ICU女性护士下尿路症状现况调查及影响因素分析

Prevalence and influencing factors of lower urinary tract symptoms among ICU female nurses

目的调查河南省某三级甲等医院ICU女性护士下尿路症状现况,并分析其影响因素。方法本研究为横断面调查研究,采取便利抽样法对河南省某三级甲等医院380名注册在岗ICU女性护士,采用一般资料调查表、国际尿失禁咨询委员会女性下尿路症状问卷中文版、美国国家航天航空局心理负荷指数量表进行调查。结果调查对象中80.3%(305名)ICU女性护士至少患有1种下尿路症状,储尿期症状患病率为42.1%,排尿期症状患病率为19.7%,失禁期症状患病率为68.4%。二元logistic回归分析显示年龄、BMI、阴道分娩史、每日饮水量少于500 mL、心理负荷程度高为ICU女性护士下尿路症状的独立危险因素(OR=0.419~4.106,P<0.05)。结论ICU女性护士下尿路症状患病率高,对日常生活影响较大,应早期针对其危险因素加强筛查及防治。

Objective To investigate the status of lower urinary tract symptoms(LUTS)among ICU female nurses in a class a hospital in Henan Province,and to analyze the influencing factors.Methods The cross-sectional study adopted convenience sampling method to select 380 ICU female nurses and survey them with the general data questionnaire,Chinese Version of the International Consultation on Urinary Incontinence Questionnaire-Female Lower Urinary Tract Symptoms,and The National Aeronautics and Space Administration Task Load Index.Results Of all 380 nurses,305(80.3%)had at least one lower urinary tract symptom,and the prevalence rate of urinary storage symptom,voiding symptom and incontinence symptom was 42.1%,19.7% and 68.4%,respectively.Binary logistic regression analysis showed that age,body mass index(BMI),history of vaginal delivery,daily water intake<500 mL and high psychological load were independent risk factors for LUTS(OR=0.419-4.106,P<0.05).Conclusion ICU female nurses have a high prevalence of LUTS,which has a great impact on daily life.Early screening is important to prevent LUTS.