DOI QR코드

DOI QR Code

A Study on Urinary Incontinence Related Health Problems in Women above Middle Age in Rural Areas and Their Coping with the Problems

농촌 지역 중년기 이후 여성들의 요실금 관련 건강문제와 대처

  • Received : 2013.08.13
  • Accepted : 2013.09.25
  • Published : 2013.09.30

Abstract

Purpose: The purpose of this study was to identify the current urinary incontinence states in women above middle age dwelling in rural areas and their coping with the problems. Methods: The participants were 261 women above middle age. Data were collected from February to May, 2012 using a structured questionnaire. The data were analyzed with the SPSS/WIN 20 program. Results: The frequency of urinary incontinence in women above middle age was 45.4%. There were significant differences in urinary incontinence due to age, education, job status, frequency of delivery, and menstrual status. And, there were significant relations among urinary symptoms, difficulty of ADL, incontinence stress and depression. Frequently used coping-methods with urinary incontinence were washing frequently in order to avoid awful smell, paying attention to perineal cleaning, and going to restroom frequently. Conclusion: Community nurses who are in charge of primary health care ought to assess urinary incontinence and develop a urinary incontinence program that includes psychological and social factors.

Keywords

References

  1. Butler, R. N., Maby, J. I., Montella, J. M., & Young, G. P. (1999). Urinary incontinence: Primary care therapies for the older woman. Geriatrics, 54 (11), 31-34.
  2. Chae, M. J., So, H. S., Lee, J. S., Lee, S. Y., Lee, J. H., & Lim, J. I. (2009). Urinary incontinence and quality of life among middle-aged women in community. Chonnam Journal of Nursing Science, 14 (1), 81-95.
  3. Cho, G. Y., & Park, J. S. (2009). A study on the characteristics of urinary incontinence, related problems and management in elderly women in nursing homes. Journal of Korean Gerontological Nursing, 11 (2), 162-172.
  4. Coyne, K. S., Kvasz, M., Ireland, A. M., Milson, I., Kopp, Z. S., & Chapple, C. R. (2012). Urinary incontinence and its relationship to mental health and health-related quality of life in men and women in Sweden, the United Kingdom, and United States. European Urology, 61 (1), 88-95. https://doi.org/10.1016/j.eururo.2011.07.049
  5. Diokno, A. C., Estanol, M. V., & Mallet, V. (2004). Epidemiology of lower urinary tract dysfunction. Clinical Obstetrics and Gynecology, 47 (1), 36-43. https://doi.org/10.1097/00003081-200403000-00007
  6. Dugan, E., Roberts, C. P., Cohen, S. J., Preisser, J. S., Davis, C. C., Bland, D. R., et al. (2001). Why older community-dwelling adults do not discuss urinary incontinence with their primary care physicians. Journal of the American Geriatrics Society, 49 (4), 462-465. https://doi.org/10.1046/j.1532-5415.2001.49094.x
  7. Fultz, N. H., & Herzog, A. R. (2001). Self-reported social and emotional impact of urinary incontinence. Journal of the American Geriatrics Society, 49 (7), 892-899. https://doi.org/10.1046/j.1532-5415.2001.49179.x
  8. Gauquet, I. S., Tcherny-Lessenot, S., Gaudebout, P., Goux, B. B., & Klein, P. (2006). Influence of the severity of stress incontinence on quality of life, health care seeking and treatment: A national cross sectional study. European Urology, 50 (4), 818-825. https://doi.org/10.1016/j.eururo.2006.03.052
  9. Hannestand, Y. S., Rertveit, S., Dalveit, A. J., & Hunskaar, S. (2003). Are smoking and other lifestyle factors associated with female urinary incontinence? The Norwegian EPINCONT study. British Journal of Obstetrics and Gynaecology, 110 (3), 247-254. https://doi.org/10.1046/j.1471-0528.2003.02327.x
  10. Kee, B. S. (1996). A preliminary study for the standardization of geriatric depression scale short form-Korean version. Journal of the Korean Neuropsychiatric Association, 35 (2), 298-307.
  11. Kim, D. S., Lim, H. S., & Kim, D. H. (2000). A study on the health promotion behaviors in rural areas. Journal of Agricultural Medicine and Community Health, 25 (2), 327-341.
  12. Kim, J. I. (2003). The evaluation of 10 week urinary tract function promotion program for the elderly women in the community. Korean Journal of Women's Health Nursing, 9 (4), 439-448.
  13. Kim, K. H. (2002). Study on correlation between urinary incontinence & lower urinary tract symptom and daily life of middle-aged & elderly women in urban city. Unpublished master's thesis, Ewha Womans University, Seoul.
  14. Lee, J. S. (2008). A study on daily life inconvenience and quality of life related to urinary incontience in the elderly women using the welfare center. Unpublished master's thesis, Chonnam National University, Gwangju.
  15. Lee, K. S., Sung, H. H., Na, S, & Choo, M. S. (2008). Prevalence of urinary incontinence in Korean women: Results of a national health interview survey. World Journal of Urology, 26 (2), 179-185. https://doi.org/10.1007/s00345-008-0239-2
  16. Lionis, C., Vlachonikolis, L., Bathianaki, M., Daskalopoulos, G., Anifantaki, S., & Cranidis, A. (2001). Urinary incontinence, the hidden health problem of Cretan women: Report from a primary care survey in Greece. Women & Health, 31 (4), 59-66. https://doi.org/10.1300/J013v31n04_04
  17. 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.
  18. Oh, S. J., Hong, S. K., Son, H. C., Paick, J. E., & Ku, J. H. (2005). Quality of life and disease severity in Korean women with stress urinary incontinence. Urology, 66 (1), 69-73. https://doi.org/10.1016/j.urology.2005.01.022
  19. 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 (2), 89-13.
  20. Palmer, M. H., & Fitzgerald, S. (2002). Urinary incontinence in working women: A comparison study. Journal of Women's Health, 11 (10), 879-888. https://doi.org/10.1089/154099902762203713
  21. Parazzini, F., Chiaffarino, F., Lavezzari, M., & Giambanco, V. (2003). Risk factors for stress, urge or mixed urinary incontinence in Italy. BJOG: An International Journal of Obstetrics and Gynaecology, 110 (10), 927-933. https://doi.org/10.1111/j.1471-0528.2003.02343.x
  22. Park, O. H., Kwon, I. S., & Kang, Y. S. (2001). A study on urinary incontinence of elderly women in a community. Journal of Korean Academy of Womens Health Nursing, 7 (4), 536-546.
  23. Rertveit, S., Hannestand, Y. S., Dalveit, A. J., & Hunskaar, S. (2001). Age-and type-dependent effects of parity on urinary incontinence: The Norwegian EPINCONT study. Obstetrics and Gynecology, 98 (6), 1004-1010. https://doi.org/10.1016/S0029-7844(01)01566-6
  24. Sheikh, J. I., & Yesavage, J. A. (1986). Geriatric depression scale (GDS): Recent evidence and development of a short version. Clinical Gerontologist, 5 (1-2), 165-172. https://doi.org/10.1300/J018v05n01_09
  25. Shin, K. R., Kang, Y. H., & Oak, J. W. (2008). The relationship of quality of sleep, depression, late-life function and disability in community-dwelling older women with urinary incontinence. Journal of Korean Academy of Nursing, 38 (4), 573-581. https://doi.org/10.4040/jkan.2008.38.4.573
  26. Sims, J., Browning, C., Lindquist, B. L., & Kendig, H. (2011). Urinary incontinence in a community sample of older adults: prevalence and impact on quality of life. Disability and Rehabilitation, 33 (15-16), 1389-1398. https://doi.org/10.3109/09638288.2010.532284
  27. 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 Fundamentals of Nursing, 14 (4), 483-192.
  28. Wilson, L., Brown, J. S., Shin, G. P., Luc, K. O., & Subak, L. L. (2001). Annual direct cost of urinary incontinence. Obstetrics and Gynecology, 98 (3), 398-406. https://doi.org/10.1016/S0029-7844(01)01464-8
  29. Yoon, H. S., Kwon, I. S., Bae, N. K., & Cho, Y. C. (2009). Prevalence of urinary incontinence and its related factors among the rural residing elderlies. Journal of Agricultural Medicine and Community Health, 34 (1), 76-86. https://doi.org/10.5393/JAMCH.2009.34.1.076
  30. Yu, L. C. (1987). Incontinence stress index: measuring psychological impact. Journal of Gerontological Nursing, 13 (7), 18-25.

