Abstract：
OBJECTIVE: Urinary incontinence (UI) is relatively common among middle-aged and elderly women and can have significant impacts on patients\' physiological, psychological, and quality-of-life aspects. A higher level of autonomy can encourage better health behaviors in patients, so as to promote rehabilitation of the disease and improve their quality of life. The study is aimed at exploring the level of autonomy and influencing factors among middle-aged and elderly women with UI.
METHODS: A cross-sectional study was conducted at a tertiary hospital in Shenzhen, China. Middle-aged and elderly women were asked to complete the Index of Autonomous Functioning scale (IAF), the International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form (ICIQ-UI SF), and the Urinary Incontinence Quality of Life (I-QOL) scale. Data were collected in January 2024 to March 2024. Descriptive statistics, univariate analysis, bivariate correlation and multivariate linear regression were used to analyze data.
RESULTS: A total of 646 women completed the questionnaire. The means and standard deviations (SD) of the IAF section were 45.40 ± 8.92, those of the ICIQ-UI SF section were 11.54 ± 3.67, and those of the I-QOL section were 43.95 ± 9.83. Multivariate linear regression models for the IAF revealed that questionnaire scores were independently associated with family\'s monthly income, education level, regular exercise, UI severity, and I-QOL score (p < 0.05).
CONCLUSIONS: The factors influencing the level of autonomy among middle-aged and elderly women with UI include family\'s monthly income, education level, regular exercise, UI severity, and I-QOL score. Higher levels of autonomy were observed among women with high family income, high education level, regular exercise habits, mild to moderate UI, and high quality of life.
METHODS: A cross-sectional study was conducted at a tertiary hospital in Shenzhen, China. Middle-aged and elderly women were asked to complete the Index of Autonomous Functioning scale (IAF), the International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form (ICIQ-UI SF), and the Urinary Incontinence Quality of Life (I-QOL) scale. Data were collected in January 2024 to March 2024. Descriptive statistics, univariate analysis, bivariate correlation and multivariate linear regression were used to analyze data.
RESULTS: A total of 646 women completed the questionnaire. The means and standard deviations (SD) of the IAF section were 45.40 ± 8.92, those of the ICIQ-UI SF section were 11.54 ± 3.67, and those of the I-QOL section were 43.95 ± 9.83. Multivariate linear regression models for the IAF revealed that questionnaire scores were independently associated with family\'s monthly income, education level, regular exercise, UI severity, and I-QOL score (p < 0.05).
CONCLUSIONS: The factors influencing the level of autonomy among middle-aged and elderly women with UI include family\'s monthly income, education level, regular exercise, UI severity, and I-QOL score. Higher levels of autonomy were observed among women with high family income, high education level, regular exercise habits, mild to moderate UI, and high quality of life.
摘要：
目的：尿失禁（UI）在中老年女性中比较常见，对患者的生理、心理,和生活质量方面。更高水平的自主性可以鼓励患者更好的健康行为，从而促进疾病的康复，提高他们的生活质量。本研究旨在探讨中老年女性UI患者的自主性水平及其影响因素。
方法：在深圳市某三级医院进行了一项横断面研究，中国。要求中老年妇女完成自主功能指数量表(IAF)，失禁问题国际咨询问卷-尿失禁简表(ICIQ-UISF)，和尿失禁生活质量（I-QOL）量表。数据收集时间为2024年1月至2024年3月。描述性统计，单变量分析，采用双变量相关和多元线性回归分析数据.
结果：共有646名妇女完成了问卷。IAF部分的平均值和标准偏差（SD）为45.40±8.92，ICIQ-UISF部分的平均值和标准偏差为11.54±3.67，I-QOL部分的平均值和标准偏差为43.95±9.83。IAF的多元线性回归模型显示，问卷得分与家庭月收入独立相关，教育水平,定期锻炼,UI严重性,和I-QOL评分(p<0.05)。
结论：影响UI中老年女性自主性水平的因素包括家庭月收入、教育水平,定期锻炼,UI严重性,和I-QOL得分。家庭收入高的妇女享有较高的自主权，教育水平高,有规律的锻炼习惯,轻度至中度UI，和高质量的生活。
方法：在深圳市某三级医院进行了一项横断面研究，中国。要求中老年妇女完成自主功能指数量表(IAF)，失禁问题国际咨询问卷-尿失禁简表(ICIQ-UISF)，和尿失禁生活质量（I-QOL）量表。数据收集时间为2024年1月至2024年3月。描述性统计，单变量分析，采用双变量相关和多元线性回归分析数据.
结果：共有646名妇女完成了问卷。IAF部分的平均值和标准偏差（SD）为45.40±8.92，ICIQ-UISF部分的平均值和标准偏差为11.54±3.67，I-QOL部分的平均值和标准偏差为43.95±9.83。IAF的多元线性回归模型显示，问卷得分与家庭月收入独立相关，教育水平,定期锻炼,UI严重性,和I-QOL评分(p<0.05)。
结论：影响UI中老年女性自主性水平的因素包括家庭月收入、教育水平,定期锻炼,UI严重性,和I-QOL得分。家庭收入高的妇女享有较高的自主权，教育水平高,有规律的锻炼习惯,轻度至中度UI，和高质量的生活。
