摘要
目的了解孕妇尿失禁的流行现状及探讨其影响因素。方法采用便利抽样的方法,对广州市3家三甲医院常规产检的孕妇进行面对面问卷调查,采用Logistic回归分析影响孕期尿失禁发生的因素。结果本研究共回收有效问卷1036份,孕期尿失禁的患病率为36.9%(382/1036),其中压力性尿失禁占74.9%(286/382),尿失禁程度以轻、中度为主,占95.O%(363/382),初产妇和经产妇尿失禁发生率比较差异有统计学意义(χ^2=14.020,P<0.05);进行多因素非条件Logistic回归分析显示,阴道分娩、孕周较大、孕前体质指数超重、糖尿病、便秘是妊娠期尿失禁的危险因素。结论孕期尿失禁发生率较高,医务工作者应针对尿失禁的危险因素,开展针对性干预,提高孕期女性尿失禁的防治水平。
Objective The aim of this study was to understand the prevalence of urinary incontinence(UI)in pregnant women and explore its influencing factors. Methods A convenient sampling method was used and a face-to-face questionnaire survey was conducted on pregnant women undergoing routine check-ups at three of the top three hospitals in Guangzhou.Logistic regression analysis was used to analyze the risk factors of UI during pregnancy. Results A total of 1 036 valid questionnaires were collected in this study.The prevalence of UI during pregnancy was 36.9%(382/1 036). Stress urinary incontinence was 74.9%(286/382). Urinary incontinence was mainly light and moderate,accounting for 95.0%(363/382).The incidence of UI was statistically significant different between maternity and multipara women(χ~2=14.020,P<0.05).Multivariate non-conditional Logistic regression analysis showed that the risk of urinary incontinence during pregnancy was greater in women with vaginal delivery,gestational age,pre-pregnancy BMI,diabetes,and constipation. Conclusion The incidence of urinary incontinence during pregnancy is high,and medical workers should carry out targeted interventions to improve the prevention and treatment of urinary incontinence during pregnancy for the risk factors of urinary incontinence.
作者
唐婷婷
黄芳英
蔡舒
曾志生
曾静
TANG Ting-ting;HUANG Fang-ying;CAI Shu;ZENG Zhi-sheng;ZENG Jing(Nursing School of Guangdong Pharmaceutical University,Guangzhou ,Guangdong510310;Guangdong Provincial Maternity and Child Care Center,Guangzhou ,Guangdong510000,China)
出处
《热带医学杂志》
CAS
2018年第11期1509-1513,共5页
Journal of Tropical Medicine
基金
广东省科技计划项目(2014807)
