ĐÁNH GIÁ MỨC ĐỘ ẢNH HƯỞNG CỦA TIỂU KHÔNG TỰ CHỦ ĐẾN CHẤT LƯỢNG CUỘC SỐNG Ở NGƯỜI BỆNH PARKINSON

Abstract

Objective: To evaluate the impact of urinary incontinence on the quality of life in Parkinson's disease patients. Methods: This study included 100 Parkinson's disease patients who met the selection criteria and were undergoing treatment at the National Geriatric Hospital from August 2019 to June 2020. Patients were diagnosed with Parkinson's disease according to the 1992 United Kingdom Parkinson's Disease Society Brain Bank (UKPDSBB) criteria, classified by Hoehn and Yahr stages, and evaluated for urinary incontinence using the American Urological Association Symptom Index (AUA-SI). Question 8 of the AUA-SI was specifically used to assess the patient's quality of life in the presence of urinary incontinence symptoms. Results: Urinary incontinence significantly affected the quality of life in Parkinson's disease patients. Specifically: Incomplete emptying: Reduced quality of life 34-fold (OR = 34; 95% CI: 9.8-117.6); Frequent urination: Reduced quality of life 28-fold (OR = 28; 95% CI: 8.7-89.3); Intermittent urination: Reduced quality of life 16-fold (OR = 16; 95% CI: 5.4-49.8); Urgency: Reduced quality of life 35-fold (OR = 35; 95% CI: 7.6-163.3); Weak stream: Reduced quality of life 17-fold (OR = 17; 95% CI: 3.3-87.5); Straining to urinate: Reduced quality of life 20-fold (OR = 20; 95% CI: 6.7-60.4); Nocturia: Reduced quality of life 17-fold (OR = 17; 95% CI: 5.7-49.2. Conclusion: There is a significant and varying impact of the severity of urinary incontinence on the quality of life in Parkinson's disease patients. Among these, frequent urination and urgency had the most severe impact on patients' quality of life.