壓力性尿失禁婦女生活品質及其相關因素

本研究旨在探討壓力性尿失禁婦女之生活品質及其相關因素，研究目的為：(1)探討壓力性尿失禁婦女症狀困擾、生活衝擊與生活品質；(2)分析壓力性尿失禁婦女人口學基本屬性、婦科學屬性、症狀困擾、生活衝擊與生活品質的相關性；及(3)探討壓力性尿失禁婦女生活品質之重要預測因子。採橫斷式相關性研究設計，並以結構式問卷收集資料，問卷內容涵蓋個人基本資料、尿失禁症狀困擾量表、尿失禁生活衝擊量表與生活品質量表等四個部份。以方便取樣的方式於南部某醫學中心泌尿科和婦科病房及門診收案134人，將資料所得以SPSS 14版套裝軟體進行統計分析，並以描述性分析人口學基本屬性、皮爾森積差相關分析生活品質及其相關因素，及逐步複迴歸分析生活品質重要的預測因子。結果發現：(1)「個人月收入」、「教育程度」在生活品質上達顯著差異；(2) 「症狀困擾」和「生活衝擊」與生活品質成顯著負相關；(3) 「教育程度」、「症狀困擾」、「生產次數」為生活品質之重要預測因子，可解釋總變異量為25%。本研究結果可提供婦女了解自身因壓力性尿失禁所導致的症狀困擾，及其所造成的生活衝擊，並可提供婦女們面對困窘的漏尿問題時，能夠主動尋求醫療處置方式，並藉此提升婦女們的生活品質。

關鍵字

壓力性尿失禁；症狀困擾；生活衝擊；生活品質

並列摘要

Abstract Background: Stress urinary incontinence is a common disorder in women, which often significantly decreases women’s quality of life (QOL). Treatments continue to focus on alleviating the physical symptoms of this disease, and data on QOL factors are limited. Purpose: The purpose of this study was to explore QOL and associated factors in women with stress urinary incontinence. Methods: A cross sectional and correlation research design was con ducted using the demographic data, Urogenital Distress Inventory, Incontinence Impact Questionnaire and the World Health Organization Quality of Life Assessment. A convenience sample of 134 patients at a medical center in southern Taiwan was recruited . The mean age of these women was 54.84 (range, 29 to 90) years old. Data were analyzed using SPSS 14.0 software. Results: Results found (1) “personal income” and “education” had significant differences on the quality of life; (2) there was a significant negative correlation among “symptom distress” and “ incontinence impact” and “quality of life”; (3) 25% of QOL variance was explained by educational, symptom distress, and number of live births. Conclusion: This study may help health professionals to understand relationships among the symptom distress, impact of life and QOL in stress urinary incontinence patients. It may provide women who face the embarrassment of urine leakage health professionals. It may also provided evidence-based data problem to as a reference to help thus women improve symptom distress and impact of life, and then have better QOL in stress urinary incontinence patients, and thus significantly improve in women with stress urinary incontinence.