Viryasov A.V.
All-Russia Research Institute of Railway Hygiene, Rospotrebnadzor, Moscow

Contacts: Andrei V. Viryasov, e-mail: This e-mail address is being protected from spam bots, you need JavaScript enabled to view it

Abstract. Background. Due to the growing number and share of the elderly, medical and social problems related to prevention and treatment of diseases of the elderly become of crucial importance.

The main urological pathology in the elderly patients is urine incontinence. Urine incontinence negatively affects emotional and psychological state of patients, leads to social isolation and influences all aspects life quality.

The purpose of the study was to evaluate emotional and psychological state of the elderly patients with incontinence syndrome against the social background.

Methods. The author applied the following research methods: cluster, regression, analytical, direct observation, organizational experiment, data extraction from medical records and statistical documentation, sociological and expert evaluation. Sample size was calculated using formulas of sampling errors for qualitative (nominal and ordinal) characteristics according to Lisitsyn & Otdelnova method.

To detect actual prevalence of urine incontinence in women through purposive selection (all women who visited polyclinics during a week) the author surveyed 1236 women in middle age and 1113 elderly women who consulted doctors of different specialties using International Questionnaire ICIG-SF.

Results. It was found out that 2457 women from the catchment area polyclinics were registered for follow-up at the urologist. 937 out of them suffered from stress urine incontinence with the share of the elderly adding up to 43.8%; 734 women were diagnosed with urgent incontinence with the share of the elderly equaling to 75.7%; and 786 women had combined incontinence with the share of the elderly adding up to 93.2%.

The study shows that anxiety level in the middle age women with urine incontinence was 22.3+2.2 scores (surveyed in policlinic) and 16.1+0.2 (surveyed in hospital), p<0.05; in the elderly women – 15.8+0.4; 11.4+1.1 respectively, p<0.05. Emotional well-being in the middle age women was scored 16.3+0.3 and 13.1+1.1 respectively, p<0.05; in the elderly – 12.9+0.2 and 10.1+0.3 correspondingly, p<0.05. Presence of depression in the middle age women with urine incontinence was scored 12.6+0.3 and 10.3+0.4 respectively (p<0.05), the elderly women – 9.9+0.3 and 7.3+0.3 respectively, p<0.05.

Conclusions. Thus, comparative analysis of general well-being characteristics of the middle age and elderly women showed that general health status, anxiety level and depression, emotional well-being, and vital energy are significantly worse in the elderly patients with urine incontinence compared to female patients of the middle age.

All elderly patients with urine incontinence, psychoneurological disorders and cardiovascular diseases should be included into the risk group for urine incontinence especially the elderly women.

Keywords. Patients of advanced and senile age, prevalence of incontinence syndrome, psychosocial discomfort, improvement of medical and social care to the elderly.

References:

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