老年女性尿失禁患者生命质量及影响因素调查分析

Investigation on quality of life and its influencing factors in senior women with urinary incontinence

目的调查老年女性尿失禁患者的生命质量,并探讨其影响因素。方法采用便利抽样的方法,选取2017年6—9月在福州市温泉街道社区、东街街道社区和养老机构的老年女性尿失禁患者152例作为研究对象,采用尿失禁问卷简表(ICI-Q-SF)和尿失禁生命质量量表(I-QOL)调查老年女性尿失禁患者的生命质量,并分析其影响因素。结果老年尿失禁患者生命质量总分为(98.7±12.2)分;3个维度依次为限制性行为、社交活动受限和心理影响,得分分别为(34.5±4.4)、(41.4±5.4)和(20.8±3.5)分。影响患者生命质量的因素有4个,分别是尿失禁严重程度、尿失禁类型、糖尿病和漏尿频率(P<0.01)。结论尿失禁对老年患者的生命质量造成一定的负性影响,且影响因素较多,应根据影响因素的不同制订个体化的护理措施,从而提高患者的生命质量。

Objective To investigate the quality of life of senior women with urinary incontinence and to explore its influencing factors.Methods A convenient sampling method was used to select 152 senior women with urinary incontinence in Fuzhou Hot-Spring Street Community,Dongjie Street Community and Old-age Care Institutions from June 2017 to September 2017.The quality of life of elderly women with urinary incontinence were observed and the influencing factors were analyzed via International Consultation on Incontinence Questionnaire Short Form(ICI-Q-SF)and Incontinence Quality of Life Scale(I-QOL).Results The quality of life of senior women with urinary incontinence was(98.7±12.2)points.The scores of the three dimensions including restrictive behavior,social activity limitation and psychological impact were 34.5±4.4 and 41.4±5.4 and 20.8±3.5,respectively.There were 4 factors that influencing the quality of life of patients,namely,the severity of urinary incontinence,the type of urinary incontinence,diabetes and the frequency of leaking urine(P<0.01).Conclusions Urinary incontinence has a certain negative impact on the quality of life of patients,and its influencing factors are complex.Individualized care measures should be taken based on the influencing factors to improve the quality of life of patients.