机构护理的需求。
The influence of dementia on the prevalence of urinary and faecal incontinence was investigated in a random sample (n = 485) of the total population of 85-year-olds from the city of Gothenburg, Sweden, The subjects were assessed by a psychiatric interview, physical examinations, computed tomography of the head and analysis of cerebrospinal fluid. Urinary and faecal incontinence were assessed by a urotherapist. Dementia, urinary and faecal incontinence were defined according to strict, internationally accepted criteria. The prevalences of urinary and faecal incontinence, and dementia were 38%, 17% and 29% respectively. Demented men (50%) and women (60%) were more often urinary incontinent than non-demented men (18%) and women (36%). Faecal incontinence was more prevalent in demented (34.8%) than non-demented subjects (6.7%). Both urinary and faecal incontinence were more prevalent in women (43% and 20% respectively) than men (27% and 11%, respectively). The prevalences of urinary and faecal incontinence, and dementia were higher in residents;of a nursing home or hospital (74%, 51% and 92%, respectively) than in subjects living at home (32%, 9% and 18%, respectively). Of the demented subjects resident in an institution, 78% were incontinent compared with 37% living at home. Incontinence aids were used by 18% of the men and 33% of the women, and their use increased with increasing severity of dementia. Dementia influenced the prevalence of urinary incontinence, and both conditions independently of each other strongly influenced the need for institutional care.