广州市脑卒中住院患者尿失禁相关因素的调查研究

Prevalence of Inpatients' Post-stroke Urinary Incontinence and Its Related Factors

目的了解广州市脑卒中住院患者的临床资料及尿失禁发生的影响因素,为临床治疗及护理提供参考依据。方法采用便利抽样的方法,收集723例广州市10家医院的脑卒中住院患者的相关资料,包括人口统计学资料、卒中情况、既往史等项目。结果723例脑卒中患者中,处于急性期的尿失禁发生率为34.6%,恢复期的尿失禁发生率为50.9%,后遗症期的发生率为54.5%。多因素分析显示,婚姻状况、照顾者、卒中时期、卒中类型、顶叶病变、慢性咳嗽、生殖因素、失语/构音障碍、卒中后抑郁是脑卒中后尿失禁的影响因素(P<0.05)。结论尿失禁严重影响脑卒中患者的身心健康,医护人员应给予患者及家属必要的精神支持,取得他们的合作,减少不良因素,完善膀胱管理。

Objective To understand the prevalence of inpatients＇ post-stroke urinary incontinence in Guangzhou and analyze its influencing factors, to provide reference for clinical treatment and care. Methods With a self-designed questionnaire, the general information of 723 inpatients from 10 hospitals in Guangzhou were collected, including general demographic information, stroke situation, past history, etc. Results Of the total, the incidence of post-stroke urinary incontinence during the acute phase reached 34.6%, the recovery phase 50.9% and the sequela phase 54.5%. Marital status, care givers, stroke period, stroke type, parietal lobe lesions, chronic cough, aphasiaJdysarthria and post-stroke depression were influencing factors of post-urinary incontinence （P〈0.05）. Conclusion Urinary incontinence seriously affects the health of stroke patients, and necessary supports to patients and their families are recommended to reduce the adverse factors and to improve bladder management.