社区女性尿失禁患者病耻感与生活质量的相关性研究

摘要

Objective To explore the correlation between stigma and quality of life ( QOL) of community women with urinary incontinence (UI).Methods From April 2012 to April 2014 80 community women with UI were selected in study group , and 80 cases of hospitalized patients with UI in the same period were selected in control group .The general questionnaire , devaluation-discrimination scale and QOL scale for UI were used to analyze the correlation .Results The mean score of devaluation-discrimination scale in the study group was significantly decreased compared to the control group (t=3.31, P<0.05).The total score, avoidance and limiting behavior score of I-QOL, psychosocial impact score , and social activity scores were significantly lower in the study group than the control group ( t value was 3.21, 3.37, 3.55 and 3.38, respectively, all P<0.05).The devaluation-discrimination scale had negative correlation with total score of I-QOL, avoidance and limiting behavior score in the study group (r value was -0.263 and -0.354, respectively, both P<0.05), but positive correlation was found in the control group (r value was 0.037 and 0.028, respectively, both P<0.05).Conclusion Stigma of community females with UI has great impact on their social activities , so positive and effective intervention methods are needed to improve the patients’ symptoms and signs in order to decrease stigma and enhance their QOL .%目的：探讨社区女性尿失禁患者病耻感与生活质量的相关性。方法选择自2012年4月至2014年4月收治的80例社区女性尿失禁患者作为研究组，同时选择同期80例住院女性尿失禁患者作为对照组。采用一般情况调查表、贬低－歧视感量表及尿失禁生活质量量表对其进行问卷调查，分析二者之间的相关性。结果研究组尿失禁患者歧视－感知量表平均得分显著低于对照组，差别有统计学意义（t＝3．31，P＜0．05）。研究组尿失禁生活质量量表（I-QOL）总分、逃避和限制性行为评分、心理社会影响评分、社会活动受限评分均低于对照组（t值分别为3．21、3．37、3．55、3．38，均P＜0．05）。研究组中尿失禁患者贬低－歧视感知量表与生活质量总分、逃避和限制性行为呈负相关（r值分别为－0．263、－0．354，均P＜0．05）。对照组尿失禁患者贬低－歧视感知量表与生活质量总分、逃避和限制性行为呈正相关（r值分别为0．037、0．028，均P＜0．05）。结论社区女性尿失禁患者的病耻感对其社交活动影响较大，需采取积极有效的干预方法来改善尿失禁患者的症状及体征，以降低病耻感，提高患者生活质量。