养老机构老人尿失禁与抑郁的相关性研究
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摘要
目的了解养老机构老人尿失禁(urinary incontinence,UI)与抑郁的联系,以及抑郁对UI老人生活质量的影响。方法采用一般资料问卷、国际尿失禁咨询委员会问卷表简表(ICI-Q-SF)、简版老年抑郁量表(GDS-15)、尿失禁生活质量问卷(I-QOL)随机对成都市某两家养老机构226名老人进行问卷调查,通过Pearson相关分析探索老人抑郁与UI之间的关系以及抑郁对UI老人生活质量的影响。结果养老机构老人UI、抑郁患病率分别为45.1%、40.7%,UI与抑郁呈正相关;UI老人生活质量评分为(79.93±20.444)分,与抑郁呈负相关。结论养老机构UI、抑郁患病率高,两者之间存在相关性,影响老人生活质量,有关卫生工作人员应引起重视,在缓解老人身体症状的同时注意老人心理健康,提高老人生活质量。
Objective To understand the relationship between urinary incontinence and depression among the elderly in nursing institutions and the effect of depression on the life quality of the elderly.Methods The general data questionnaire,the international continence inquiring committee's questionnaire-short form(ICI-Q-SF),the simplified version of the senile depression scale(GDS-15) and the life quality of urinary incontinence questionnaire(I-QOL) were used to investigate 226 elderly living in two nursing institutions in Chengdu to explore the association between urinary incontinence and depression of the elderly and the effect of depression on the quality of life of the elderly with urinary incontinence by Pearson correlation analysis.Results The prevalence rates of urinary incontinence and depression among the elderly in nursing institutions were 45.1% and 40.7% respectively.The urinary incontinence was positively correlated with depression and the life quality of incontinence patients was(79.93 ±20.444),which was negatively correlated with depression.Conclusion The incidence of urinary incontinence and depression is high with a high correlation between the two,affecting the quality of life of the elderly.The health workers should pay attention to the mental health of the elderly while relieving their physical symptoms and improve the life quality of the elderly.
Objective To understand the relationship between urinary incontinence and depression among the elderly in nursing institutions and the effect of depression on the life quality of the elderly.Methods The general data questionnaire,the international continence inquiring committee's questionnaire-short form(ICI-Q-SF),the simplified version of the senile depression scale(GDS-15) and the life quality of urinary incontinence questionnaire(I-QOL) were used to investigate 226 elderly living in two nursing institutions in Chengdu to explore the association between urinary incontinence and depression of the elderly and the effect of depression on the quality of life of the elderly with urinary incontinence by Pearson correlation analysis.Results The prevalence rates of urinary incontinence and depression among the elderly in nursing institutions were 45.1% and 40.7% respectively.The urinary incontinence was positively correlated with depression and the life quality of incontinence patients was(79.93 ±20.444),which was negatively correlated with depression.Conclusion The incidence of urinary incontinence and depression is high with a high correlation between the two,affecting the quality of life of the elderly.The health workers should pay attention to the mental health of the elderly while relieving their physical symptoms and improve the life quality of the elderly.
引文
[1] Moore D,Dageforde LA,Feurer I,et al. Mental Health-Related Quality of Life, Depression,and Anxiety in Living Kidney Donors[J]. American Journal of Transplantation,2016(16):29-30.
[2]黎艳,付丽,胡美燕,等.老年女性UI患者的生活质量及其影响因素[J].中国老年学杂志,2016,36(12):2995-2996.
[3]刘跃华,何桂香,李艳群,等.老年UI流行病学研究进展[J].中国老年学杂志,2015,35(23):6935-6937.
[4] Jtn T,Pallone LV,Mgf S,et al. A populational-based survey on the prevalence,incidence,and risk factors of urinary incontinence in older adults-results from the “SABE STUDY”[J]. Neurourology Urodynamics,2018,37(1):466-477.
[5]赵云利,董碧蓉.全科医生应该重视老年性UI[J].现代临床医学,2017,43(5):390-393.
[6]黄奉毅,陈菲,陶红英,等.老人“医养结合”服务需求的影响因素[J].中国老年学杂志,2017,37(1):189-191.
[7] Wein AJ. ICIQ:a brief and robust measure for evaluating the symptoms and impact of urinary incontinence[J]. Neurourol Urodyn,2004,23(4):322-330.
[8]陈泽波,来永庆,曹群朵,等. ICIQ-SF问卷中文版与尿动力学检查的相关性研究[J].现代泌尿外科杂志,2011,16(5):403-405.
[9] Sheik JL,Yesavage JA. Geriatric depression scale(GDS):Recent evidence and develpment of shorter version[J]. Clin Gerontol,1986,5(1):165-173.
[10]唐丹.简版老年抑郁量表(GDS-15)在中国老人中的使用[J].中国临床心理学杂志,2013,21(3):402-405.
[11]杨蕾,郭瑜洁,唐青,等.城市老年慢性病患者生命质量及影响因素[J].中国老年学杂志,2017,37(8):2026-2029.
[12] Nojomi M,Baharvand P,Moradi LM,et al. Incontinence quality of life questionnaire(I-QOL):translation and validation study of the Iranian version[J]. International Urogynecology Journal&Pelvic Floor Dysfunction,2009,20(5):575-579.
