婦女尿失禁對性生活之影響

The Effects of Urinary Incontinence on Women’s Sexual Life

本研究目的在比較「有尿失禁與無尿失禁之婦女」的性生活品質，進一步分析婦女尿失禁對性生活滿意度之影響相關因素。本研究為橫斷面研究設計，以中部某醫學中心之婦科門診病患，凡25-55歲之已婚婦女，自民國90年7月1日至同年9月30日止，共收案 323人做為研究對象，用結構式問卷訪談收集資料。資料整理時將研究樣本分成有尿失禁（實驗組46人）及無尿失禁（對照組277人）等兩組。結果顯示：婦科門診病患隨年齡增加而尿失禁也隨著增加；但教育程度高者尿失禁的罹患率反而降低；曾接受婦科手術者比未曾接受婦科手術者尿失禁罹患率高3.6倍；已停經者尿失禁罹患率更高至4倍。婦女懷孕、生產及自然產次數越多、有自然流產經驗者，罹患尿失禁的比例也增高。對於性生活資訊來源，主要來自「傳播媒體」、「書籍」、「報章雜誌」及「性伴侶」，兩組間不具統計上差異。以性生活頻率、性交高潮次數、性交時感覺及性生活滿意度等四項評估性生活品質後，發現生產前兩組只有「性交高潮次數」有統計差異（p＜0.01）；生產後除了性高潮次數外，性交時感覺及性生活滿意度兩變項也有統計差異（p＜0.01），有下泌尿道症狀者性生活品質較差。而有尿失禁者，其本身生產後與生產前比較，生產後性生活滿意度也變差（p＜0.05）。結論即年齡較大、教育程度較低及曾接受婦科手術者較易同時併有尿失禁；「生產」是主要的影響因子，而懷孕、生產及自然產次2次以上，曾自然流產、已停經者尿失禁之機率增高；尿失禁會使婦女性生活品質降低。

Background. This study aimed to investigate the effects on urinary incontinence on women’s sexual life quality. Methods. This study adopted the cross-section method and recruited 323 subjects who were under age 25-55 year old. They were selected by random sampling, administered a structured questionnaire for data collection, and separated into two groups: 46 of them with the symptoms and 277 without symptom. Results. (1) The occurance of the symptom increased with ages but decreased with education levels; women who had gyneclology operations were more likely to be conflicted 3.6 times than those who did not. (2) Women who had more experiences in pregnancy, laboring, and miscarriage and who is menopause showed higher percentage in suffering from it. (3) With respect to information sources about sexual knowledge, both groups relied on massive media, books, newspaper, magazines, and their “mates ”, and no statistical significance was found between both groups. (4) As for evaluation on frequency of sexual life, orgasm, feeling on intercourse and satisfaction of their sexual life, both groups demonstrated significant difference in number of orgasm before pregnancy, but in feeling on intercourse and satisfaction after laboring; women who had the symptom reported less satisfied in sexual discourse than those who did not. Those who had the symptom reported less satisfaction with their sexual life after they delivered babies. Conclusion. Age, education level and gyneclologic operations were influencial factors for occurance of urinary incontinence. Laboring has been found to be a statistically significant factor. This study suggests that women should consult be the major factor. Furthermore, pregnancy, laboring(more than twice), miscarriage and menopause raised the possibilities of the symptom, which decreased the quality of their sexual life.