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Title:Uhajanje urina in prekomerna aktivnost sečnega mehurja pri bolnikih, ki obiskujejo ambulanto zdravnika družinske medicine : vseslovenska presečna raziskava na podlagi vprašalnika
Authors:ID But, Igor (Author)
ID Palfy, Miroslav (Author)
ID Glodež, Sonja (Author)
Files:URL http://www.szd.si/user_files/vsebina/Zdravniski_Vestnik/2013/april/225-33.pdf
 
Language:Slovenian
Work type:Not categorized
Typology:1.01 - Original Scientific Article
Organization:UM - University of Maribor
Abstract:Izhodišča: V tej presečni vseslovenski raziskavi smo želeli ugotoviti, kako pogosto se zdravniki družinske medicine srečujejo v ambulanti s problemom urinske inkontinence (UI) in prekomerne aktivnosti sečnega mehurja (PASM) in kako poteka ambulantna obravnava teh bolnikov. Metode: V raziskavo na podlagi vprašalnikov smo vključili 100 naključno izbranih zdravnikov družinske medicine in njihovih 50 bolnikov, starih od 40 do 70 let, ki so zaporedoma prihajali na pregled v ambulanto. Pri anketiranju smo zagotovili intimnost in anonimnost. Podatke iz vprašalnikov smo nato obdelali s statističnim programom SPSS. Rezultati: V raziskavo je privolilo 68 % zdravnikov in 3057 njihovih bolnikov (88,9 %). Zdravniki pri UI ali PAM najpogosteje bolnike napotijo na nadaljnjo obravnavo, izključijo uroinfekt, jim razložijo trening mišic medeničnega dna (TMMD) in jim predpišejo hlačne predloge. Prevalenca UI v ambulanti zdravnika družinske medicine znaša 30,6 % in je značilno pogostejša pri ženskah (39,3 % proti 14,1 %, p<0,001). Med bolniki z UI prevladuje mešana UI (69,6 %), sledi stresna UI (16,8 %) in urgentna UI (13,6 %). Prevalenca PASM (urgenca) znaša 35,2 %, pogostejša je pri ženskah (40,6 % proti 24,8 %, p<0,001). 51,4 % žensk in 24,8 % moških točno ve, kaj TMMD pomeni, poznavanje treninga mehurja pa je pri bolnikih še slabše (17,9 % žensk in 7,7 % moških). Zaključki: UI in PASM sta statistično značilna problema med bolniki, ki obiskujejo ambulanto družinskega zdravnika. Zdi se, da je poznavanje obeh motenj med zdravniki zadovoljivo. Večina bi svoje težave zaupala zdravniku in pri njem dobila ustrezna navodila glede treninga mehurja in TMMD, ki sta pomembni metodi za preprečevanje in zdravljenje obeh motenj.
Keywords:sečni mehur, prekomerna aktivnost, medenično dno, trening mišic, mehur, trening, uhajanje urina, prevalenca
Publisher:Slovensko zdravniško društvo
Year of publishing:2013
Number of pages:str. 225-233
Numbering:Letn. 82, št. 4
PID:20.500.12556/DKUM-56862 New window
UDC:616.62-008.22
ISSN on article:1318-0347
COBISS.SI-ID:4635967 New window
NUK URN:URN:SI:UM:DK:1KKCRRQM
Publication date in DKUM:30.12.2015
Views:2127
Downloads:112
Metadata:XML DC-XML DC-RDF
Categories:Misc.
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Record is a part of a journal

Title:Zdravniški vestnik. glasilo Slovenskega zdravniškega društva
Publisher:Slovensko zdravniško društvo
ISSN:1318-0347
COBISS.SI-ID:32893696 New window

Secondary language

Language:English
Title:Urinary incontinence and overactive bladder in patients attending the family practice physicians office
Abstract:Background: The aim of this pan-Slovene crossover survey was to assess how often the family practice physicians are dealing with urinary incontinence (UI) and overactive bladder (OAB) at their offices and to assess how are their patients with these disorders managed. Methods: In this questionnaire-based study we randomly selected 100 family practice physicians and their 50 patients, aged between 40-70 years, who had come consecutively to their offices. They all filled out questionnaires in a way that enabled their privacy and anonymity. Data from questionnaires was managed by statistical software program SPSS. Results: 68% of physicians and 3057 of their patients (88.9%) agreed to participate in the study. In case of UI or OAB, physicians most commonly refer patients to other specialists, rule out uroinfection, explain them the pelvic floor muscle training (PFMT) and prescribe pads. The UI prevalence in patients was 30.6%, and was more common in women than in men (39.3% vs. 14.1%, respectively, p<0.001). Most patients were diagnosed with mixed UI (69.6%), followed by stress UI (16.8%) and urgency UI (13.6%). OAB (urgency) was found in 35.2% of patients and was more common in women than in men (40.6% vs. 24.8%, respectively, p<0.001). Only 51.4% of women and 24.8% of men exactly knew what PFMT meant, however, the knowledge of bladder training was even worse (17.9% of women and7.7% of men). Conclusions: Both, UI and OAB represent a significant problem among patients attending the family practice physician office. It seems that the knowledge of both dysfunctions is satisfactory among physicians. The majority of patients would tell their doctors about UI and OAB and would also receive appropriate instructions regarding the bladder training and PFMT, both methods being very important for the prevention and treatment of these dysfunctions.
Keywords:overactive bladder, pelvic floor, muscle training, bladder training, urinary incontinence, prevalence


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