Journal of agricultural medicine and community health (농촌의학ㆍ지역보건)

Korean Society for Rural Medicine and Community Health (한국농촌의학지역보건학회)
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Prevalence of Urinary Incontinence and Its Related Factors among the Rural Residing Elderlies

일부 농촌지역 노인들의 요실금 유병률과 관련요인

  • Yoon, Hyun-Suk (Department of Nurse, Chungnam National University Hospital) ;
  • Kwon, In-Sun (Department of Preventive Medicine and public Health, College of Medicine, Chungnam National University, and Research Institute for Medical Sciences) ;
  • Bae, Nam-Kyou (Department of Public Health, Graduate School of Chungnam National University) ;
  • Cho, Young-Chae (Department of Preventive Medicine and public Health, College of Medicine, Chungnam National University, and Research Institute for Medical Sciences)
  • 윤현숙 (충남대학교병원 간호과) ;
  • 권인선 (충남대학교 의과대학 예방의학교실 및 의학연구소) ;
  • 배남규 (충남대학교 대학원 보건학과) ;
  • 조영채 (충남대학교 의과대학 예방의학교실 및 의학연구소)
  • Published : 2009.06.30
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Abstract

Objectives: This study was conducted to find out the frequency of urinary incontinence among the rural elderly people and its related factors. Methods: Informations have been obtained through interviews from the 464 rural residents of advanced age over 65 years on September 1st through November 30th, 2007, in Chungnam Province. Results: As for the rate of experiencing urinary incontinence, the group with the experience rate of 「every day」 were 9.5% and 「occasionally」 35.5%, with the total of 45.0%. The higher rates of urinary incontinence were in the elderly women(58.5%) than in the elderly men (29.8%), in the more advanced in age, in the higher educated, and in the groups with higher monthly income. Based on life styles, the rate of experiencing urinary incontinence was significantly higher in smoking groups and non-drinking groups. Based on subjective senses of health, it was more highly associated with the groups who reported that they were not healthy, that they concerned themselves about health, that they had physical disability, that they had forgetfulness, and they needed assistance in terms of activity of daily living(ADL) and instrumental activity of daily living(IADL) than their respective counterparts. By the result of multiple logistic regression, sex, age, smoking status, anxiety, physical disability, amnesia, and IADL was indicated the affecting factors to the prevalence of urinary incontinence. Conclusions: The above results reveal that the rate of urinary incontinence was higher in the elderly women than the elderly men, and in more advanced age. Moreover, its rate increases in the groups with undesirable life styles or lower senses of subjective and physical health conditions. It is highly suggested that efforts to manage urinary incontinence of the elderly need to be narrowed to the more advanced, especially those with lower standards of health conditions.

본 연구는 농촌지역 노인을 대상으로 요실금의 출현빈도를 조사하고 요실금과 관련된 요인을 검토하고자, 2007년 10월 1일부터 12월 31일까지의 기간에 충청남도의 농촌지역에 거주하고 있는 65세 이상 노인 464명을 대상으로 면접조사를 실시하였다. 그 결과 조사대상자의 요실금 경험률을 보면 「매일 실금」이 9.5%, 「가끔 실금」이 35.5% 로 요실금을 경험하고 있는 노인이 45.0%이었다. 성별로는 남자(29.8%)보다 여자(58.5%)에서, 연령이 낮은 군보다 높은 군에서, 교육수준이 높은 군보다 낮은 군에서, 월수입이 높은 군보다 낮은 군에서 요실금 경험률이 높았다. 일상생활습관별 요실금 경험률은 비흡연군보다 흡연군에서, 음주군보다 비음주군에서 유의하게 높았으며, 주관적 건강상태에 따른 요실금 경험률은 건강하다는 군보다 건강하지 않다는 군에서, 건강에 대한 걱정을 하지 않는다는 군보다 한다는 군에서, 신체부자유가 없다는 군보다 있다는 군에서, 건망증이 없다는 군보다 있다는 군에서, ADL과 IADL별로는 도움이 필요 없다는 군보다 도움이 필요하다는 군에서 유의하게 높은 비율이었다. 다변량 로지스틱회귀분석 결과 요실금발생에 영향을 미치는 관련요인으로 성별, 연령, 흡연습관, 건강에 대한 걱정유무, 신체부자유 유무, 건망증 유무, IADL이 유의한 변수로 선정되었다. 이상의 결과를 보면 농촌지역 노인들의 요실금 출현빈도는 남자보다 여자에서, 고연령일수록 높아지는 것을 알 수 있으며, 일상생활습관이나 주관적 및 신체적인 건강상태가 양호하지 않을수록 요실금 출현율이 높게 나타나고 있으므로 이에 따른 노인들의 적절한 건강관리 대책이 요구된다.

Keywords

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