社区已育女性压力性尿失禁影响因素及生活质量分析

Analysis on influencing factors of stress urinary incontinence and quality of life among parous women in community

目的调查社区已育女性发生压力性尿失禁(SUI)的影响因素,分析其生活质量,为女性SUI的干预治疗提供参考。方法选取2021年12月—2022年5月衡阳市4个社区的405名社区已育女性作为研究对象,调查SUI的发生情况,采用二分类logistic回归分析法分析影响因素,采用尿失禁生活质量问卷(I-QOL)评价生活质量。结果SUI发生率为43.70%(177/405),其中轻度尿失禁占70.62%,中度尿失禁占27.12%,重度尿失禁占2.26%。单因素分析结果显示:年龄、生殖道感染、SUI家族史、流产次数、分娩方式、硬膜外镇痛、妊娠纹等级是SUI发生的影响因素(均P<0.05)。logistic回归分析结果显示:生殖道感染(OR=2.142,95%CI:1.185~3.872,P<0.05)、SUI家族史(OR=4.189,95%CI:1.927~9.016,P<0.05)、硬膜外镇痛(OR=0.439,95%CI:0.224~0.861,P<0.05)是SUI的影响因素。SUI患者I-QOL问卷评分为(100.39±17.73)分。生活质量与SUI严重程度相关,SUI越严重,I-QOL问卷各维度得分越低(均P<0.05)。结论社区已育女性SUI发生率较高,与SUI家族史、生殖道感染、硬膜外镇痛等有关,生活质量与SUI严重程度相关。应对社区已育女性开展SUI健康教育,预防危险因素,及时进行干预治疗。

Objective To investigate the influencing factors of stress urinary incontinence(SUI)among parous women in community,and analyze the quality of life,provide a reference for intervention and treatment of women with SUI.Methods A total of 405 parous women from December 2021 to May 2022 in four comunities of Hengyang City were selected to investigate the incidence of SUI.Binary logistic regression analysis was used to analyze the influencing factors,I-QOL questionnaire was used to evaluate the quality of life.Results The prevalence rate of stress incontinence was 43.70%(177/405),including mild SUI(70.62%),moderate SUI(27.12%),and severe SUI(2.26%).The results of univariate analysis showed that age,genital tract infection,family history of SUI,times of abortion,mode of delivery,epidural analgesia,and degree of striae gravidarum were influencing factors of SUI.Logistic regression analysis showed that genital tract infection(OR=2.142,95%CI:1.185-3.872,P<0.05),family history of SUI(OR=4.189,95%CI:1.927-9.016,P<0.05),and epidural analgesia(OR=0.439,95%CI:0.224-0.861,P<0.05)were the influencing factors of SUI.The score of I-QOL questionnaire was(100.39+17.73)points in SUI patients.Life quality was correlated with severity of SUI,the severer SUI was,the lower the scores of dimensions of I-QOL questionnaire were(P<0.05).Conclusion The incidence rate of SUI in community parous women is high,which is related to family history of SUl,reproductive tract infection,and epidural analgesia,the quality of life is affected by the severity of SUI.Health education about SUI should be carried out for parous women in the community,the risk factors should be prevented,intervention and treatment should be carried out timely.