[13]王晓茜.改良女性自我形象评价量表(MBIS)、UI生活质量问卷(I-QOL)、子宫肌瘤症状及健康相关生活质量问卷(UFS-QOL)中文版本研制与中国人群验证[D].北京:北京协和医学院,2013.
[14]杨传俊,罗淑娴,陈茜,等.非卧床老年住院患者UI现状调查分析[J].中华现代护理杂志,2016,22(7):945-948.
[15]朱鸣雷,周晓磊,刘晓红.北京社区高龄老人老年综合征的状况调查[J].中华老年医学杂志,2015,34(2):207-209.
[16]张英,陈雪萍,陈一莉.社区老人尿失禁患病率及其影响因素[J].中国老年学杂志,2017(20):5160-5162.
[17]苏奴卓玛,王燕,孙似锦,等.养老机构老人社会支持与抑郁状况的调查[J].国际护理学杂志,2017,36(17):2335-2338.
[18] Chow ESL,Kong B MH,Wong MTP,et al. The prevalence of depressive symptoms among elderly Chinese private nursing home residents in Hong Kong[J]. International Journal of Geriatric Psychiatry,2004,19(8):734-740.
[19]王群,钱晨光,袁琦.北京市社区老人抑郁及焦虑的影响因素与心脑血管患病关系的调查[J].心肺血管病杂志,2017,36(3):198-201.
[20]蒲丽辉,刘祚燕,胡秀英,等.老年女性患者UI与抑郁的相关性研究[J].中国实用护理杂志,2015,31(17):1310-1314.
[21] Townsend MK,Minassian VA,Okereke OI,et al. Urinary incontinence and prevalence of high depressive symptoms in black and white older women[J]. Journal of Urology,2014,194(3):823.
[2]黎艳,付丽,胡美燕,等.老年女性UI患者的生活质量及其影响因素[J].中国老年学杂志,2016,36(12):2995-2996.
[3]刘跃华,何桂香,李艳群,等.老年UI流行病学研究进展[J].中国老年学杂志,2015,35(23):6935-6937.
[4] Jtn T,Pallone LV,Mgf S,et al. A populational-based survey on the prevalence,incidence,and risk factors of urinary incontinence in older adults-results from the “SABE STUDY”[J]. Neurourology Urodynamics,2018,37(1):466-477.
[5]赵云利,董碧蓉.全科医生应该重视老年性UI[J].现代临床医学,2017,43(5):390-393.
[6]黄奉毅,陈菲,陶红英,等.老人“医养结合”服务需求的影响因素[J].中国老年学杂志,2017,37(1):189-191.
[7] Wein AJ. ICIQ:a brief and robust measure for evaluating the symptoms and impact of urinary incontinence[J]. Neurourol Urodyn,2004,23(4):322-330.
[8]陈泽波,来永庆,曹群朵,等. ICIQ-SF问卷中文版与尿动力学检查的相关性研究[J].现代泌尿外科杂志,2011,16(5):403-405.
[9] Sheik JL,Yesavage JA. Geriatric depression scale(GDS):Recent evidence and develpment of shorter version[J]. Clin Gerontol,1986,5(1):165-173.
[10]唐丹.简版老年抑郁量表(GDS-15)在中国老人中的使用[J].中国临床心理学杂志,2013,21(3):402-405.
[11]杨蕾,郭瑜洁,唐青,等.城市老年慢性病患者生命质量及影响因素[J].中国老年学杂志,2017,37(8):2026-2029.
[12] Nojomi M,Baharvand P,Moradi LM,et al. Incontinence quality of life questionnaire(I-QOL):translation and validation study of the Iranian version[J]. International Urogynecology Journal&Pelvic Floor Dysfunction,2009,20(5):575-579.
[13]王晓茜.改良女性自我形象评价量表(MBIS)、UI生活质量问卷(I-QOL)、子宫肌瘤症状及健康相关生活质量问卷(UFS-QOL)中文版本研制与中国人群验证[D].北京:北京协和医学院,2013.
[14]杨传俊,罗淑娴,陈茜,等.非卧床老年住院患者UI现状调查分析[J].中华现代护理杂志,2016,22(7):945-948.
[15]朱鸣雷,周晓磊,刘晓红.北京社区高龄老人老年综合征的状况调查[J].中华老年医学杂志,2015,34(2):207-209.
[16]张英,陈雪萍,陈一莉.社区老人尿失禁患病率及其影响因素[J].中国老年学杂志,2017(20):5160-5162.
[17]苏奴卓玛,王燕,孙似锦,等.养老机构老人社会支持与抑郁状况的调查[J].国际护理学杂志,2017,36(17):2335-2338.
[18] Chow ESL,Kong B MH,Wong MTP,et al. The prevalence of depressive symptoms among elderly Chinese private nursing home residents in Hong Kong[J]. International Journal of Geriatric Psychiatry,2004,19(8):734-740.
[19]王群,钱晨光,袁琦.北京市社区老人抑郁及焦虑的影响因素与心脑血管患病关系的调查[J].心肺血管病杂志,2017,36(3):198-201.
[20]蒲丽辉,刘祚燕,胡秀英,等.老年女性患者UI与抑郁的相关性研究[J].中国实用护理杂志,2015,31(17):1310-1314.
[21] Townsend MK,Minassian VA,Okereke OI,et al. Urinary incontinence and prevalence of high depressive symptoms in black and white older women[J]. Journal of Urology,2014,194(3):823.