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Оценка качества жизни, психического здоровья и сексуальных расстройств у женщин с недержанием мочи
Оценка качества жизни, психического здоровья и сексуальных расстройств у женщин с недержанием мочи
Гвоздев М.Ю., Баранова Е.О. Оценка качества жизни, психического здоровья и сексуальных расстройств у женщин с недержа-нием мочи. Consilium Medicum. 2019; 21 (7): 28–30. DOI: 10.26442/20751753.2019.190459
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Аннотация
Недержание мочи (НМ) – распространенное заболевание во всем мире, которым страдают женщины всех возрастов, различных культур и рас. Частота заболевания увеличивается с возрастом. НМ оказывает глубокое воздействие на благосостояние пациенток, психосоматическое состояние, качество жизни, снижая социальную мобильность, сокращая занятость и производительность труда, и вынуждает многих женщин отказываться от участия в оплачиваемой или неоплачиваемой деятельности. Кроме того, оно оказывает негативное влияние на сексуальное здоровье и отношения с партнером. НМ не является жизнеугрожающим заболеванием, однако оно накладывает много негативных медицинских и социальных последствий, а также возлагает дополнительные финансовые потери. По данным литературы до 25% женщин сталкиваются с ухудшением качества жизни из-за непроизвольной потери мочи. Несмотря на то что распространенность НМ сопоставима с другими хроническими заболеваниями, исследования относительно влияния на качество жизни пациенток начались недавно, в литературе можно найти данные за последние 15 лет. Значительный интерес представляют работы по оценке влияния НМ на качество жизни и повседневную активность с помощью специальных валидированных опросников. Изучая литературу, можно сделать вывод о том, что существует консенсус в применении различных опросников для оценки качества жизни пациенток с НМ, также в многочисленных работах подчеркивается важность использования опросников.
Ключевые слова: недержание мочи, качество жизни, сексуальные расстройства, психическое здоровье.
Ключевые слова: недержание мочи, качество жизни, сексуальные расстройства, психическое здоровье.
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Urinary incontinence (UI) is a common condition that affects women of all ages, cultures and races all over the world. The disorder frequency increases with age. UI has a significant impact on patients’ well-being, psychosomatic condition, quality of life, it decreases social mobility by decreasing employment and la-bor efficiency, and also makes a lot of women to give up paid or unpaid activities. Besides it has a negative impact on sexual health and relationship with part-ner. UI is not a life threatening disorder but is results in many negative medical and social consequences and also in additional financial losses. According to lit-erature data up to 25% of women experience decrease of quality of life due to involuntary urination. Notwithstanding the fact that UI incidence is comparable with one of other chronic disorders, the studies of its influence on patients’ quality of life were started only lately and are presented in the literature over the last 15 years. Studies estimating the influence of UI on the quality of life and daily activity with the use of validated questionnaires are of particular interest. After a literature study it may be concluded that there is a consensus on various questionnaires use for estimation of quality of life of patients with UI, the importance of questionnaires use is emphasized in numerous studies.
Key words: urine incontinence, quality of life, sexual disorders, mental health.
Key words: urine incontinence, quality of life, sexual disorders, mental health.
Полный текст
Список литературы
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2. Burgess A. The silent epidemic. 1996.
3. Shumacher SA, Wyman JF et al. Health-related quality of life measures for women with urinary incontinence: the incontinence impact questionnaire and the urogenital distress inventory. Qual Life Res 1994; 3: 291–306.
4. Jha S, Strelley K, Radley S. Incontinence during intercourse: myths unravelled. Int Urogynecol J 2012; 23: 633–7.
5. Corcos J, Beaulieu S, Donovan J et al. Quality of life assessment in men and women with urinary incontinence. J Urol 2002; 168: 896–905.
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8. Stach-Lempinen B, Kujansuu E, Laippala P, Metsanoja R. Visual analogue scale, urinary incontinence severity score and 15 D-psychometric testing of three different health-related quality-of-life instruments for urinary incontinent women. Scand J Urol Nephrol 2001; 35: 476–83.
9. Lagro-Janssen T, Smits A, Van Weel C. Urinary incontinence in women and the effects on their lives. Scand J Prim Health Care 1992; 10 (3): 211–6.
10. Stach-Lempinen B, Hakala AL, Laippala P et al. Severe depression determines quality of life in urinary incontinent women. Neurourol Urodyn 2003; 22 (6): 563–8.
11. Felde G, Ebbesen MH, Hunskaar S. . Anxiety and depression associated with urinary incontinence. A 10-year follow-up study from the Norwegian HUNT study (EPINCONT). Neurourol Urodyn 2017; 36 (2): 322–8.