Cited by

  1. A Urinary Incontinence Continuing Education Online Course for Community Health Nurses in South Korea vol.46, pp.4, 2013, https://doi.org/10.3928/00220124-20150320-02
  2. The Prevalence of Urinary Incontinence and Needs for Education among Middle Aged Women vol.19, pp.1, 2015, https://doi.org/10.21896/jksmch.2015.19.1.1
  3. 비이식형 요실금 치료용 신경근 전기자극 의료기기 개발 vol.64, pp.3, 2015, https://doi.org/10.5370/kieep.2015.64.3.175
  4. The Effect of a Workshop on a Urinary Incontinence Self-Management Teaching Program for Community Health Nurses vol.26, pp.3, 2013, https://doi.org/10.12799/jkachn.2015.26.3.260
  5. 지역사회 중년기 여성을 위한 요실금 예방 및 자가관리 프로그램 효과 vol.11, pp.1, 2013, https://doi.org/10.22715/jkarhn.2016.11.1.003
  6. Urinary incontinence in women in relation to occupational status vol.57, pp.1, 2013, https://doi.org/10.1080/03630242.2016.1150387
  7. Self-management Experiences of Older Korean Women With Urinary Incontinence : A Descriptive Qualitative Study Using Focus Groups vol.44, pp.6, 2013, https://doi.org/10.1097/won.0000000000000383
  8. Effects of Leg Strength Exercise on Muscle Strength, Flexibility and Symptoms of Urinary Incontinence of Elderly Women vol.30, pp.4, 2013, https://doi.org/10.7475/kjan.2018.30.4.417
  9. 요양보호사의 기저귀위생간호 교육프로그램 개발 및 효과 vol.18, pp.3, 2013, https://doi.org/10.5392/jkca.2018.18.03.421
  10. 재가 여성노인의 하부요로증상, 일상생활불편감 및 수면의 질과의 관계 vol.25, pp.1, 2013, https://doi.org/10.22705/jkashcn.2018.25.1.058