Impacto da autopercepção de saúde em longevos com incontinência urinária

IF 0.3 Q3 MEDICINE, GENERAL & INTERNAL Scientia Medica Pub Date : 2019-03-15 DOI:10.15448/1980-6108.2019.1.32831
L. Jorge, Bruna Borba Neves, Josemara De Paula Rocha, Vivian Ulrich, Ângelo José Gonçalves Bós
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Abstract

AIMS: To verify the impact of self-perceived health on the chance of developing urinary incontinence in very-old.METHODS: This is a cross-sectional and analytical study with elderly individuals aged 90 years and over. The statistical and analytical variables (sex, marital status, continence, age, depressive symptoms, cognition, comorbidities and ability to perform activities) were analyzed analytical and descriptive statistics (frequencies, mean and standard deviation, univariate and health self-perception adjusted logistic regression analysis).RESULTS: There were 182 participants, 71% women. The previous diagnosis of depression, the score of depressive symptoms and the percentage of ease for functional and basic activities were related to self-perception of health (p<0.05). The loss of urine, however, was not related to self-perceived health. The self-perception of health influenced the effect of the variables previous diagnosis of depression, number of depressive symptoms, Mini-Mental State Examination score and number of comorbidities on the chance of urinary incontinence in thepresence of these variables. Males, widowhood and ease of performance of basic and functional activities were significantly related to urinary incontinence regardless of the adjustment of health self-perception.CONCLUSIONS: There was no relationship between urinary incontinence and health self-perception. However, health self-perception influenced the effect of sociodemographic and clinical variables on the chance of having urinary incontinence.
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老年尿失禁患者自我健康感知的影响
目的:验证自我感知健康对每个人发生尿失禁几率的影响。方法:这是一项针对90岁及以上老年人的横断面分析研究。对统计和分析变量(性别、婚姻状况、失禁、年龄、抑郁症状、认知、合并症和活动能力)进行分析和描述性统计(频率、平均值和标准差、单变量和健康自我感知调整的逻辑回归分析)。结果:共有182名参与者,71%为女性。既往抑郁症的诊断、抑郁症状的评分以及功能和基本活动的缓解率与自我健康感知有关(p<0.05)。然而,尿液流失与自我健康认知无关。在这些变量存在的情况下,健康的自我感知影响了先前诊断为抑郁症的变量、抑郁症状的数量、迷你精神状态检查分数和合并症的数量对尿失禁机会的影响。男性、丧偶以及基础和功能活动的易用性与尿失禁显著相关,而不考虑健康自我感知的调整。结论:尿失禁与健康自我感知之间没有关系。然而,健康自我认知影响了社会人口统计学和临床变量对尿失禁几率的影响。
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来源期刊
Scientia Medica
Scientia Medica MEDICINE, GENERAL & INTERNAL-
CiteScore
0.70
自引率
20.00%
发文量
14
审稿时长
10 weeks
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