老年人尿失禁的患病率及相关因素分析

Adriel John Junior Purba
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摘要

摘要背景。尿失禁是不由自主或无法控制的排尿。这是非常具有破坏性的,它会导致很多问题,通常被视为一件令人尴尬的事情。尿失禁的患病率随着年龄的增长而增加。老年人口中的比例为22.2%,与成年人口的12.0%相比更为显著。目标。本研究旨在确定Haji Adam Malik综合中心医院和北苏门答腊大学医院老年患者尿失禁的患病率和相关因素。方法。这类研究是采用横断面设计的分析性观察研究。研究样本采用连续抽样技术,以问卷调查为主要资料。结果。在100名受访者中,22名老年患者经历了尿失禁,其中大多数经历了中度严重程度和压力性尿失禁。基于卡方双变量分析发现性别(p=0.617)、年龄(p=0.617)、体重超重(p=<0.001)、糖尿病(p=<0.001)、高血压(p=0.001)、慢性咳嗽史(p=<0.001)、盆腔手术史(p=<0.001)、阴道分娩史(0=0.055)。结论。22%(22例)的老年患者出现尿失禁。在本研究中,与尿失禁相关的危险因素是超重、糖尿病、高血压和慢性咳嗽史,而在本研究中未发现与尿失禁相关的危险因素是年龄、性别和阴道分娩史。
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Prevalence and Correlated Factors of Urinary Incontinence in Geriatic
Abstract. Background. Urinary incontinence is involuntary or uncontrollable urine passing. This is very disruptive, it causes a lot of problems and is often seen as an embarrassing thing. The prevalence of urinary incontinence was found to increase with age. The number in the geriatric population is 22.2%, more significant when compared to the adult population of 12.0%. Objectives. This research aimed to determine the prevalence and factors associated with the incidence of urinary incontinence in geriatric patients at the Haji Adam Malik General Central Hospital and the University of North Sumatra Hospital. Method. This type of research is an analytic observational study with a cross-sectional design. The research sample is determined by consecutive sampling technique using a questionnaire as primary data. Results. Out of 100 respondents, 22 geriatric patients experienced urinary incontinence, with the majority experiencing moderate severity and stress urinary incontinence. Based on bivariate analysis using chi-square found gender (p=0.617), age (p=0.617), overweight (p=<0.001), diabetes mellitus (p=<0.001), hypertension (p=0.001), history of chronic cough (p=<0.001), history of pelvic surgery (p=<0.001), and history of vaginal delivery (0=0.055). Conclusion. There are 22% (22 patients) of geriatric patients experienced urinary incontinence. In this study, the risk factors associated with urinary incontinence are overweight, diabetes mellitus, hypertension, and a history of chronic cough while risk factors that are not found to be associated in this study are age, sex, and history of vaginal delivery.
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