지역사회간호학회지 (Research in Community and Public Health Nursing)

  • 제30권2호
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  • Pages.109-118
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  • 2019
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  • 1225-9594(pISSN)
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  • 2288-4203(eISSN)
한국지역사회간호학회 (Korean Academy of Community Health Nursing)
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60세 이상 농촌 여성노인의 요실금 관련 삶의 질 영향요인

Influencing Factors on the Urinary Incontinence Related Quality of Life in Older Rural Women Aged 60 or Over

  • 소애영 (강릉원주대학교 간호학과) ;
  • 박선아 (강릉원주대학교 간호학과)
  • So, Aeyoung (Department of Nursing, Gangneung-Wonju National University) ;
  • Park, Sunah (Department of Nursing, Gangneung-Wonju National University)
  • 투고 : 2018.09.05
  • 심사 : 2019.02.17
  • 발행 : 2019.06.30
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초록

Purpose: The purpose of this study is to identify factors affecting the quality of life among community-dwelling older women with urinary incontinence (UI). Methods: A cross-sectional study was conducted with 475 women aged 60 or over who were recruited from 10 primary health care facilities in rural Korea. Data were collected using a structured questionnaire consisting of socio-demographic, health-related, and UI-related characteristics. The quality of life was assessed using Incontinence Quality of Life (I-QOL). SPSS/WIN 23.0 program was used to analyze descriptive statistics, $x^2$ test, t-test, ANOVA, Pearson's Correlation, and hierarchical regression. Results: Of 475 subjects, 180 (37.9%) had urinary incontinence. The mean scores of I-QOL of women with and without UI were 76.87 and 94.77, respectively. The results of hierarchical regression analysis show that the Questionnaire for Urinary Incontinence Diagnosis total score was the greatest influencing factor, followed by age and the International Consultation on Incontinence Questionnaire-Short Form total score. Conclusion: The study revealed that factors related to UI symptoms are more likely to have impact on the quality of life in women with UI. It suggests that early detection or management of UI is important in improving the quality of life of women with UI.

