目的:了解北京市密云县农村老年女性压力性尿失禁(SUI)患病情况及其对生活质量的影响,为探讨利用农村合作医疗网进行健康教育和行为干预提供依据.方法:依托密云地区农村合作医疗网络,分别选取山区和平原的农村乡镇,由当地的居委会和社区卫生服务中心组织,以调查员问卷调查的方式入户调查,问卷的大部分内容根据亚太地区尿控咨询委员会标准,并根据该地具体情况进行调整.分析农村老年女性SUI患病情况及对生活质量的影响.结果:本调查抽取北京市密云县≥60岁的农村老年女性501例,SUI检出率44.91％(225/501).46.67％( 105/225)初次出现症状是在绝经后；32.89％(74/225)认为对从事家务劳动有影响,27.12％(61/225)认为对参加户外活动有影响,19.12％(43/225)不愿去没有卫生间的场所,15.56％ (35/225)因惧怕漏尿故意减少饮水量,5.34％( 12/225)因漏尿需频繁更换内裤.因SUI而感到抑郁、焦虑、沮丧难堪、情绪低落、生活乐趣减少的患者分别占25.78％(58/225)、20.45％ (46/225)、13.34％( 30/225)、29.78％(67/225)和8.45％ (19/225),仅有2.23％ (5/225)认为对生活质量无影响.结论:北京市密云地区农村老年女性SUI患病率较高,对患者日常生活质量及心理健康均有影响,应引起广大医务工作者的重视.%Objective:Investigation on old female stress urinary incontinence(SUI) in miyun county. In older to provide a basis for health education and behavior intervention,rely on Rural-based cooperative medical. Methods:Selected representative rural towns,adopt questionnaire-investigation to collect data,investigation on old female SUI and analysis the/effect of SUI on Life Quality. Results:The investigation randomly selected 501 cases women age≥60 years. The symptoms first appears after the menopause in 46.67% (105/225) women;32.89% (74/225 )women with SUI has an effect on house-work; 27.12%(61/225) women with sui has an effect on taking part in open air activities; 19.12%(43/225) wpmen with sui refuse to go the place without bathroom; 15.56%(35/225)women with SUI decrease the amount of water drinking because of fearin-g of leak;5.34% (12/225)women need frequent switch of panties. People feel depression/anxiety/despond,embarrassed/in a black mood/diminish their lives of 25.78%(58/225) 20.45% (46/225) ,13.34%(30/225) ,29.78%(67/225) ,8.45% (19/225) res-pectively. Conclusions: The prevalence rate of SUI is high in the old women in miyun country, influencing/the quality of life and psychological health of the patients. It demands the medical workers to pay adequate attentions.
展开▼
