探討影響社區婦女尿失禁之相關因素及尿失禁對社區婦女身心社會之影響

The purpose of this study was to examined the risk factors of incontinence, the degree of incontinence severity, the physical and psychosocial impact of incontinence and the knowledge of incontinence among the women in a community. A cross-sectional survey was conducted. A questionnaire was mailed to each of 1,064 women aged over 35 who were recruited using systemic sampling from Hsinyi district, Taipei City. Contents of the questionnaire include: personal characteristics, life satisfaction, the physical and psychosocial impact of incontinence and the knowledge of incontinence . The indices of content validity (CVI) of life satisfaction, the physical and psychosocial impact of incontinence and the knowledge of incontinence were all above 0.8. The Cronbach Alpha of these parts were between 0.7 and 0.9. The results demonstrated that 43.4% of the 99 women suffered from incontinence, with a degree of incontinence severity was between mild and moderate. Most women (95.2%) experienced incontinence when their abdominal pressure increased. The delivery para (p=.06) and the urogenital surgeries(p=.00) were associated with incontinence. The physical and psychosocial impact of incontinence was mild to moderate among these incontinent women. Lower satisfaction of life was also reported by these women compared to that in healthy women (p=.05). In addition, the knowledge of incontinence (mean=6.74, range 1-10) among women in the community still needs to be improved. The findings of this study suggested that the prevention intervention should be offered to those community women who have had any history of urogenital surgeries or who have given birth more than twice. In order to improve the life satisfaction of incontinent women and lower the impact of incontinence, suitable services should be offered .