The Effects of Lower Urinary Tract Symptoms on Depression and Quality of Life among Women in Urban Areas

하부요로증상이 우울 및 요실금 관련 삶의 질에 미치는 영향

  • 박승미 (호서대학교 간호학과) ;
  • 김지윤 (존스홉킨스 대학교 간호학과)
  • Received : 2009.06.05
  • Accepted : 2009.12.11
  • Published : 2009.12.31

Abstract

Purpose: This study was performed to investigate the effects of lower urinary tract symptoms on depression and quality of life among women in urban areas. Methods: The participants in this study were 306 women in P city. Data were collected using a questionnaire from May 1 to June 6, 2008. Lower urinary tract symptoms (LUTS) were measured with BFLUTS-SF and categorized into voiding, filling and incontinence. The data were analyzed through t-test, one-way ANOVA, Fisher exact test, and multiple regression. Results: Age, filling and incontinence, and all of the subcategories of LUTS explained 16% of variance in depression. Older women, LUTS with incontinence, filling and incontinence, and all the problems including filling, voiding and incontinence lowered the quality of life. Conclusion: In order to develop nursing interventions for women with urinary tract symptoms, comprehensive understanding of LUTS is needed.

Keywords

References

  1. Abrams, P. (1997). Lower urinary tract symptoms in women: Who to investigate and how. British Journal of Urology, 80, (Suppl 1), 43-48.
  2. Brooks, S. T., Donovan, J. L., Wringt, M., Jackson, S., Abrams, P. (2004). A scored form of the Bristol female lower urinary tract symptoms questionnaire: Data from a randomized controlled trial of surgery for women with stress incontinence. American Journal of Obstetrics & Gyencology, 191, 73-82. https://doi.org/10.1016/j.ajog.2003.12.027
  3. Chaikin, D. C., & Blaivas, J. G. (2001). Voiding dysfunction: Definitions. Current Opinion in Urology, 11(4), 395-398. https://doi.org/10.1097/00042307-200107000-00010
  4. Coyne, K. S., Wein, A. J., Tubaro, A., Sexton, C. C., Thompson, C. L., Kopp, Z. S., et al. (2009). The burden of lower urinary tract symptoms: Evaluating the effect of LUTS on health-related quality of life, anxiety and depression: EpiLUTS. British Journal of Urology International, 103(Suppl 3), 4-11.
  5. Ferrans, C. E., & Powes, M. J. (1992). Psychometric assessment of the quality of life index. Research in Nursing & Health, 14, 179-186. https://doi.org/10.1002/nur.4770140304
  6. Heidrich, S. M., & Wells, T. J. (2004). Effects of urinary incontinence: Psychological well-being and distress in older community-dwelling women. Journal of Gerontological Nursing, 30(5), 47-54.
  7. Jackson, S., Donovan, J., Brookes, S., Eckford, S., Swithinbank, L., & Abrams, D. (1996). The bristol female lower urinary tract symptoms questionnaire: Development and psychometric testing. British Journal of Urology, 77, 805-812. https://doi.org/10.1046/j.1464-410X.1996.00186.x
  8. Kim, K. H. (2002). A study on correlation between urinary incontinence & lower urinary tract symptom and daily life of middleaged & elderly women in urban city, Unpublished master's thesis, Ewha Womans University, Seoul.
  9. Kim, U. H., Kim, J. M., Kim, Y. H., Jeon, Y. S., Kim, M. E., Lee, N. K., et al. (2003). The prevalence of overactive bladder syndrome and urinary incontinence in young and middle aged women. J Korean Continence Society, 7(1), 9-14.
  10. Kim, H. J. (2004). Study on the relationship between self-esteem, depression and quality of life in urinary incontinence women. Unpublished master's thesis, Chosun University.
  11. Kim, K. H., Park, H. J., Jin, L. H., Kang, Y., & Shin, K. L. (2007). The correlation among quality of life, depression, and urinary incontinence of elderly women in a urban city. Journal of the Korean Gerontological Society, 27(4), 943-962.
  12. Lee, S. J. (2000). An application effect of rhythmic movement program for health promotion in the Elderly. Unpublished doctoral dissertation, Kyung Hee University, Seoul.
  13. Oh, S. J., Park, H. G., Paick, S. H., Park, W. H., & Choo, M. S. (2004). Translation and linguistic validation of Korean version of the Bristol female lower urinary tract symptom instrument. Journal of Korean Continence Society, 8, 89-113.
  14. Oh, H. S., & Kim, M. K. (2005). Factors affecting the severity of urinary incontinence and the quality of life of women with urinary incontinence. Journal of Korean Academy of Nursing, 35(3), 469-477.
  15. Park, S. C. (2005). A study of factors influencing suicidal ideation of elders. Unpublished master's thesis, Ewha Womans University, Seoul.
  16. Patrick, D. L., Martin, M. L., Bushnell, D. M., Yalcin, I., Wagner, T. H., & Buesching, D. P. (1999). Quality of life of women with urinary incontinence: Further development of the incontinence quality of life instrument (I-QOL). Urology, 53(1), 71-6. https://doi.org/10.1016/S0090-4295(98)00454-3
  17. Quek, K. F. (2005). Factors affecting health-related quality of life among patients with lower urinary tract symptoms. International Journal of Urology, 12(12). 1032-6. https://doi.org/10.1111/j.1442-2042.2005.01198.x
  18. Scarpa, R. M. (2001). Lower urinary tract symptoms: what are the implications for the patients? European Urology, 40(Suppl 4), 12-20. https://doi.org/10.1159/000049890
  19. Scarpero, H. M., Fiske, J., Xue, X., & Nitti, V. W. (2003). American urological association symptom index for lower urinary tract symptoms in women: Correlation with degree of bother and impact on quality of life. Urology, 61, 1118-1122. https://doi.org/10.1016/S0090-4295(03)00037-2
  20. Shin, K. L., & Park, S. Y. (2001). A study of urinary incontinence and lower urinary tract symptoms of women on an island, The Journal of Korean Academy of Adult Nursing, 13(2), 5-16.
  21. Song, Y. S., Son, Y. J., Hong, S. K., Song, J. E., Cho, H. K. (2007). Anxiety, depression and quality of life of married women with urinary incontinence living in the community, Journal of Korean Academy of Fundamental Nursing, 14(4), 483-492.
  22. Teleman, P., Ledfeldt, J., Nerbrand, C., Samsioe, G., & Mattiasson, A. (2005). Lower urinary tract symptoms in middle-aged women-prevalence and attitude towards mild urinary incontinence: A community-based population study. Acta Obstetricia et Cynecologica Scandinavica, 94, 1108-1102.
  23. Yang, S. A., Park, S. Y., & Shin, S. J. (2004). A study on the urinary incontinence, lower urinary tract symptoms, lifestyle and sexual matters of woman in an urban area. Journal of Korean Academy of Adult Nursing, 16(3), 398-408.
  24. Zung, W. K. (1965). A self-rating depression scale. Archives of General Psychiatry, 12, 63-70. https://doi.org/10.1001/archpsyc.1965.01720310065008