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研究生:蔡玉卿
研究生(外文):Tsai You-Chin
論文名稱:尿失禁婦女性功能障礙之探究
論文名稱(外文):A study of sexual dysfunction in women with urinary incontinence
指導教授:簡邦平簡邦平引用關係朱元祥朱元祥引用關係
指導教授(外文):Bang-Ping JiannYuan Hsiang, Chu
學位類別:碩士
校院名稱:樹德科技大學
系所名稱:人類性學研究所
學門:其他學門
學類:其他不能歸類之各學類
論文出版年:2009
畢業學年度:97
語文別:中文
論文頁數:96
中文關鍵詞:尿失禁婦女女性功能尿失禁類型
外文關鍵詞:urinary incontinence womenfemale sexual functiontypes of urinary
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本研究目的在探究尿失禁婦女性功能障礙,並以一般婦女為對照組進行比較研究。研究設計為病例對照研究法,尿失禁婦女以高雄兩所地區醫院之泌尿科及婦產科門診患者為研究對象;而一般婦女徵選自民眾與社區婦女。研究者以結構式問卷共發出360份,扣除填答不完全問卷,共有117名尿失禁婦女與135名一般婦女進行訪談,所得有效問卷資料以描述統計、卡方檢定、單因子變異數分析(ANOVA)、皮爾遜積差相關及邏輯迴歸分析等方法進行資料分析。
本研究發現:
(一) 尿失禁婦女和一般婦女在性功能障礙的盛行率以51-60歲的尿失禁婦女居多呈顯著差異;年齡越大,性功能越差。
(二) 尿失禁婦女與一般婦女在女性功能上有顯著差異,其中以混合性尿失禁婦女居多,尿失禁對女性功能障礙總分對性慾、性興奮、濕潤、高潮、滿意度、性交疼痛等6個面向是有顯著性差異。
(三) 三種類型的尿失禁婦女、嚴重度與女性功能指標分項及總分互有顯著關係。
(四) 尿失禁婦女的基本屬性、疾病類型對女性功能進行邏輯迴歸預測,結果顯示年齡在41-50歲、51-60歲、子宮切除手術、停經四項具有統計上之顯著差異(p = .05),顯示它們是尿失禁婦女性功能危險因子。
The purpose of this research is to detect the prevalence and risk factors of sexual dysfunction in women with urinary incontinence. General women as a control group from community residents and outpatients in urinary clinic and obstetric gynecology clinic of two Kaohsiung hospitals as experimental group. The research design is based on case control study, selected 117 samples of women with urinary incontinence and 135 samples of general women. The analyze methods by descriptive analysis, chi square test, ANOVAN, Pearson product-moment correlation and Logistic Regression Analysis. The major findings are:

(1) In the prevalence of sexual dysfunction, the age between 51 and 60 urinary incontinence women and general women have significant difference. It means that while age goes up, the sexual function is getting worse.
(2) While urinary incontinence women and general women have significant difference in female sexual function. The result reveals that mixed urinary incontinence take a large part, these kind of urinary incontinence have significant difference in sexual desire, sexual excitement, lubricate, orgasm, satisfaction and intercourse pain.
(3) Three kinds of urinary continence women, the percentage of serious and the total scores and each items of female sexual function have significant relationship.
(4) Analyze the background of urinary continence women, illness types and female sexual function by Logistic Regression Analysis. The result indicated that the age between 41 and 50, 51 and 60 as well as abdominal hysterectomy and menopause have significant difference (p=0.05),it means that these items are risk factors of urinary continence.
第一章 緒論....................................................1
第一節 研究動機及重要性...................................1
第二節 研究目的...........................................4
第三節 研究問題...........................................4
第四節 名詞界定……………………………………………………….5
第五節 研究假設……………………………………………………….6
第二章 文獻探討………………………………………………………………7
第一節 尿失禁………………………………………………………….7
尿失禁分類及盛行率………………………………………………..7
尿失禁盛行率之危險因子…………………………………………..10
第二節 女性功能障礙…………………………………………………14
第三節 尿失禁婦女性功能障礙之相關研究…………………………23
第三章 研究方法……………………………………………………………27
第一節 研究架構………………………………………………………27
第二節 研究對象………………………………………………………29
第三節 研究工具………………………………………………………31
第四節 研究步驟………………………………………………………35
第五節 資料整理與分析………………………………………………36
第六節 研究對象與權益維護…………………………………………37
第四章 結果與討論…………………………………………………………38
第一節 尿失禁婦女與一般婦女之基本屬性分析……………………38
第二節 尿失禁婦女、一般婦女與女性性功能的差異分析………....52
第三節 尿失禁婦女之疾病類型與女性功能的相關分析……………63
第四節 尿失禁婦女基本屬性、疾病類型對女性性功能預測
分析……………………………………………………………67
第五章 結論與建議…………………………………………………………71
第一節 結論…………………………………………………………..71
第二節 建議…………………………………………………………..72
第三節 研究限制…………………………………………………… .76
参考資料………………………………………………………………………..78
附錄一:人體試驗快速審查同意證明書……………………………………..89
附錄二:研究說明暨研究同意書……………………………………………..90
附錄三:尿失禁總類量表中文版同意書……………………………………..91
附錄四:研究問卷內容………………………………………………………..92
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