12. Zorn BH, Montgomery H, Pieper K et al. Urinary incontinence and depression. J Urol 1999; 162 (1): 82–4.
13. Bogner HR, Gallo JJ, Swartz KL, Ford DE. Anxiety disorders and disability secondary to urinary incontinence among adults over age 50. Int J Psychiatry Med 2002; 32 (2): 141–54.
14. Bogner HR. Urinary incontinence and psychological distress in community-dwelling older African Americans and whites. J Am Geriatr Soc 2004; 52 (11): 1870–4.
15. Temml C, Haidinger G, Schmidbauer J et al. Urinary incontinence in both sexes: prevalence rates and impact on quality of life and sexual life. Neurourol Urodyn 2000; 19 (3): 259–71.
16. Salonia A, Zanni G, Briganti A et al. The role of the urologist in the management of female sexual dysfunctions. Curr Opin Urol 2004; 14 (6): 389–93.
17. Simsek A, Ozgor F, Yuksel B et al. Female sexual function after transobturator tape in women with urodynamic stress urinary incontinence. Springerplus 2014; 3: 570.
18. Giberti C, Gallo F, Cortese P, Schenone M. Transobturator tape for treatment of female stress urinary incontinence: objective and subjective results after a mean follow-up of two years. Urology 2007; 69: 703–7. 10.1016/j.urology.2007.01.013
19. Jha S, Ammenbal M, Metwally M. Impact of incontinence surgery on sexual function: a systematic review and meta-analysis. J Sex Med 2012; 9: 34–43. 10.1111/j.1743-6109.2011.02366.x
20. Felippe MR, Zambon JP, Girotti ME et al. What is the real impact of urinary incontinence on female sexual dysfunction? A case control study. Sex Med 2017; 5: e54–60. PubMed PMID: 28087237. Pubmed Central PMCID: PMC5302384.
21. Swithinbank LV, Abrams P. The impact of urinary incontinence on the quality of life of women. World J Urol 1999; 17 (4): 225–9.
22. Brocklehurst JC. Urinary incontinence in the community – analysis of a MORI poll. BMJ 1993; 306 (6881): 832–4. DOI: 10.1136/bmj.306.6881.832. PMCID: PMC1677310
23. Kinchen KS, Burgio K, Diokno AC et al. Factors associated with women's decisions to seek treatment for urinary incontinence. J Womens Health (Larchmt) 2003; 12 (7): 687–98.
24. Shaw C. A review of the psychosocial predictors of help-seeking behaviour and impact on quality of life in people with urinary incontinence. J Clin Nurs 2001; 10: 15–24.
25. Bradway C. Women's narratives of long-term urinary incontinence. Urol Nurs 2005; 25: 337–44.
26. Лоран О.Б., Серегин А.В., Довлатов З.А. Качество жизни у женщин после слинговой коррекции стрессового недержания мочи. Междунар. журн. прикладных и фундаментальных исследований. 2016; 2 (3): 398–99.
[Loran O.B., Seregin A.V., Dovlatov Z.A. Kachestvo zhizni u zhenshchin posle slingovoi korrektsii stressovogo nederzhaniia mochi. Mezhdunar. zhurn. prikladnykh i fundamental'nykh issledovanii. 2016; 2 (3): 398–99 (in Russian).]
2. Burgess A. The silent epidemic. 1996.
3. Shumacher SA, Wyman JF et al. Health-related quality of life measures for women with urinary incontinence: the incontinence impact questionnaire and the urogenital distress inventory. Qual Life Res 1994; 3: 291–306.
4. Jha S, Strelley K, Radley S. Incontinence during intercourse: myths unravelled. Int Urogynecol J 2012; 23: 633–7.
5. Corcos J, Beaulieu S, Donovan J et al. Quality of life assessment in men and women with urinary incontinence. J Urol 2002; 168: 896–905.
6. Aslan G et al. Sexual function in women with urinary incontinence. Int J Impot Res 2005.
7. Shaw C. A review of the psychosocial predictors of help-seeking behaviour and impact on quality of life in people with urinary incontinence. J Clin Nurse 2001; 10: 15–24.
8. Stach-Lempinen B, Kujansuu E, Laippala P, Metsanoja R. Visual analogue scale, urinary incontinence severity score and 15 D-psychometric testing of three different health-related quality-of-life instruments for urinary incontinent women. Scand J Urol Nephrol 2001; 35: 476–83.
9. Lagro-Janssen T, Smits A, Van Weel C. Urinary incontinence in women and the effects on their lives. Scand J Prim Health Care 1992; 10 (3): 211–6.
10. Stach-Lempinen B, Hakala AL, Laippala P et al. Severe depression determines quality of life in urinary incontinent women. Neurourol Urodyn 2003; 22 (6): 563–8.
