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Convergency Study of Factors Associated with Treatment-Seeking Behavior in Men with Lower Urinary Tract Symptoms

하부요로증상을 가진 성인 남자의 치료추구행위 영향요인에 대한 융합연구

  • Choi, Won-Hee (Department of Nursing Science, Kyungsung University) ;
  • Seo, Yeong-Mi (Department of Nursing, Gyeongnam National University of Science and Technology)
  • 최원희 (경성대학교 간호학과) ;
  • 서영미 (경남과학기술대학교 간호학과)
  • Received : 2017.12.13
  • Accepted : 2018.02.20
  • Published : 2018.02.28

Abstract

The purpose of this study was to assess treatment-seeking behavior and to identify the factors that affect treatment-seeking behavior of men having lower urinary tract symptoms. One hundred thirty-two men working at public institutions or visiting the public institutions were included for this study. Data were collected through a structured questionnaire survey done from October to November, 2016. Data were analyzed using SPSS/WIN 18.0 program. The treatment-seeking behavior was found only in 55.6% (n=79) with lower urinary tract symptoms. The factors that affect treatment-seeking behavior in men with lower urinary tract symptoms significantly were economic status, subjective health status, autonomy, and competence. Results of this study provided fundamental data for developing the program to promote treatment-seeking behavior in men with lower urinary tract symptoms.

본 연구는 하부요로증상을 가진 성인 남자의 치료 추구 행위 정도를 파악하고 치료추구행위의 영향 요인을 확인하고자 실시되었다. 연구는 공공기관에 근무하거나 공공기관을 방문한 성인 남자 중 하부요로증상을 가진 142명을 대상으로 2016년 10월에서 11월 사이에 구조적 설문지를 이용하여 이루어졌다. 수집된 자료는 SPSS/WIN 18.0 프로그램을 이용하여 분석하였으며 분석결과, 하부요로증상과 관련한 치료추구 행위를 한 대상자는 55.6%(79명), 치료추구행위를 하지 않았다고 응답한 대상자는 44.4%(63명)로 나타났다. 하부요로증상 관련 치료추구행위의 영향요인은 경제 수준, 주관적 건강상태, 자율성, 관계성 등이 확인되었다. 이는 하부요로증상을 가진 성인 남자의 건강증진을 위하여 치료추구행위를 촉진하는 전략마련이 시급함을 의미하며, 이러한 결과를 고려하여, 중재프로그램 을 개발한다면 대상자의 건강증진에 기여할 것으로 기대한다.

