Prevalence Of Lower Urinary Tract Symptoms In Female Nurses And Its Relationship With Toileting Behavior

Objectives1. To revise the Chinese version Women’s Toileting Behavior Scale(WTBS-Chinese). and to explore its reliability and validity in female nurses.2. To investigate the prevalence of lower urinary tract symptoms(LUTS) among female nurses, and to explore the relationship between LUTS toileting behavior.Methods1. The Chinese version of Women’s Toileting Behavior Scale was administered to235clinical nurses (sample1)for item analysis while confirmatory factor analysis and reliability analysis were conducted from a sample of401clinical nurses (sample2) in Grade Ⅲ-A hospitals in Jinan by multistage stratified cluster sampling method.40nurses were randomly selected from sample2to be retested two weeks later to evaluate the test-retest reliability. Item analysis and reliability were analysed by SPSS17.0. confirmatory factor analysis was analysed by AMOS19.0.2. A cross-sectional study was employed.401nurses(sample2) were recruited from three Grade Ⅲ-A hospitals in Jinan. International Consultation on Incontinence Questionnaire-Femal Lower Urinary Tract Symptoms(ICIQ-FLUTS) and revised Women’s Toileting Behavior Scale(WTBS) were used to investigate the prevalence of lower urinary tract symptoms and toileting behaviors in female nurses respectively. The collected data was analysed by SPSS17.0.Results1. Reliability and validity of WTBS-Chinese in clinical nurses(1) Validity of WTBS-Chinese:Seventeen items were left using item analysis in5factors and each item loading is over0.4(0.423～0.899). The fitness of such model was perfect (GFI=0.949>0.9, AGFI=0.920>0.9, RMSEA=0.027<0.05)(2) Reliability of WTBS-Chinese:The Cronbach’s a of WTBS-Chinese was0.802and Cronbach’s a of factors were all above0.7except the posture preference for voiding. The test-retest reliability of WTBS-Chinese was0.929.2. The prevalence of LUTS among female nurses, and the relationship between LUTS and toileting behavior.(1) The total score of TB of female nurses in Grade Ⅲ-A hospitals in Jinan was42.86±9.38, and the entries average of each demension were deplayed voiding(3.14±0.77). place preference for voiding(2.90±0.85). posture preference for voiding(2.50±1.09), premature voiding(2.31±0.93). and straining voiding(1.91±0.86) in the descending order.(2) Eighty-four point three percent of the nurses reported at least one LUTS. The prevalence of storage LUTS(63.8%) was greater than that for voiding(17.5%). The prevalence of LUTS was in sequence of nocturia(63.8%).urinary incontinence(UI)(44.6%). urgency(24.2%). overactive bladder(OAB)(20.2%), hesilancy(13.5%). increased daytime frequency(6.5%). intermittent stream(4.2%).straining(3.2%).(3) Multivariate logistic analysis indicated that age. history of urinary infection, fluid intake>2000ml, and cesarean section were independent influencing factors for UI. Poor toileting behaviors and irregular menstruation were independent influencing factors for OAB.Conclusion 1.The revised WTBS-Chinese shows good validity and reliability to estimate the toileting behaviors among clinical nurses.2. The prevalence of poor toileting behaviors is high, especially for delayed voiding.3. LUTS are highly prevalent in female nurses, and prevalence of storage symptoms is greater than that for voiding symptoms in which nocturia is the most common LUTS.4. Age and history of urinary infection are the risk factors for UI while fluid intake>2000ml and cearean section are the protective factors.5. Poor toileting behaviors and irregular menstruation are the risk factors for OAB.