الفهرس | Only 14 pages are availabe for public view |
Abstract Urinary incontinence in the elderly is becoming an increasing medical and socioeconomic problem. people affected by urinary incontinence carry a vast psychological burden and demands on those around them constitute a social problem as well as a care problem. Urinary incontinence should not be viewed as a normal process of ageing. Elderly patients with UI must be treated to prevent significant psychosocial morbidity. Without appropriate and timely management, urinary incontinence can lead to poor quality of life for the elderly population. This work aims to estimate prevalence of urinary incontinence among studied elderly females and assess the risk factors of urinary incontinence among the studied group. A descriptive study was carried out on calculated sample of elderly females who were attending in El-Sheen family health center affiliated to Qutour city El Gharbiya governorate during period from the first of April 2015 to the end of December 2017.They were 217. Data was collected from elderly females through A structured questionnaire which was included: Sociodemographic data, medical history, current medications, surgical history, obestetric and gynecological history, menopausal history, past history, family history of UI, opportunistic accidently discovered and behavior after occurrence. a predesigned questionnaire for urinary incontinence diagnosis and severity assessment. Clinical examination was performed and included weight, height and blood pressure measurement. Urine sample was collected from the studied females for analysis and cultured. For select of cases, Fasting and post prandial blood glucose measurement to assess controlled DM. The results of this study revealed that: the prevalence of urinary incontinence among elderly females attending a family health center was (67%).the most prevalent type of UI among studied group was mixed type. The prevalence of stress, urge and mixed type was (27%, 9%, 31%) respectively. Regarding sociodemographic factors, it was found that, the mean age of incontinent and continent women was (67.55 ± 7.12 and 61.77 ± 2.80) respectively. Most of them were housewives and illiterate. Also, the result of this study revealed that, the most important of risk factors predisposing for the development of UI were diabetes, hypertension, urinary tract infection and obesity. Regarding medical consultation, it was found that only 8% of females seeking medical care for that disorder. Also, the study revealed that prevalence of UI after menopause was 84.2%. |