11. Felde G, Ebbesen MH, Hunskaar S. . Anxiety and depression associated with urinary incontinence. A 10-year follow-up study from the Norwegian HUNT study (EPINCONT). Neurourol Urodyn 2017; 36 (2): 322–8.
12. Zorn BH, Montgomery H, Pieper K et al. Urinary incontinence and depression. J Urol 1999; 162 (1): 82–4.
13. Bogner HR, Gallo JJ, Swartz KL, Ford DE. Anxiety disorders and disability secondary to urinary incontinence among adults over age 50. Int J Psychiatry Med 2002; 32 (2): 141–54.
14. Bogner HR. Urinary incontinence and psychological distress in community-dwelling older African Americans and whites. J Am Geriatr Soc 2004; 52 (11): 1870–4.
15. Temml C, Haidinger G, Schmidbauer J et al. Urinary incontinence in both sexes: prevalence rates and impact on quality of life and sexual life. Neurourol Urodyn 2000; 19 (3): 259–71.
16. Salonia A, Zanni G, Briganti A et al. The role of the urologist in the management of female sexual dysfunctions. Curr Opin Urol 2004; 14 (6): 389–93.
17. Simsek A, Ozgor F, Yuksel B et al. Female sexual function after transobturator tape in women with urodynamic stress urinary incontinence. Springerplus 2014; 3: 570.
18. Giberti C, Gallo F, Cortese P, Schenone M. Transobturator tape for treatment of female stress urinary incontinence: objective and subjective results after a mean follow-up of two years. Urology 2007; 69: 703–7. 10.1016/j.urology.2007.01.013
19. Jha S, Ammenbal M, Metwally M. Impact of incontinence surgery on sexual function: a systematic review and meta-analysis. J Sex Med 2012; 9: 34–43. 10.1111/j.1743-6109.2011.02366.x
20. Felippe MR, Zambon JP, Girotti ME et al. What is the real impact of urinary incontinence on female sexual dysfunction? A case control study. Sex Med 2017; 5: e54–60. PubMed PMID: 28087237. Pubmed Central PMCID: PMC5302384.
21. Swithinbank LV, Abrams P. The impact of urinary incontinence on the quality of life of women. World J Urol 1999; 17 (4): 225–9.
22. Brocklehurst JC. Urinary incontinence in the community – analysis of a MORI poll. BMJ 1993; 306 (6881): 832–4. DOI: 10.1136/bmj.306.6881.832. PMCID: PMC1677310
23. Kinchen KS, Burgio K, Diokno AC et al. Factors associated with women's decisions to seek treatment for urinary incontinence. J Womens Health (Larchmt) 2003; 12 (7): 687–98.
24. Shaw C. A review of the psychosocial predictors of help-seeking behaviour and impact on quality of life in people with urinary incontinence. J Clin Nurs 2001; 10: 15–24.
25. Bradway C. Women's narratives of long-term urinary incontinence. Urol Nurs 2005; 25: 337–44.
26. Лоран О.Б., Серегин А.В., Довлатов З.А. Качество жизни у женщин после слинговой коррекции стрессового недержания мочи. Междунар. журн. прикладных и фундаментальных исследований. 2016; 2 (3): 398–99.
[Loran O.B., Seregin A.V., Dovlatov Z.A. Kachestvo zhizni u zhenshchin posle slingovoi korrektsii stressovogo nederzhaniia mochi. Mezhdunar. zhurn. prikladnykh i fundamental'nykh issledovanii. 2016; 2 (3): 398–99 (in Russian).]
________________________________________________
2. Burgess A. The silent epidemic. 1996.
3. Shumacher SA, Wyman JF et al. Health-related quality of life measures for women with urinary incontinence: the incontinence impact questionnaire and the urogenital distress inventory. Qual Life Res 1994; 3: 291–306.
4. Jha S, Strelley K, Radley S. Incontinence during intercourse: myths unravelled. Int Urogynecol J 2012; 23: 633–7.
5. Corcos J, Beaulieu S, Donovan J et al. Quality of life assessment in men and women with urinary incontinence. J Urol 2002; 168: 896–905.
6. Aslan G et al. Sexual function in women with urinary incontinence. Int J Impot Res 2005.
7. Shaw C. A review of the psychosocial predictors of help-seeking behaviour and impact on quality of life in people with urinary incontinence. J Clin Nurse 2001; 10: 15–24.
8. Stach-Lempinen B, Kujansuu E, Laippala P, Metsanoja R. Visual analogue scale, urinary incontinence severity score and 15 D-psychometric testing of three different health-related quality-of-life instruments for urinary incontinent women. Scand J Urol Nephrol 2001; 35: 476–83.
