老年女性患者尿失禁与抑郁的相关性研究

Research of urinary incontinence and depression among aged female patients

目的了解老年女性患者尿失禁与抑郁的发病率以及两者的关系。方法采用尿失禁简表、简版老年人抑郁量表对118例老年女性患者进行现状调查。采用线性回归分析、Spearman相关分析方法分析尿失禁与抑郁之间的关系。结果118例老年女性患者中，尿失禁患者32例占27．1％，抑郁症状患者46例占39．0％，尿失禁合并抑郁患者16例占13．6％；老年女性患者抑郁与尿失禁呈正相关，r=0．211，P〈0．05；娱乐活动与尿失禁是老年女性患者抑郁症状的影响因素，P〈0．05。结论尿失禁增加老年女性患抑郁症的风险，严重影响患者的生理和心理健康，应早期给予患者健康教育与干预措施。

Objective To explore the prevalence and relationship of urinary incontinence and depression among elderly female patients. Methods A total of 118 female patients older than 60 years old were interviewed face to face. The prevalence of urinary incontinence and depression were estimated using the International Consultation on Incontinence Questionnaire Urinary Incontinence Short Form-Chinese （ICIQ-SF-Chinese） and Geriatric Depression Scale-15 （GDS-15）. Linear regression and Spearman correlation were used to identify the relationship between urinary incontinence and depression. Results Urinary incontinence was found in 27.1% （32/118）, and depression was in 39.0% （46/118） of the survey population. Urinary incontinence with depression was found in 13.6% （16/118） of the overall population. Urinary incontinence was positively correlated with depression, r=0.211, P〈0.05. The frequency of entertainment and urinary incontinence were significantly related to depression symptoms, P〈0.05. Conclusions Urinary incontinence appears to possess an additive effect on incidence of depression, which seriously affects both physical and mental health of patients. Clinicians should give patients health education and intervention measures at early stage.