65岁以上女性尿失禁的治疗方法
Giulia I Lane1, Elisabeth Erekson2, Andrea Austin3
1From theDepartment of Urology, University of Michigan Medical School, Ann Arbor, MI.
Urogynecology (Philadelphia, Pa.)
|July 25, 2023
概括
只有大约11%的尿失禁的老年女性接受了治疗,主要是药物治疗. 更严重和持久的UI症状增加了治疗的可能性,突出了许多受影响妇女的护理差距.
科学领域:
- 老年学是一门学科.
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 公共卫生 公共卫生
背景情况:
- 尿失禁 (UI) 显著影响65岁以上女性的生活质量.
- 在这个人口群体中,UI治疗及其相关因素的患病率在很大程度上仍未被描述.
研究的目的:
- 为了确定老年妇女尿失禁 (UI) 治疗率.
- 在这个人群中确定与接受UI治疗相关的因素.
主要方法:
- 追溯队列分析,使用护士健康研究和医疗保险索赔的链接数据.
- 在症状报告后一年内对药物治疗,非侵入性和程序性UI治疗进行评估.
- 多变量逻辑回归分析以确定治疗的预测因素.
主要成果:
- 在报告UI的8332名女性中,只有10.9%的女性有医疗保险治疗要求.
- 药物治疗占所有UI治疗的94.6%.
- 更严重的UI (OR,3.1),更长时间的UI (OR,1.9),混合的UI (OR,2.5),以及紧急的UI (OR,3.0) 与更高的治疗几率有关.
结论:
- 显著比例的老年女性自我报告尿失禁 (UI) 不接受治疗.
- 药物治疗是这种人群中UI的主要治疗方式.
- UI症状的严重程度和持续时间是寻求和接受治疗的关键决定因素.
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