摘要
目的了解上海市梅陇镇产妇产后压力性尿失禁（SUI）患病情况及患者对压力性尿失禁相关知识的认知情况。方法对2017年3月1日至6月30日上海市梅陇社区卫生服务中心家庭医生上门访视的全部317例产妇进行问卷调查，包括一般情况（年龄、身高、体质量、职业、月经史）、妊娠和分娩情况等、SUI知识问卷及国际尿失禁咨询委员会尿失禁问卷表简表（ICI－Q－SF）,发放调查问卷317份，回收317份，剔除4份缺项较多的问卷，有效问卷313份，问卷有效率98.73%。分析313例产妇SUI患病情况及患者对SUI相关知识的认知情况。结果上海市梅陇镇产妇产后SUI患病率为26.84%（84/313）。多因素logistic回归显示，BMI≥24 kg/m^2（OR＝6.24, 95%CI： 3.41～11.41）、合并代谢综合征（OR＝9.84, 95%CI： 2.77～34.96）、既往生育新生儿体质量≥4 kg（OR＝0.09, 95%CI： 0.04～0.19）是SUI发生的独立危险因素（均P〈0.05）；SUI相关知识平均得分为（10.39±8.65）分，仅有26.20%（82/313）的产妇知道凯格尔训练，得分为（5.99±1.60）分；不同文化程度（F＝12.41）、职业（F＝9.06）、收入水平（F＝4.05）、生育情况（F＝10.98）和有无尿失禁症状（F＝22.31）的产妇SUI得分差异有统计学意义（均P〈0.05）。结论梅陇镇产妇SUI相关知识认知程度较低，应加大SUI和盆底康复知识的宣传力度，提高该类人群对相关知识的掌握程度。
Objective To survey the prevalence of stress urinary incontinence （SUI） and related knowledge among postpartum women in Shanghai Melong district. Methods A questionnaire survey on the knowledge of stress urinary incontinence was conducted among 317 postpartum women who were home visited by Meilong Community Health Service Center between March 2017 and June 2017. The self-designed questionnaire included the general situation （age, height, weight, occupation, menstrual history ）, pregnancy and childbirth, and knowledge of SUI; the International Consultation on Incontinence Questionnaire Short form （ICIQ-SF） was also used. Total 317 questionnaires were distributed and 313 valid ones were retrieved （98.73%）. Results The prevalence of SUI in the participants was 26. 84% （84/313）. Multivariate logistic regression showed that BMI ≥ 24 kg/m^2 （ OR = 6. 24, 95% CI： 3.41 - 11.41 ）, complicated metabolic syndrome （ OR = 9. 84, 95% CI： 2. 77 - 34. 96 ） and birth weight of previous child 34 kg （OR =0. 09, 95% CI： 0. 04 -0. 19） is independent risk factors for the development of SUI. The average SUI knowledge score was （ 10. 39 ±8. 65 ） points, only 26. 20% （ 82/313 ） of the participants knew Kegel training （score 5. 99 ±1.60）. The SUI knowledge level of postpartum women was associated with edueational level （ F = 12.41 ） , occupation （ F = 9.06 ） , income （ F = 4. 05 ） , reproductive history （F= 10.98） and presence of urinary incontinence symptom （F= 22. 31） （all P〈 0.05） . Conclusion The knowledge level of maternal stress urinary incontinence in Meilong district is relatively low, and the publicity of SUI and pelvic floor rehabilitation knowledge should be enhanced tor the pregnant women.
出处
《中华全科医师杂志》
2018年第3期181-185,共5页
Chinese Journal of General Practitioners
基金
上海市闵行区自然科学研究课题（2017MHZ12）
关键词
尿失禁
压力性
患病率
认知
产妇
Urina,7 incontinence, stress
Prevalence
Cognition
Puerpera
