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首页> 外文期刊>Journal of the American Geriatrics Society >Self-care practices used by older men and women to manage urinary incontinence: results from the national follow-up survey on self-care and aging.
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Self-care practices used by older men and women to manage urinary incontinence: results from the national follow-up survey on self-care and aging.

机译：老年男性和女性用于控制尿失禁的自我保健做法：有关自我保健和衰老的国家后续调查的结果。

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OBJECTIVES: To estimate the extent to which self-care practices are employed by older adults with urinary incontinence (UI); to determine how demographic and functional status measures are associated with self-care practice use; and to explore the relationship between contacting a doctor and disposable pad use. DESIGN: A cross-sectional analysis of a national probability sample using multiple logistic regression. SETTING: Responses of subjects with UI (n = 787) from the 1993-1994 National Follow-up Survey on Self-Care and Aging, a follow-up survey of older Medicare beneficiaries living in the community within the contiguous United States drawn in 1990-1991 MEASURES: Subject responses about UI, fecal incontinence, dressing, eating, bathing, Instrumental Activities of Daily Living (IADL), Mobility Activities of Daily Living (MADL), age, gender, place of residence, race, education, proxy response to the survey, and self-reported medical conditions. RESULTS: Self-care practices used by more than 25% of respondents with UI included using disposable pads, limiting trips, and limiting fluids. Among older adults with incontinence, more women used disposable pads (44.5%; 95% CI, 36.9-52.1) and performed exercises (14.2%; 95% CI, 9.7-18.9) than did men (15.1%; 95% CI, 8.1-22.1; and 4.3%; 95% CI, 1.0-7.7, respectively). Bi-variate analysis showed respondents with severe UI or fecal incontinence reported greater use of self-care practices. In multivariate models of the three most commonly used self-care practices, measures of UI severity were not always associated independently with self-care practice use, whereas ADL measures of functional status were. Disposable pad use was positively independently associated (OR 3.36; 95% CI, 2.01-5.63) in multivariate models with contacting a doctor about incontinence, even after controlling for age, gender, demographics, and self-reported medical conditions. CONCLUSIONS: Use by older adults of self-care practices to manage urinary incontinence is predicted independently in multivariate models by measures of functional status such as dressing, eating, bathing, IADLs or MADLs, but not by all UI measures. Disposable pad users had increased odds of contacting a doctor, suggesting that self-care practices and formal medical care are not always inversely related.
机译：目的：估计患有尿失禁（UI）的老年人采用自我保健的程度;确定人口统计和功能状态度量与自我护理实践的使用如何关联;并探讨联系医生与一次性使用护垫之间的关系。设计：使用多重逻辑回归对国家概率样本进行的横断面分析。背景：UI-受试者（n = 787）的受试者来自1993-1994年全国自我保健和老龄化后续调查，这是对1990年在美国连续居住的社区中居住的老年医疗保险受益人的后续调查-1991措施：受试者的反应，包括UI，粪便失禁，穿衣，饮食，洗澡，日常生活的器械活动（IADL），日常生活的活动性（MADL），年龄，性别，居住地，种族，教育，代理人回答进行调查，并自我报告病情。结果：超过25％的有UI的受访者使用的自我保健做法包括使用一次性垫，限制行程和限制液体。在患有失禁的老年人中，使用一次性垫子（44.5％; 95％CI，36.9-52.1）和进行锻炼（14.2％; 95％CI，9.7-18.9）的女性多于男性（15.1％; 95％CI，8.1） -22.1;和4.3％; 95％CI，分别为1.0-7.7）。双变量分析显示，患有严重UI或大便失禁的受访者报告了更多使用自我保健做法。在三种最常用的自我护理实践的多元模型中，UI严重性的度量并非总是与自我护理实践的使用独立相关，而ADL的功能状态度量却与之相关。即使在控制了年龄，性别，人口统计学和自我报告的医疗状况之后，一次性垫的使用在多元模型中与失禁医生联系呈正独立相关（OR 3.36; 95％CI，2.01-5.63）。结论：在多变量模型中，通过穿戴，进食，洗澡，IADL或MADL等功能状态的指标独立预测老年人使用自我护理方法来管理尿失禁，但并非所有UI指标都可以预测这一点。一次性便笺本使用者联系医生的几率增加，这表明自我保健做法和正规医疗保健并不总是成反比。

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