9. Lagro-Janssen T, Smits A, Van Weel C. Urinary incontinence in women and the effects on their lives. Scand J Prim Health Care 1992; 10 (3): 211–6.
10. Stach-Lempinen B, Hakala AL, Laippala P et al. Severe depression determines quality of life in urinary incontinent women. Neurourol Urodyn 2003; 22 (6): 563–8.
11. Felde G, Ebbesen MH, Hunskaar S. . Anxiety and depression associated with urinary incontinence. A 10-year follow-up study from the Norwegian HUNT study (EPINCONT). Neurourol Urodyn 2017; 36 (2): 322–8.
12. Zorn BH, Montgomery H, Pieper K et al. Urinary incontinence and depression. J Urol 1999; 162 (1): 82–4.
13. Bogner HR, Gallo JJ, Swartz KL, Ford DE. Anxiety disorders and disability secondary to urinary incontinence among adults over age 50. Int J Psychiatry Med 2002; 32 (2): 141–54.
14. Bogner HR. Urinary incontinence and psychological distress in community-dwelling older African Americans and whites. J Am Geriatr Soc 2004; 52 (11): 1870–4.
15. Temml C, Haidinger G, Schmidbauer J et al. Urinary incontinence in both sexes: prevalence rates and impact on quality of life and sexual life. Neurourol Urodyn 2000; 19 (3): 259–71.
16. Salonia A, Zanni G, Briganti A et al. The role of the urologist in the management of female sexual dysfunctions. Curr Opin Urol 2004; 14 (6): 389–93.
17. Simsek A, Ozgor F, Yuksel B et al. Female sexual function after transobturator tape in women with urodynamic stress urinary incontinence. Springerplus 2014; 3: 570.
18. Giberti C, Gallo F, Cortese P, Schenone M. Transobturator tape for treatment of female stress urinary incontinence: objective and subjective results after a mean follow-up of two years. Urology 2007; 69: 703–7. 10.1016/j.urology.2007.01.013
19. Jha S, Ammenbal M, Metwally M. Impact of incontinence surgery on sexual function: a systematic review and meta-analysis. J Sex Med 2012; 9: 34–43. 10.1111/j.1743-6109.2011.02366.x
20. Felippe MR, Zambon JP, Girotti ME et al. What is the real impact of urinary incontinence on female sexual dysfunction? A case control study. Sex Med 2017; 5: e54–60. PubMed PMID: 28087237. Pubmed Central PMCID: PMC5302384.
21. Swithinbank LV, Abrams P. The impact of urinary incontinence on the quality of life of women. World J Urol 1999; 17 (4): 225–9.
22. Brocklehurst JC. Urinary incontinence in the community – analysis of a MORI poll. BMJ 1993; 306 (6881): 832–4. DOI: 10.1136/bmj.306.6881.832. PMCID: PMC1677310
23. Kinchen KS, Burgio K, Diokno AC et al. Factors associated with women's decisions to seek treatment for urinary incontinence. J Womens Health (Larchmt) 2003; 12 (7): 687–98.
24. Shaw C. A review of the psychosocial predictors of help-seeking behaviour and impact on quality of life in people with urinary incontinence. J Clin Nurs 2001; 10: 15–24.
25. Bradway C. Women's narratives of long-term urinary incontinence. Urol Nurs 2005; 25: 337–44.
26. Loran O.B., Seregin A.V., Dovlatov Z.A. Kachestvo zhizni u zhenshchin posle slingovoi korrektsii stressovogo nederzhaniia mochi. Mezhdunar. zhurn. prikladnykh i fundamental'nykh issledovanii. 2016; 2 (3): 398–99 (in Russian).
Авторы
М.Ю. Гвоздев1, Е.О. Баранова*2
1 ФГБОУ ВО «Московский государственный медико-стоматологический университет им. А.И. Евдокимова» Минздрава России, Москва, Россия;
2 АО «Европейский медицинский центр», Москва, Россия
*ebaranova@emcmos.ru
1 Yevdokimov Moscow State University of Medicine and Dentistry, Moscow, Russia;
2 European Medical Center, Moscow, Russia
*ebaranova@emcmos.ru
1 ФГБОУ ВО «Московский государственный медико-стоматологический университет им. А.И. Евдокимова» Минздрава России, Москва, Россия;
2 АО «Европейский медицинский центр», Москва, Россия
*ebaranova@emcmos.ru
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1 Yevdokimov Moscow State University of Medicine and Dentistry, Moscow, Russia;
2 European Medical Center, Moscow, Russia
*ebaranova@emcmos.ru
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