農村における尿失禁の現状と対策

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タイトル別名
  • Survey and Counterplan on Urinary Incontinence in the Elderly Populace in Rural Districts.
  • シュクダイ ホウコク ノウソン ニ オケル ニョウ シッキン ノ ゲンジョウ ト タイサク

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OBJECTIVES: A questionnaire survey commissioned by the National Mutual Insurance Federation of Agricultural Cooperatives (Zenkyoren) was conducted to evaluate the study of the health status, urination and urinary incontinence in the elderly populace of 65 years and over in the rural districts in Japan.<BR>METHODS: 8, 023 elderly persons (3, 360 male, 4, 369 female, 294 unknown sex) were entered into this study.<BR>RESULTS: The most troublesome voiding symptoms in elderly persons were weak stream and nocturia for men, and frequency in daytime and at night for women. The QOL questionnaire for urination was of little difference between men and women. It was found that 12.8% of the elderly persons have the incontinence problem. The survey showed that types of urinary incontinence in the elderly populace were mainly mixed, or stress, urgent incontinence. Many people in the populace had functional incontinence due to handicap status. Many people in the populace had not consulted a medical practitioner for their incontinence. The survey revealed that the burdens of caregivers were heavy and the quality of the caregivers' life was of low.<BR>CONCLUSIONS: These findings suggest that the medical and welfare staffs should face up to the actual status of affairs connected with incontinent people in the elderly populace and care for those people and hasten to frame measures to cope with the situation.

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