DOI QR코드

DOI QR Code

Study on Bladder Dysfunction in Elderly Women by the BFLUT Questionnaire and Bladder Scanner: Frequency and Residual Urine

질문지법과 초음파 방광용적진단기를 이용한 여성노인의 배뇨장애연구 -빈뇨, 잔뇨를 중심으로

  • 김증임 (순천향대학교 의과대학 간호학과)
  • Received : 2011.08.19
  • Accepted : 2011.09.09
  • Published : 2011.09.20

Abstract

Purpose: This study aimed to describe bladder dysfunction in elderly women such as frequency, nocturia, and residual urine. Methods: One hundred elderly women aged 60 and over. The Bristol Female Lower Urinary Symptoms (BFLUT) was used to evaluate the bladder function and to measure the residual urine amount by using a bladder scanner. Data was analyzed with the differences between voiding dysfunction by age group and life habits by t-test, ANOVA and correlation by Pearson correlation coefficient. Results: the mean daytime frequency was 6.8 times and night-time frequency 2.7 times. Sixty three percent of subjects had urgency and 41% had urgent incontinence. Over half of subjects had problem in voiding function. There were significant differences in frequency by age groups and constipation, but not in daytime frequency and residual urine. Lastly, there were significant positive relations between daytime frequency and night-time frequency. Also results indicate that more frequency in daytime equaled to a less residual urine amount. Conclusion: We know many elderly women have lower urinary tract symptoms. Specially women over 75 years have more daytime frequency and night-time frequency. This suggests further research needed in order to understand the relation of voiding patterns and life habits and its influence on quality of life.

