揭开尿失禁的神秘面纱:人口统计学、风险因素和妊娠相关动态的全面研究

A. Ismail, Iqra Bibi, Faryal Jahan
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摘要

由于怀孕期间的各种生理变化,孕妇尿失禁(UI)的发病率非常高。因此,其全球负担已增至 41%。研究目的确定人口统计学、体力活动、家族史和分娩方式等可能导致孕期女性尿失禁的因素。研究方法从 2022 年 12 月 1 日至 2023 年 11 月 30 日,在巴基斯坦开伯尔巴图克瓦省哈里普尔地区的康拉和科特纳吉布拉农村医疗中心开展了一项为期一年的横断面观察研究,共有 311 名年龄在 25-45 岁之间的女性参与了该研究。研究内容包括人口统计学特征、普遍存在的风险因素以及怀孕期间的细微差别。研究结果描述了参与者的人口统计学特征,显示了平均中年年龄和超重迹象。结果通过将尿失禁与各种合并症联系起来,突出了尿失禁的多面性,尤其强调了高血压和糖尿病的普遍性。对妊娠期尿崩症的详细探讨显示,压力型尿崩症占主导地位,且严重程度各不相同。此外,本研究还深入探讨了妊娠对尿频的影响,表明妊娠后尿频明显增加。结论:有关尿频及其相关因素的信息为医护人员和医生提供了宝贵的知识。他们可以为受尿崩症及其病因影响的患者提供量身定制的干预措施和支持性治疗策略。
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Unveiling Urinary Incontinence: A Holistic Examination of Demographics, Risk Factors, and Pregnancy-Associated Dynamics
The pervasiveness of urinary incontinence (UI) is very high in pregnant females due to various physiological changes during pregnancy. So, its global burden has increased to 41%. Objective: To determine the demographics, physical activity, family history and mode of delivery as possible factors responsible for UI among females during pregnancy. Methods: A cross-sectional observational study was conducted for one year in Rural Health Centres Kangra and Kot Najibullah, District Haripur, Khyber Pakhtunkhwa, Pakistan, from Dec 1 2022 to Nov 30, 2023, involving 311 women aged 25-45 years, examining UI. It encompasses demographic profiles, prevalent risk factors, and nuanced dimensions during pregnancy. The findings delineate the participants' demographic characteristics, showcasing an average middle age with indications of overweight status. Results: It highlights the multifaceted nature of UI by associating it with various comorbidities, notably emphasizing the prevalence of high blood pressure and diabetes mellitus. The detailed exploration of UI during pregnancy reveals the predominance of stress-based types and varying severity levels. Moreover, this study offers insights into the impact of pregnancy on UI, illustrating a notable increase post-pregnancy. Conclusions: The information related to UI and its associated factors contributes valuable knowledge to healthcare professionals and physicians. They can provide tailored interventions and supportive therapeutic strategies to the individuals affected by UI and its etiological factors.  
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