Abstract
BACKGROUND: With the global trend of aging, stress urinary incontinence is becoming more common in older adults, which may have some impact on patients' quality of life. Social alienation can generate negative emotions such as anxiety, depression, loneliness, and morbid stigma, and reduce patients' quality of life. However, the current status of social alienation is different among different older adult female patients with stress urinary incontinence. Therefore, this study categorizes older adult female stress urinary incontinence patients through potential analysis to understand the category characteristics of social alienation level of older adult female stress urinary incontinence patients, and explores the influencing factors of social alienation level of different categories of older adult female stress urinary incontinence patients, which can provide a reference to personalized intervention programs for the characteristics of social alienation of older adult female stress urinary incontinence in the future. METHOD: A convenience sampling method was used to select 365 cases of older adult female stress urinary incontinence patients from March 2023 to April 2024 in three communities in Jinzhou City. The General Information Questionnaire, the Family Care Index Scale, the Toronto Alexithymia Scale, and the General Alienation Scale were used to conduct the survey. RESULTS: A total of 365 respondents were included, and three potential categories of social alienation were finally identified, namely, low social alienation (29.0%), medium social alienation-self alienation (49.4%), and high social alienation (21.6%). The results of multifactorial logistic regression analysis showed that occupational status, marital status, whether living alone, place of residence, BMI, whether other chronic diseases, level of narrative disorders, and level of family care were the influencing factors of social alienation in older adult female patients with stress urinary incontinence (P < 0.05). CONCLUSION: The social alienation of older adult female patients with stress urinary incontinence is characterized by a significant number of categories, and healthcare professionals can identify the characteristics and influencing factors of each category at an early stage, which can provide a basis for the development of targeted clinical interventions to help patients reduce the level of social alienation.