住院2型糖尿病患者尿失禁现状及影响因素分析

Status of urinary incontinence and its influencing factors among type 2 diabetes inpatients

目的 探讨住院2型糖尿病患者尿失禁现状及影响因素,为制订针对性的预防措施提供参考。方法 采用一般情况调查表和国际尿失禁咨询委员会尿失禁问卷简表对273例2型糖尿病患者进行调查。结果 135例(49.5%)2型糖尿病患者发生尿失禁,其中轻度尿失禁9例(6.7%),中度100例(74.1%),重度24例(17.8%),极重度2例(1.5%);压力性尿失禁13例(9.6%),急迫性尿失禁89例(65.9%),混合性尿失禁33例(24.4%)。logistic回归分析显示,年龄、糖化血红蛋白、周围神经病变、卒中、视网膜病变和便秘是2型糖尿病患者发生尿失禁的主要影响因素(P<0.05,P<0.01)。结论 2型糖尿病患者尿失禁发生率较高,医护人员应重点关注年龄较高、血糖控制不佳、并存微血管并发症的患者,以便早期识别和预防尿失禁。

Objective To explore the current status of urinary incontinence and its influencing factors among type 2 diabetes inpatients,and to provide reference for developing targeted preventive measures.Methods A total of 273 type 2 diabetes inpatients were investigated using the general information questionnaire and the International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form(ICIQ-UISF).Results Totally 135(49.5%) patients encountered urinary incontinence,9(6.7%) of them were mild,100(74.1%) were moderate,24(17.8%) were severe,and 2(1.5%) were extremely severe;and 13(9.6%) of them were stress urinary incontinence,89(65.9%) were urgency urinary incontinence,and the other 33(24.4%) were mixed urinary incontinence.Logistic regression analysis showed that,age,glycosylated hemoglobin,peripheral neuropathy,stroke,retinopathy and constipation were the major influencing factors of urinary incontinence among type 2 diabetes inpatients(P<0.05,P<0.01).Conclusion The incidence of urinary incontinence in type 2 diabetes inpatients is high.Medical staff should focus on those patients with higher age,poor glycemic control and coexisting microvascular complications,in order to recognize and prevent urinary incontinence early.