在当代女性群体中了解尿失禁的障碍
Karla Rebullar1, Bryn Launer1, Melissa R Kaufman1,2
1Vanderbilt University Medical Center, 1211 Medical Center North, Nashville TN 37232.
The Journal of urology
|August 26, 2025
概括
许多女性因成本,治疗能力和恐惧而拖延寻求尿失禁医疗. 相关疾病和农村生活等因素与UI的治疗延迟有关.
科学领域:
- 泌尿外科
- 女性健康
- 公共卫生
背景情况:
- 尿失禁严重影响美国成年女性的健康.
- 一半的成年女性经历了UI, 需要了解护理行为.
研究的目的:
- 调查阻止妇女寻求UI医疗护理的障碍.
- 评估与UI治疗延迟相关的患者因素.
主要方法:
- 1004名患有UI的成年女性填写了有关人口统计,症状和护理障碍的问卷.
- 多变量逻辑回归分析了患者特征,症状严重程度和治疗延迟之间的关联.
主要成果:
- 51%的女性推迟寻求UI护理,理由是成本 (51%),可治疗性问题 (48%) 和恐惧 (27%).
- 延迟护理与并发症,UI严重程度下降和生活质量下降有关.
- 白人种族,多元化,全职工作和农村居住与UI治疗延迟相关.
结论:
- 大多数女性会拖延寻求UI治疗或手术.
- 患者教育,远程医疗和社区宣传对于改善UI的医疗寻求行为至关重要.
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