Læknablaðið - 15.10.1991, Qupperneq 27

LÆKNABLAÐIÐ
307
meðal sjúklinga með þvagleka, eða 74%
borið saman við 35% meðal þeirra sem ekki
höfðu þvagleka (15). í okkar rannsókn fannst
einnig marktækur munur á dánartíðni þar sem
67% látinna eftir eitt ár höfðu greinst með
þvagleka. Þegar kí-kvaðrat tölfræðiaðferð er
beitt á þessar niðurstöður kemur í ljós, að
þvagleki hefur marktækt spágildi um afdrif.
Það má því líta á þvagleka sem sérstakan
áhættuþátt en jafnframt finnst mikil fylgni
milli þvagleka og annarrar fötlunar meðal
aldraðra á stofnunum.
Algengi þvagleka meðal aldraðra á stofnunum
hefur ekki fyrr verið kannað á íslandi en
samkvæmt erlendum hliðstæðum rannsóknum
á algengi þvagleka innan stofnana eru
niðurstöðutölur rannsóknarinnar sem hér er
greint frá svipaðar (1,3).
SUMMARY
Prevalence and progress of urinary incontinence
in elderly patients in iongterm wards.
A prevalence study of urinary incontinence was
performed on patients and residents in the City
Hospital geriatric wards and associated nursing
homes. Information on urinary incontinence was
obtained from nursing staff. Included in the study
were 220 patients, 173 women and 47 men. Of
all patients, 53% were found to be incontinent
of urine, the rate being equal for both men and
women. Cognitive function, mobility and self
sufficiency was graded into three functional
categories. Urinary incontinence was strongly
related with other disability and found in 82%
of those with most severe dementia, in 92% of
the least mobile people and in 87% of the least
self sufficient ones. After six months, only two
people had regained continence and seven people
had become incontinent of urine. In one year, 55
people had died and 37 (67%) had belonged to the
group of urinary incontinence. By this time the
mortality rate for the incontinent group had become
significantly higher (p<0.05).
ÞAKKIR
Sérstakar þakkir til Helga Sigvaldasonar
Ph.D., verkfræðings, fyrir staðtölulega hjálp
og Kristínar Vilhjálmsdóttur fyrir ritvinnslu.
HEIMILDIR
1. Ouslander JG, Kane RL. Abrass IB. Urinary
incontinence in elderly nursing home patients. JAMA
1982; 248: 1194-8.
2. Ouslander JG, Uman GC, Urman HN, Rubenstein
LZ. Incontinence among nursing home patients.
Clinical and functional correlates. JAGS 1987; 35:
324-30.
3. Kistrup K, Klintorp S. Incontinence of urine.
Prevalence and treatment in a department for long
term medicine. Ugeskr Læger 1986; 148: 1661-3.
4. Bates P, Bradley WE, Glen E, et al. The
standardization of terminology of lower urinary tract
function. J Urol 1979; 121: 551-4.
5. Pannill FC, Williams TF, Davis R. Evaluation and
treatment of urinary incontinence in long term care.
JAGS 1988; 36: 902-10.
6. Sander S, Fossberg E, Beisland HO, Fames T.
Urinary incontinence in elderly patients. Tidsskr Nor
Lægeforen 1981; 101: 440-2.
7. Eastwood HDH, Warrell R. Urinary incontinence in
the elderly female. Age and Ageing 1984; 13: 230-4.
8. Eastwood HDH, Smart CJ. Urinary incontinence in
the disabled elderly male. Age and Ageing 1985; 14:
235-9.
9. Borrie MJ, Campell AJ, Caradoc-Davies TH, Spears
GFS. Urinary incontinence after stroke. A prospective
study. Age and Ageing 1986; 15: 177-81.
10. Tobin GW, Brocklehurst JC. The management of
urinary incontinence in local authority residential
homes for the elderly. Age and Ageing 1986; 15:
292-8.
11. Femie GR, Jewett MAS, Autry D, Hollyday
PJ, Zorzitto ML. Prevalence of geriatric urinary
dysfunction in a chronic care hospital. Can Med
Assoc J 1983; 128: 1085-6.
12. Sier H, Ouslander J, Orzeck S. Urinary incontinence
among geriatric patients in an acute care hospital.
JAMÁ 1987; 257: 1767-71.
13. Mohide EA, Pringle DM, Robertson D, Chambers
LW. Prevalence of urinary incontinence in patients
receiving home care services. CMAJ 1988; 139: 953-
6.
14. Schnelle JF, Sowell VA, Hu TV, Traughber B.
Reduction of incontinence in nursing homes. J Am
Geriatr Soc 1988; 36: 34-9.
15. Campell AJ, Reinken J, McCosh L. Incontinence
in the elderly: Prevalence and prognosis. Age and
Ageing 1985; 14: 65-70.