Page 99 - 南京医科大学自然版

第45卷第6期 南京医科大学学报（自然科学版）
2025年6月 Journal of Nanjing Medical University（Natural Sciences） ·837 ·

·临床研究·

老年女性尿失禁的国际功能、残疾和健康分类核心类目初探

曹钜楷 ，范嘉瑜 ，陶媛媛 ，焦 乐 ，张大伟 ，陈庆梅 ，沈芳荣 ，李 淼 ，朱红军 1*
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苏州大学附属第一医院康复医学科，妇产科，泌尿外科，江苏 苏州 215006
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［摘 要］ 目的：初步确定老年女性尿失禁的《国际功能、残疾和健康分类》（International Classification of Functioning，Disabili⁃
ty and Health，ICF）核心类目。方法：检索中外数据库中关于老年女性尿失禁相关文献，由2名专业研究人员对文献中的概念
进行提取，而后进一步与相关 ICF 类目对应，制定初步调查问卷。邀请 100 例符合条件的尿失禁患者填写调查问卷，将超过
30%尿失禁患者认为对自己有影响的类目制成核心类目Ⅰ。向35位相关医疗工作者发送问卷，将超过50%医疗工作人员认为
的影响老年女性尿失禁的类目汇总为核心类目Ⅱ。核心类目Ⅰ和Ⅱ相重叠的部分作为老年女性尿失禁ICF核心类目。结果：
老年女性尿失禁的ICF核心类目共有29个，其中“身体功能”8个，“身体结构”2个，“活动和参与”8个，“环境因素”11个。结
论：初步构建了老年女性尿失禁的ICF核心类目集，为临床开展循证康复管理提供了可操作的理论模型。
［关键词］ 尿失禁；老年女性；国际功能、残疾和健康分类；功能障碍
［中图分类号］ R694.54 ［文献标志码］ A ［文章编号］ 1007⁃4368（2025）06⁃837⁃07
doi：10.7655/NYDXBNSN241484

A preliminary study on the International Classification of Functioning，Disability and Health
Core Sets for urinary incontinence in older women

CAO Jukai ，FAN Jiayu ，TAO Yuanyuan ，JIAO Le ，ZHANG Dawei ，CHEN Qingmei ，SHEN Fangrong ，LI Miao ，
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ZHU Hongjun
Department of Rehabilitation，Department of Obstetrics and Gynecology，Department of Urology，the First Affiliated
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Hospital of Soochow University，Suzhou 215006，China
［Abstract］ Objective：To identify the International Classification of Functioning，Disability，and Health（ICF）core Sets for urinary
incontinence in older women. Methods：A preliminary questionnaire was developed through a literature search on urinary incontinence
in older women across Chinese and international databases. Two professional researchers independently extracted key concepts from
the literature and mapped them to corresponding ICF categories to develop a preliminary questionnaire. The questionnaire was
administered to 100 eligible female urinary incontinence patients；categories identified by >30% of patients as significantly impactful
were compiled as Core Set Ⅰ. Simultaneously，35 healthcare professionals were surveyed，with categories endorsed by >50% of
clinicians forming Core Set Ⅱ. The intersection of Core Sets Ⅰ and Ⅱ constituted the final ICF core sets for older women with urinary
incontinence. Results：The ICF Core Sets for urinary incontinence in older women includes 29 core items：8 for“body function”，2 for
“body structure”，8 for“activity and participation”，and 11 for“environmental factors”. Conclusion：The study initially established a
core set of ICF items for urinary incontinence in older women，providing an operable theoretical model for evidence ⁃ based
rehabilitation management in clinical practice.
［ Key words ］ urinary incontinence；older women；International Classification of Functioning；Disability and Health；functional im⁃
pairment
［J Nanjing Med Univ，2025，45（06）：837⁃843］

［基金项目］ 江苏省卫生健康委科研课题合同（Ym2023051）
通信作者（Corresponding author），E⁃mail： hjzhu1977@163.com（ORCID：0000⁃0001⁃6665⁃7214）
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