孕妇尿失禁及其与社会人口学变量和生活质量的关系

Claudia de Oliveira , Maura Seleme , Paula F. Cansi , Renata F.D.C. Consentino , Fernanda Y. Kumakura , Gizelle A. Moreira , Bary Berghmans
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引用次数: 0

摘要

目的探讨孕妇尿失禁的发生率及其与社会人口学变量和生活质量的关系。方法采用国际失禁咨询问卷-简式(ICIQ-SF)对495名女性进行描述性横断面多中心研究。这项调查是在分娩的同一天进行的,志愿者仍在产科病房。使用卡方检验对第1组(失禁)和第2组(大陆)之间的比较进行统计分析,以比较有和没有尿失禁的女性比例,并进行逻辑回归分析。结果在总共495名研究女性中,352名(71%)报告在妊娠的最后四周内患有UI。第1组的ICIQ-SF中位得分为11(范围为3-21),被认为对生活质量有严重影响。Logistic回归分析显示,UI的自我报告与以下变量之间存在更密切的关系:8岁以下的教育水平(OR:2.99;p<;0.001)、黑人女性(OR:2.32;p=0.005)、有3个以上孩子的女性(OR:4.93;p&lgt;0.001),肥胖(OR:4.22;p<;0.001)和正常阴道分娩(OR:2.59;p&lgt;0.001)。结论大多数孕妇患有UI,对她们的生活质量产生负面影响。
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Urinary incontinence in pregnant women and its relation with socio-demographic variables and quality of life

Objective

To investigate the occurrence of urinary incontinency (UI) in pregnant women and its relationship with socio-demographic variables and quality of life.

Methods

A descriptive cross-sectional multicenter study was conducted to investigate 495 women using the International Consultation on Incontinence Questionnaire – Short Form (ICIQ-SF). The survey was conducted on the same day of delivery, with the volunteers still in the maternity ward. Statistical analysis of the comparison between groups 1 (incontinence) and 2 (continent) was done using chi-square test for comparison of proportions of women with and without urinary incontinency and logistic regression analysis.

Results

From the total of 495 women studied, 352 (71%) reported having had UI during the last four weeks of pregnancy. Group 1 presented the ICIQ-SF median score of 11 (range 3– 21), considered as severe impact in quality of life. Logistic regression analysis showed that there was a closer relation between the self-report of UI with the following variables: level of education below 8 years (OR: 2.99; p < 0.001), black women (OR: 2.32; p = 0.005), women with more than 3 children (OR: 4.93; p < 0.001), obese (OR: 4.22; p < 0.001) and normal vaginal delivery (OR: 2.59; p < 0.001).

Conclusion

The majority of pregnant women have UI, negatively affecting the quality of their lives.

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