The relationship between urinary incontinence with sexual function and quality of life in postmenopausal women.

Q3 Medicine

Post reproductive health Pub Date : 2023-03-01 DOI:10.1177/20533691231155734

Fatemeh Shabani, Maryam Montazeri, Afsaneh Alizadeh, Soheila Bani, Shirin Hassanpour, Mahsan Nabighadim, Mojgan Mirghafourvand

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引用次数: 0

Abstract

Background: Urinary incontinence has a significant impact on the psychosocial well-being of postmenopausal women. This study aimed to determine the relationship between urinary incontinence with sexual function and quality of life.

Method: It was a cross-sectional study using cluster sampling on 433 postmenopausal women in Tabriz-Iran, 2021-2022. Data were collected using questionnaires of socio-demographic and obstetrics characteristics, female sexual function index (FSFI), Menopause-Specific Quality of Life (MENQOL), and Urinary Incontinence Diagnosis (UIDQ). Independent sample t-test and general linear model (GLM) were used to compare the quality of life and sexual function score between the two groups of women with and without stress, urgency, and mixed urinary incontinence.

Results: Independent sample t-test showed a significant difference in the quality of life and sexual function between women with and without stress, urgency, and mixed urinary incontinence (p < 0.05). Based on the GLM with adjusting the socio-demographic and obstetrics characteristics, women without stress incontinence reported a lower mean score of MENQOL (B = - 23.38; 95% CI = -30.1 to -16.6; p < 0.001) and a higher mean score of sexual function (B = 4.5; 95% CI = 2.1-7.0; p < 0.001) compared to women with stress incontinence; a lower MENQOL score and a higher sexual function score indicate better condition. However, there was no significant relationship between urgency and mixed incontinence with quality of life and sexual function (p > 0.05).

Conclusion: As urinary incontinence remarkably affects sexual function and quality of life of postmenopausal women, health care providers should consider better solutions for this issue in their work program.

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绝经后妇女尿失禁与性功能及生活质量的关系。

背景:尿失禁对绝经后妇女的心理社会健康有显著影响。本研究旨在确定尿失禁与性功能和生活质量之间的关系。方法:采用横断面研究，对2021-2022年伊朗大不里士地区433名绝经后妇女进行整群抽样。采用社会人口学和产科特征、女性性功能指数(FSFI)、更年期特异性生活质量(MENQOL)和尿失禁诊断(UIDQ)问卷收集数据。采用独立样本t检验和一般线性模型(GLM)比较两组有和无应激性、急迫性和混合性尿失禁妇女的生活质量和性功能评分。结果:独立样本t检验显示，有无应激性尿失禁、急迫性尿失禁、混合性尿失禁患者的生活质量和性功能差异有统计学意义(p < 0.05)。根据调整了社会人口统计学和产科特征的GLM，无应激性尿失禁的女性MENQOL平均得分较低(B = - 23.38;95% CI = -30.1 ~ -16.6;p < 0.001)，性功能平均评分较高(B = 4.5;95% ci = 2.1-7.0;P < 0.001)，与压力性尿失禁的女性相比;MENQOL评分越低，性功能评分越高，说明病情越好。急迫性、混合性尿失禁与生活质量、性功能无显著相关性(p > 0.05)。结论:由于尿失禁明显影响绝经后妇女的性功能和生活质量，医护人员应在其工作计划中考虑更好的解决这一问题。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Post reproductive health Medicine-Obstetrics and Gynecology

CiteScore

2.50

自引率

0.00%

发文量

期刊介绍： Post Reproductive Health (formerly Menopause International) is a MEDLINE indexed, peer reviewed source of news, research and opinion. Aimed at all those involved in the field of post reproductive health study and treatment, it is a vital resource for all practitioners and researchers. As the official journal of the British Menopause Society (BMS), Post Reproductive Health has a broad scope, tackling all the issues in this field, including the current controversies surrounding postmenopausal health and an ageing and expanding female population. Initially this journal will concentrate on the key areas of menopause, sexual health, urogynaecology, metabolic bone disease, cancer diagnosis and treatment, recovering from cancer, cardiovascular disease, cognition, prescribing, use of new hormone therapies, psychology, the science of ageing, sociology, economics, and quality of life. However as a progressive and innovative journal the Editors are always willing to consider other areas relevant to this rapidly expanding area of healthcare.