| Summary: | 碩士 === 國立台北護理學院 === 長期照護研究所 === 96 === Toileting is important and prioritized living behavior and function. It has been an origin of living trouble and health care issue. Urinary incontinence(UI) is always regarded as more prevalent and more important than stool incontinence. U-incontinence is an illness manifestation or a morbid condition about the urinary problem, and it would pose significant impacts on himself, people and setting, and be always put in the 1st place of resource consumption and quality control in community and public health. To explore the prevalence of UI among community-dwelling elders in Taiwan, and relative trends & factors furthermore, just on the basis of national data bank "NAHSIT" available. Based on the cross-sectional databank of community-dwelling elders in Taiwan, this study is a descriptive design to collect data of health-related variables from 1,568 community elders. The operating definition of UI in living language had been defined as "onset and symptoms as occurrence of urinary incontinence in the past 2~3 days". The descriptive statistics, to analyze all related factors around UI, set apart the gender and processed using Student-t and Chi-square test, and finally multiple logistic regression. The results showed, more than half of the samples were Taiwan natives, average age 71.9±5.3(M72.1±5.2; F71.7±5.5), mostly married;, majority with illiteracy to elementary school level; better economic status in male; majority with negative health behaviors; around half with the habitual exercise(esp. in male). The overall prevalence rate of U-incontinence among nationwide elders was 8.65%, and up to 11.3% in female, 6.0% in male. The prevalence rates among 4 age strata of 65-69, 70-74, 75-79, and above 80, were 6.1%, 7.8%, 10.7%, and 18.1% respectively. The prevalence of U-incontinence increases with age in either gender whatever. Potential factors included age, stroke, kidney disease, BPH, and ADL status in male; and included age, peptic ulcer and ADL status in female. For personal medication, cold remedy and musculoskeletal analgesics in male and hormone in female might be the affecting factors. The problem of UI has climbed with the age, probably due to aging decay, morbid conditions, medication and others…..etc.. The results would offer a good basis for listing UI as one prioritized theme in health care and management for the elders.
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