腹腔镜前列腺癌根治术后患者尿失禁发生状况及与生活质量的相关性分析

Correlation between urinary incontinence and quality of life among patients with post-laparoscopic radical prostatectomy

目的了解腹腔镜前列腺癌根治术后患者的尿失禁发生状况及生活质量,并分析两者之间的关系.方法采用方便抽样法,对2015年9月—2016年10月北京市某三级甲等医院的115例腹腔镜前列腺癌根治术后患者进行问卷调查.收集患者一般资料及疾病相关资料,采用国际尿失禁咨询委员会尿失禁问卷简表(ICIQ-UISF)测评患者尿失禁状况(包括尿失禁发生率和严重程度),采用尿失禁影响问卷简表(IIQ-7)测评尿失禁对患者生活质量的影响.分析尿失禁严重程度和生活质量的相关性.结果115例腹腔镜前列腺癌根治术后患者中有95例发生尿失禁(82.6%),其中轻度尿失禁者41例(43.1%),中度尿失禁者47例(49.5%),重度尿失禁者7例(7.4%);尿失禁严重程度得分范围为0~19.0分,中位数为8.0分,四分位数间距为5.0分;Spearman相关分析显示,IIQ-7与尿失禁严重程度呈正相关(r=0.674,P<0.01),与术后时间呈负相关(r=-0.215,P<0.05).多元线性回归分析显示,尿失禁严重程度是影响尿失禁患者生活质量的主要因素(P<0.01).结论腹腔镜前列腺癌根治术后患者普遍存在尿失禁,以轻、中度为主.尿失禁越严重,对患者生活质量影响越大,提示医务人员帮助患者术后科学有效管理尿失禁可改善患者生活质量.

Objective To understand the situation of urinary incontinence and quality of life among patients with post-laparoscopic radical prostatectomy and to analyze the correlation between them.Methods From September 2015 to October 2016,we selected 115 patients with post-laparoscopic radical prostatectomy at a ClassⅢGrade A hospital in Beijing for survey by questionnaire with the method of convenience sampling.We collected patients'general information as well as disease information,and evaluated the situation of urinary incontinence(incidence and severity of urinary incontinence)with the International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form(ICIQ-UI SF)and influence of urinary incontinence on quality of life with the Incontinence Impact Questionnaire(IIQ-7)to analyze the correlation between severity of urinary incontinence and quality of life.Results Among 115 patients with post-laparoscopic radical prostatectomy,there were 95(82.6%)urinary incontinence patients including 41 cases(43.1%)with mild urinary incontinence,47 cases(49.5%)with medium urinary incontinence and 7 cases(7.4%)with severe urinary incontinence.The score of severity of urinary incontinence ranged from 0 to 19.0 with 8.0 for the median and 5.0 for the interquartile range.Spearman correlation analysis showed that the score of IIQ-7 had a positive correlation with the severity of urinary incontinence(r=0.674,P<0.01),and had a negative correlation with the postoperative time(r=-0.215,P<0.05).Multiple linear regression analysis showed that the main influencing factor of quality of life was severity of urinary incontinence(P<0.01).Conclusions Urinary incontinence is common among patients with post-laparoscopic radical prostatectomy mainly in mild and medium urinary incontinence.The more serious the urinary incontinence is,the greater the influence on quality of life is which points out that the scientific and effective management by medical staff for urinary incontinence can improve patients'quality of life.