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참고문헌

  1. Schreiber Pedersen L, Lose G, Hoybye MT, Elsner S, Waldmann A, Rudnicki M. Prevalence of urinary incontinence among women and analysis of potential risk factors in Germany and Denmark. Acta obstetricia et gynecologica Scandinavica. 2017;96(8):939-948. https://doi.org/10.1111/aogs.13149
  2. Yoon HS, Kwon IS, Bae NK, Cho YC. Prevalence of urinary incontinence and its related factors among the rural residing elderlies. Journal of Agricultural Medicine and Community Health. 2009;34(1):76-86. https://doi.org/10.5393/jamch.2009.34.1.076
  3. Lee JW, Song MS. Associated factors of urinary incontinence among community dwelling women beneficiaries of long-term care insurance. Journal of the Korean Geriatrics Society. 2015; 35(1):119-133.
  4. Shin A. Strongly worn incontinence panties, 'Defend heroes' campaign [Internet]. Seoul: Money Today. 2014 [cited 2014 November 7]. Available from: http://news.mt.co.kr/mtview.php?no=2014110709192498417&outlink=1&ref=http%3A%2F%2Fsearch.naver.com
  5. Statistics Korea. The survey on the actual conditions of older person in Korea [Internet]. Seoul: Statistics Korea. 2014 [cited 2018 October 27]. Available from: http://kosis.kr/statHtml/statHtml.do?orgId=117&tblId=DT_117071_2014N024
  6. Statistics Korea. Farm and farm population [Internet]. Seoul: Statistics Korea. 2014 [cited 2019 January 30]. Available from: http://www.index.go.kr/potal/main/EachDtlPageDetail.do?idx_cd=2745
  7. So A, De Gagne JC, Palmer MH. Prevalence of urinary incontinence in older Korean women. International Journal of Urological Nursing. 2012;6(2):51-59. https://doi.org/10.1111/j.1749-771X.2012.01147.x
  8. Yip SO, Dick MA, McPencow AM, Martin DK, Ciarleglio MM, Erekson EA. The association between urinary and fecal incontinence and social isolation in older women. American Journal of Obstetrics & Gynecology. 2013;208(2):146.e1-146.e7. https://doi.org/10.1016/j.ajog.2012.11.010
  9. Kim YH, Han JS. Factors related to the quality of sleep in the elderly women. Journal of Korea Academia-Industrial cooperation Society. 2011;12(10):4467-4474. https://doi.org/10.5762/KAIS.2011.12.10.4467
  10. Kwon BE, Kim GY, Son YJ, Roh YS, You MA. Quality of life of women with urinary incontinence: A systematic literature review. International Neurourology Journal. 2010;14(3):133-138. https://doi.org/10.5213/inj.2010.14.3.133
  11. Wan X, Wu C, Xu D, Huang L, Wang K. Toileting behaviours and lower urinary tract symptoms among female nurses: A cross-sectional questionnaire survey. International Journal of Nursing Studies. 2016;65:1-7. https://doi.org/10.1016/j.ijnurstu.2016.10.005
  12. Wang K, Palmer MH. Development and validation of an instrument to assess women's toileting behavior related to urinary incontinence. Nursing Research. 2011;60(3):158-164. https://doi.org/10.1097/NNR.0b013e3182159cc7
  13. Cho M, Park DS, Choi YW. Health status of the rural elderly and policy issues. Research Report. Seoul: Korea Rural Economic Institute; 2013 December 30. Report No.:R699.
  14. Ryu KS, Jee YJ, Kim YH. A study on urinary incontinence, quality of life, and depression of the elderly. Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology. 2018;8(6):725-734.
  15. Fernandes S, Coutinho EC, Duarte JC, Nelas PAB, Chaves C, Amaral O. Quality of life in women with urinary incontinence. Journal of Nursing Referencia. 2015;4(5):93-99. https://doi.org/10.12707/RIV14042
  16. Bradley CS, Rahn DD, Nygaard IE, Barber MD, Nager CW, Kenton KS, et al. The questionnaire for urinary incontinence diagnosis (QUID): Validity and responsiveness to change in women undergoing non-surgical therapies for treatment of stress predominant urinary incontinence. Neurourology and Urodynamics. 2010;29(5):727-734. https://doi.org/10.1002/nau.20818
  17. Lubben J, Blozik E, Gillmann G, Iliffe S, von Renteln Kruse W, Beck JC, et al. Performance of an abbreviated version of the Lubben social network scale among three European community-dwelling older adult populations. Gerontologist. 2006;46(4): 503-513. https://doi.org/10.1093/geront/46.4.503
  18. Hong M, Casado BL, Harrington D. Validation of Korean versions of the Lubben social network scales in Korean Americans. Clinical Gerontologists. 2011;34:319-334. https://doi.org/10.1080/07317115.2011.572534
  19. Avery K, Donovan J, Peters TJ, Shaw C, Gotoh M, Abrams P. ICIQ: A brief and robust measure for evaluating the symptoms and impact of urinary incontinence. Neurourology and Urodynamics. 2004;23(4):322-330. https://doi.org/10.1002/nau.20041
  20. Angelini KJ, Newman DK, Palmer MH. Psychometric evaluation of the toileting behaviors: women's elimination behaviors scale in a sample of college women. Female Pelvic Medicine & Reconstructive Surgery. 2019. Forthcoming. https://doi.org/10.1097/SPV.0000000000000711
  21. Patrick DL, Martin ML, Bushnell DM, Yalcin I, Wagner TH, Buesching DP. Quality of life of women with urinary incontinence: Further development of the incontinence quality of life instrument (I-QOL). Urology. 1999;53(1):71-76. https://doi.org/10.1016/s0090-4295(98)00454-3
  22. Song HJ. A study of urinary incontinence: Its prevalence and its effect on the quality of life [dissertation]. [Seoul]: Catholic University, 2001. 48 p.
  23. Park JK. Frailty and its related factors in the vulnerable elderly woman by urinary incontinence. Journal of the Korea Gerontological Society. 2017;37(4):893-907.
  24. Willis-Gray MG, Wu JM, Sripad A, Newman D, Palmer MH. Toileting behaviors in women presenting to a urogynecology clinic. Urologic Nursing. 2017;37(5):251-265. https://doi.org/10.7257/1053-816x.2017.37.5.251
  25. Akkus Y, Pinar G. Evaluation of the prevalence, type, severity, and risk factors of urinary incontinence and its impact on quality of life among women in Turkey. International Urogynecology Journal. 2016;27(6):887-893. https://doi.org/10.1007/s00192-015-2904-5
  26. Brazell HD, O'Sullivan DM, Lasala CA. Does the impact of urinary incontinence on quality of life differ based on age? International Urogynecology Journal. 2013;24(12):2077-2080. https://doi.org/10.1007/s00192-012-2005-7