Correlation between urinary incontinence and quality of life among patients with post-laparoscopic radical prostatectomy
10.3760/cma.j.issn.1674-2907.2019.15.024
- VernacularTitle:腹腔镜前列腺癌根治术后患者尿失禁发生状况及与生活质量的相关性分析
- Author:
Longmei SI
1
;
Yanming DING
;
Yanbo HUANG
;
Jianfeng ZHANG
;
Hua GUAN
;
Meng ZHANG
;
Jun DENG
;
Shuangyi XIE
Author Information
1. 北京大学第一医院泌尿外科
- Keywords:
Prostatic neoplasms;
Urinary incontinence;
Quality of life;
Laparoscopic radical prostatectomy;
Correlation
- From:
Chinese Journal of Modern Nursing
2019;25(15):1946-1950
- CountryChina
- Language:Chinese
-
Abstract:
Objective? To understand the situation of urinary incontinence and quality of life among patients with post-laparoscopic radical prostatectomy and to analyze the correlation between them. Methods? From September 2015 to October 2016, we selected 115 patients with post-laparoscopic radical prostatectomy at a ClassⅢ Grade A hospital in Beijing for survey by questionnaire with the method of convenience sampling. We collected patients' general information as well as disease information, and evaluated the situation of urinary incontinence (incidence and severity of urinary incontinence) with the International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form (ICIQ-UI SF) and influence of urinary incontinence on quality of life with the Incontinence Impact Questionnaire (IIQ-7) to analyze the correlation between severity of urinary incontinence and quality of life. Results? Among 115 patients with post-laparoscopic radical prostatectomy, there were 95 (82.6%) urinary incontinence patients including 41 cases (43.1%) with mild urinary incontinence, 47 cases (49.5%) with medium urinary incontinence and 7 cases (7.4%) with severe urinary incontinence. The score of severity of urinary incontinence ranged from 0 to 19.0 with 8.0 for the median and 5.0 for the interquartile range. Spearman correlation analysis showed that the score of IIQ-7 had a positive correlation with the severity of urinary incontinence (r=0.674, P＜0.01), and had a negative correlation with the postoperative time (r=-0.215, P＜0.05). Multiple linear regression analysis showed that the main influencing factor of quality of life was severity of urinary incontinence (P＜0.01). Conclusions? Urinary incontinence is common among patients with post-laparoscopic radical prostatectomy mainly in mild and medium urinary incontinence. The more serious the urinary incontinence is,the greater the influence on quality of life is which points out that the scientific and effective management by medical staff for urinary incontinence can improve patients' quality of life.