Keywords

References

  1. Abrams, P., Cardozo, L., Fall, M., Griffiths, D., Rosier, P., Ulmsten, U., et al. (2002). Standardisation sub-committee of the international continence society. The standardisation of terminology of lower urinary tract function: Report from the standardisation sub-committee of the International Continence Society. Neurourology Urodynamics, 21, 167-78. https://doi.org/10.1002/nau.10052
  2. Asplund, R. (1999). Mortality in the elderly in relation to nocturnal micturition. British Journal of Urology International, 84, 297-301.
  3. Bai, S. W., Kang, J. Y., Rha, K. H., Lee, M. S., Kim, J. Y., & Park, K. H. (2002). Relationship of urodynamic parameters and obesity in women with stress urinary incontinence. Journal or Reproductive Medicine, 47(7), 559-563.
  4. Coyne, K. S., Kaplan, S. A., Chapple, C. R., Sexton, C. C., Kopp, Z. S., Bush, E. N., et al.; EpiLUTS team. (2009). Risk factors and comorbid conditions associated with lower urinary tract symptoms: EpiLUTS. British Journal of Urology International, 103(Suppl 3), 24-32.
  5. Cummings, J. M., & Rodning, C. B. (2000). Urinary stress incontinence among obese women: Review of pathophysiology therapy. International Urogynecology Journal of Pelvic Floor Dysfunction, 11(1), 41-44. https://doi.org/10.1007/s001920050008
  6. Faul, F., Erdfelder, E., Buchner, A., & Lang, A.-G. (2009). Statistical power analyses using G$\ast$Power 3.1: Tests for correlation and regression analyses. Behavior Research Methods, 41, 1149-1160. https://doi.org/10.3758/BRM.41.4.1149
  7. Gray, M., & Dougherty, C. M. (1987). Urinary incontinencepatho-physiology and treatment. Journal of Enterostomal Therapy, 14, 152-162.
  8. Heiat, A., Vaccarino, V., & Krumholz, H. M. (2001). Evidencebased assessment of federal guidelines for overweight and obesity as they apply to elderly persons. Archives of Internal Medicine, 161(9), 1194-1203. https://doi.org/10.1001/archinte.161.9.1194
  9. Homma, Y., Yamaguchi, O., Hayashi, K., & Neurogenic Bladder Society Committee. (2006). Epidemiologic survey on lower urinary tract symptoms in Japan. Urology, 68(3), 580-584.
  10. Irwin, D. E., Kopp, Z. S., Agatep, B., Milsom, I., & Abrams, P. (2011). Worldwide prevalence estimates of lower urinary tract symptoms, overactive bladder, urinary incontinence and bladder outlet obstruction. British Journal of Urology International, Jan 13 . doi:10.1111/j.1464-410X.2010.0999 3.x.
  11. Jackson, S., Donovan, J., Brookes, S., Eckford, S., Swithinbank, L., & Abrams, P. (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
  12. Kang, K. J., & Song, M. S. (1997). A study on urinary stress incontinence in elderly women. The Seoul Journal of Nursing, 11(2), 160-174.
  13. Kim, H. J., Lee, S. H., Shim, K. W., Suh, H. S., Kong, K. A., & Lee, H. J. (2003). The impact of urinary incontinence on the quality of life in women. Journal of Korean Academy of Family Medicine, 24, 709-714.
  14. Kim, J. I. (2002). Prevalence of urinary incontinence and other urologic symptoms in a community residing elderly people. Journal of Korean Academy of Nursing, 32(1), 28-39. https://doi.org/10.4040/jkan.2002.32.1.28
  15. Kim, J. I., Kim, Y. H., & Ahn, H. C. (2002). Overactive bladder and urinary incontinence in adult women: Prevalence and effects on daily life and sexual activity. Korean Journal of Women Health Nursing, 8(4), 529-537.
  16. Kim, K. S., Lee, Y, J., Seo, M. J., & Park, Y. S. (1999). A study on discomfort and depression due to urinary incontinence in middle-aged women. The Seoul Journal of Nursing, 13(1), 57-71.
  17. Kim, S. H., & Song, M. S. (2006). The health services of Korean senior centers. Journal of Korean Gerontological Nursing, 8(1), 15-23.
  18. Korean Continence Society. (2003). Textbook of voiding dysfunction and female urology. Ilchokak, Seoul.
  19. Lee, Y. S., Lee, K. S., Jung, J. H., Han, D. H., Oh, S. J., Seo, J. T., et al. (2009). Prevalence of overactive bladder, urinary incontinence, and lower urinary tract symptoms: Results of Korean EPIC study. World Journal of Urology, 29(2), 185-190.
  20. 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 the Korean Continence Society, 8(2), 89-113. https://doi.org/10.5213/jkcs.2004.8.2.89
  21. Oh, S. J., Park, W. H., Park, C. H., Paick, J. S., Seo, J. T., Lee, Y. S., et al. (2003). Prevalence of urinary incontinence and incontinence-related quality of life in Korean women: A population-based study. Journal of the Korean Continence Society, 7(2), 73-80. https://doi.org/10.5213/jkcs.2003.7.2.73
  22. 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. Adult Urology, 61(6), 1118-1122. https://doi.org/10.1016/S0090-4295(03)00037-2
  23. Stern, J. A., Hsieh, Y. C., & Schaeffer, A. J. (2004). Residual urine in an elderly female population: Novel implications for oral estrogen replacement and impact on recurrent urinary tract infection. Journal of Urology, 171(2 Pt 1), 768-770. https://doi.org/10.1097/01.ju.0000107261.64927.b3
  24. Tikkinen, K. A. O., Johnson II, T. M., Tammela, T. L. J., Sintonen, H., Haukka, J., Huhtala, H., et al. (2010). Nocturia frequency, bother, and quality of life: How often is too often? A population-based study in Finland. European Association of Urology, 57, 488-498. https://doi.org/10.1016/j.eururo.2009.03.080
  25. van Kerrebroeck, P., Abrams, P., Chaikin, D., Donovan, J., Fonda, D., Jackson, S., et al. (2002). The standardisation of terminology in nocturia: Report from the Standardisation Sub-committee of the International Continence Society. Neurourology Urodynamics, 21(2), 193-199.
  26. Wanigasuriya, J. K., Wijewickrama, E. S., Jayasekara, W. M., & Gunarathna, N. (2007). Lower urinary tract symptoms: An undetected cause for morbidity in adults. The Ceylon Medical Journal, 52(3), 86-89.
  27. Yoo, S. S., Shim, B. S., Lee, D. H., Lee, H. W., & Yoon, H. (2010). Correlation between nocturia and sleep: A questionnaire based analysis. Korean Journal of Urology, 51(11), 757-762. https://doi.org/10.4111/kju.2010.51.11.757
  28. Yoshida, M., Inadome, A., Matsumoto, K., Otani, M., Masunaga, K., & Yono, M. (2009). Overactive bladder in female patients with chronic diseases visiting primary care doctors: Effect of age on prevalence and bothersomeness. Lower Urinary Tract Symptoms, 1, 45-50. https://doi.org/10.1111/j.1757-5672.2009.00007.x
  29. Yoshimura, K., Oka, Y., Kamoto, T., Tsukamoto, T., Oshiro, K., Suzukamo, Y., et al. (2009). Night-time frequency, sleep disturbance and general health-related quality of life: Is there a relation? International Journal of Urology, 16, 96-100. https://doi.org/10.1111/j.1442-2042.2008.02185.x