Keywords

References

  1. P. Abrams, L. Cardozo, M. Fall, D. Griffiths, P. Roiser, U. Ulsten, P. Vna Kerrebroeck, A. Victor, A. Wein. (2002). The Standardization of Terminology of Lower Urinary Tract Function: Report from The Standardization Subcommittee of The International Continence Society. Neurourology and Urodynamics, 21(2), 167-178. DOI: 10.1002/NAU.10052
  2. Y. Osuga, K. Okamura, F. Ando, H. Shimokata,. (2013). Prevalence of lower urinary tract symptoms in middle-aged and elderly Japanese. Geriatrics Gerontology International, 13(4), pp. 1010-1017, 2013. DOI: 10.1111/ggi.12048
  3. T. H. Kim, D. H. Han, D. S. Ryu, K. S. Lee. (2016). The Prevalence of Lower Urinary Tract Symptoms in Korean Men Aged 60 Years or Older: A Population-Based Survey. International Neurourology Journal, 18(3), 126-132. DOI: 10.5213/inj.2014.18.3.126
  4. A. J. Ball, R. C. Feneley, P. H. Abrams. (1981). The Natural History of Untreated '"Prostatism", British Journal of Urology, 53(6), 613-616. https://doi.org/10.1111/j.1464-410X.1981.tb03273.x
  5. R. S. Kirby. (2000), The Natural History of Benign Prostatic Hyperplasia: What Have We Learned in The Last Decade?. Urology, 56(1), 3-6. https://doi.org/10.1016/S0090-4295(00)00747-0
  6. K. S. Coyne, O. C. Sexton, D. E. Irwin, Z. S. Kopp, C. J. Kelleher, I. Milsom. (2008). The Impact of Overactive Bladder, Incontinence and Other Lower Urinary Tract Symptoms on Quality of Life, Work Productivity, Sexuality and Emotional Well-Being in Men and Women: Results from The EPIC Study. British Journal of Urology International, 101(11), 1388-1395. DOI: 10.1111/j.1464-410X.2008.07601.x
  7. H. A. Lammers, R. V. Wijnhoven, T. A. M. Teunissen, S. Hsrmsen, A. S. M. Lagro-Janssen. (2015). Why do men suffering from LUTS seek primary medical care? a qualitative study. Journal of Evaluation in Clinical Practice, 21(5), 931-936. DOI: 10.1111/jep.12407
  8. E. O. Lee, H. S. Kang, I. S. Lee, Y. Eun. (1997). A Grounded Theory Approach of the Treatment Pattern of Patients with Arthritis. The Journal ofMuscle and Joint Health, 4(1), 26-47.
  9. E. Shortridge, C. Donatucci, P. Donga, M. Marcus, R. L. Wade. (2017). Adherence and Persistence Patterns in Medication Use Among Men With Lower Urinary Tract Symptoms/Benign Prostatic Hyperplasia. American Journal of Men's Health, 11(1), 164-169. DOI: 10.1177/1557988315616676
  10. B. Y. Low, M. L. Liong, K. H. Yuen, W. L. Chong, C. Chee, W. S. Leong, C. L. Teh, N. Karim, H. W. Yap, P. Y. Cheah. (2006). Study of Prevalence, Treatment-Seeking Behavior, and Risk Factors of Women with Lower Urinary Tract Symptoms in Northern Malaysia. Urology, 68(4), 751-758. DOI: 10.1016/j.urology.2006.05.021
  11. Y. H. Fan, A. T. L. Lin,, Y. H. Huang, K. K. Chen. (2017). Health Care-Seeking Behavior in Benign Prostatic Hyperplasia Patients. Urological Science, 28(3), 169-173. .DOI: 10.1016/j.urols.2016.12.003
  12. M. C. Snead. (2007). Health, Self-Rated. Blackwell Reference Online. http://www.blackwellreference.com
  13. C. Halford, T. Wallman, L. Welin, A. Rosengren, A. Bardel, S. Johansson, H. Erilsson, E. Palmer, L. Wilhemsen, K. Svardsudd. (2012). Effects of Self-Rated Health on Sick Leave, Disability Pension, Hospital Admissions and Mortality. A Population-Based Longitudinal Study of Nearly 15,000 Observations among Swedish Women and Men. BioMed Central Public Health, 12(1103), 1-12. DOI: 10.1186/1471-2458-12-1103.
  14. V. Isaac, C. S. McLachlan, B. T. Baune, C. T. Huang, C. Y. Wu. (2015). Poor Self-Rated Health Influences Hospital Service Use in Hospitalized Inpatients With Chronic Conditions in Taiwan. Medicine(Betimore), 94(36), e1477. DOI: 10.1097/MD.0000000000001477.
  15. E. L. Deci & R. M. Ryan. (2000). The 'What' and 'Why' of Goal Pursuits: Human Needs and The Self-determination of Behavior. Psychological Inquiry, 11(4), 227-268. DOI: 10.1207/S15327965PLI1104_01
  16. Y. M. Seo. (2010). Factors Influencing Medication Adherence in Hypertension Patients. Journal of Korean Academy of Community Health Nursing, 21(1), 82-91, DOI: 10.12799/jkachn.2010.21.1.82
  17. Y. M. Seo & W. H. Choi. (2011). A Predictive Model on Self Care Behavior for Patients with Type 2 Diabetics: Based on Self-Determination Theory. Journal of Korean Academy of Nursing, 41(4), 491-499. DOI: 10.4040/jkan.2011.41.4.491
  18. K. Elfhag & S. Rossner. (2005). Who Succeeds in Maintaining Weight Loss? A Conceptual Review of Factors Associated with Weight Loss Maintenance and Weight Regain. Obesity Reviews, 6(1), 67-85. DOI: 10.1111/j.1467-789X.2005.00170.x
  19. I. Santos, J. Matta, M. N. Silva, L. B. Sardinha, P. J. Teixeira. (20150. Predicting Long-Term Weight Loss Maintenance in Previously Overweight Women: A Signal Detection Approach. Obesity, 23(5), 957-964. DOI: 10.1002/oby.21082
  20. Y. M. Seo. (2015). Basic Psychological Needs and Health Promoting Behavior in the Elderly Women in the Community. Journal of East-West Nursing Research, 21(1), 126-132. DOI: 10.14370/jewnr.2015.21.2.126
  21. M. J. Barry, F. J. Fowler, M. P. O'Leary, R. C. Bruskewitz, H. L. Holtgrewe, W. K. Mebust, A. T. Cockett. (1992). The American Urological Association Symptom Index for Benign Prostatic Hyperplasia. The Measurement Committee of The American Urological Association. Journal of Urology, 148(5), 1549-1577. DOI: 10.1016/j.juro.2016.10.071
  22. H. R. Choi, W. S. Chung, B. S. Shim, S. W. Kwon, S. J. Hong, B. H. Chung, D. H. Sung, M. S. Lee, J. M. Song. (1996). Translation Validity and Reliability of I-PSS Korean version. Korean Journal of Urology, 37(6), 659-665.
  23. E. L. Deci, R. M. Ryan, M. Gagne, D. R. Leone, J. Usunov, B. P. Kornazheva. (2001). Need Satisfaction, Motivation, and Well-Being in The Work Organizations of A Former Eastern Bloc Country. Personality and Social Psychology Bulletin, 27(8), 930-942. https://doi.org/10.1177/0146167201278002
  24. A. Lalazaryan, F. Z. Farashbandi. (2014). A Review of Models and Theories of Health Information Seeking Behavior. International Journal of Health System & Diaster Management, 2(4), 193-203. DOI: 10.4103/2347-9019.144371
  25. G. C. Williams. (2002). Improving Patients' Health through Supporting The Autonomy of Patients and Providers, In E. L. Deci & R. M. Ryan (Eds.), Handbook of Self-Determination Research(pp. 223-254), Rochester, NY: University of Rochester Press.
  26. D. Markland, R. M. Ryan, V. J. Tobin, S. Rollnick. (2005). Motivational Interviewing and Self-Determination Theory. Journal of Social and Clinical Psychology, 24(6), 811-831. DOI: 10.1080/08870446.2016.1151018