华南预防医学 ›› 2022, Vol. 48 ›› Issue (12): 1470-1473.doi: 10.12183/j.scjpm.2022.1470

• 论著 • 上一篇    下一篇

卫辉市成年女性压力性尿失禁患病现状及影响因素

胡俊玲, 吴春磊, 韩广业, 余沁楠   

  1. 新乡医学院第一附属医院,河南 卫辉 453100
  • 收稿日期:2022-07-14 出版日期:2022-12-20 发布日期:2023-02-21
  • 通讯作者: 余沁楠,E-mail:yuqinnan007@163.com
  • 作者简介:胡俊玲(1978—),女,大学本科,主管护师,研究方向为尿失禁护理
  • 基金资助:
    2022年度河南省医学科技攻关计划联合共建项目(LHGJ20220607)

Prevalence and influencing factors of stress incontinence in adult women in Weihui City

HU Jun-ling, WU Chun-lei, HAN Guang-ye, YU Qin-nan   

  1. The First Affiliated Hospital of Xinxiang Medical College, Weihui 453100, China
  • Received:2022-07-14 Online:2022-12-20 Published:2023-02-21

摘要: 目的 调查卫辉市成年女性压力性尿失禁患病现状及影响因素。方法 于2022年4—6月采用方便抽样方法抽取卫辉市成年女性作为调查对象,对符合研究条件的成年女性进行问卷调查及尿常规、尿动力学检测,采用描述性分析方法对成年女性压力性尿失禁患病现状进行分析,并采用单、多因素分析方法对压力性尿失禁的影响因素进行分析。结果 共获得有效研究对象1 645人,检出压力性尿失禁病例308例,患病率18.72%,其中轻度184例(59.74%),中度97例(31.49%),重度27例(8.77%)。多因素Logistic回归分析提示年龄(OR=1.412)、BMI≥24.0 kg/m2OR=2.393)、体力活动(OR=1.213)、月经(OR=2.208)、生育史(OR=3.086)、盆腔手术史(OR=1.853)、尿路感染史(OR=1.451)、饮水量(OR=1.567)、及时排尿(OR=0.692)是成年女性压力性尿失禁患病的影响因素。结论 卫辉市成年女性压力性尿失禁患病率较高,以轻度压力性尿失禁多见,其发生受到多方面因素影响。应针对可改变因素采取有效的干预措施,如指导成年女性通过控制体重指数、适当体力活动、保证饮水量、养成良好的排尿习惯等,降低压力性尿失禁患病率。

关键词: 压力性尿失禁, 成年, 女性, 患病率, 影响因素

Abstract: Objective To investigate the prevalence and influencing factors of stress incontinence in adult women in Weihui City. Methods From April to June 2022, adult women in Weihui City were selected by convenient sampling method, and the adult women who met the research conditions were investigated by questionnaire, routine urine test, and urodynamics test. The descriptive analysis method was used to analyze the prevalence of stress incontinence in adult women, and univariate and multivariate analysis methods were used to analyze the influencing factors of stress incontinence. Results A total of 1 645 effective subjects were obtained, and 308 cases of stress incontinence were detected, with a prevalence rate of 18.72%, including 184 cases of mild incontinence (59.74%), 97 cases of moderate incontinence (31.49%), and 27 cases of severe incontinence (8.77%). Multivariate logistic regression analysis showed that age (OR=1.412), body mass index ≥ 24.0 kg/m2OR=2.393), physical activity (OR=1.213), menstruation (OR=2.208), reproductive history (OR=3.086), pelvic surgery history (OR=1.853), urinary tract infection history (OR=1.451), water intake (OR=1.567), and timely urination (OR=0.692) were the influencing factors of stress incontinence in adult women. Conclusions The prevalence of stress incontinence in adult women in Weihui City is high, and mild stress incontinence is more common, which is affected by many factors. Effective interventions should be taken to address modifiable factors, such as guiding adult women to reduce the prevalence of stress incontinence by controlling body mass index, appropriate physical activity, ensuring water intake, and developing good urination habits.

Key words: Stress incontinence, Adult, Women, Prevalence rate, Influencing factor

中图分类号: 

  • R195