Research in Community and Public Health Nursing (지역사회간호학회지)

Korean Academy of Community Health Nursing (한국지역사회간호학회)
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Factors Influencing Urinary Incontinence Quality of Life among Elderly Women in Home Visiting Healthcare Services

방문건강관리 대상 여성노인의 요실금 유병과 삶의 질 영향요인

  • So, Aeyoung (Department of Nursing, Gangneung-Wonju National University) ;
  • Park, Sunah (Department of Nursing, Gangneung-Wonju National University)
  • Received : 2021.01.03
  • Accepted : 2021.06.23
  • Published : 2021.09.30
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Abstract

Purpose: The purpose of this study is to identify factors affecting the urinary incontinence (UI) prevalence and the quality of life among elderly adult women who are subject to home visiting healthcare services. Methods: A cross-sectional study was conducted with 400 women aged 60 or over who were registered for home health care services at one health center in Gangwon-do. Data were collected using a structured questionnaire consisting of UI severity, UI type, and the quality of life. The UI severity was assessed using International Consultation of Incontinence Questionnaire-Short Form (ICIQ-SF), the quality of life using Incontinence Quality of Life (I-QOL), and type of UI using Questionnaire for Urinary Incontinence Diagnosis (QUID). The data were analyzed by using x2 test, independent t-test, one-way ANOVA, Pearson's Correlation, binary logistic, and multiple lineal regression. Results: The prevalence of UI is 51.7%. The mean score of ICIQ-SF was 9.70±4.04 for women with UI and 0.04±0.51 for women without UI (t=-33.67, p<.001). As the frequency of day time urination (OR=1.34), the subjective health status (OR=1.45), and the educational status (OR=0.90) were higher, the risk of UI prevalence was the higher. The factors affecting I-QOL were ICIQ-SF score, mixed UI, subjective health status, and nighttime urination (adjusted R2=.61). Conclusion: The results of this study showed that UI severity, mixed UI, subjective health status, and day time urination affected the quality of life. It suggests that the assessment for the severity and type of UI be needed to prevent UI or improve the quality of life of UI vulnerable elderly adult women.

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References

  1. Statistics Korea. 2020 Senior statistics [Internet]. Daejeon: Statistics Korea. [cited 2021 March 30]. Available from: http://kostat.go.kr/portal/korea/kor_nw/1/1/index.board?bmode=read&aSeq=385322
  2. Kim K. Korea is aging the fastest...The elderly poverty rate ranks first in the OECD [Internet]. Seoul: The JoongAng. [cited 2021 March 27]. Available from: https://news.joins.com/article/23994291
  3. Statistics Korea. 2019 Agriculture, forestry and fisheries survey results [Internet]. Daejeon: Statistics Korea. [cited 2021 March 30]. Available from: http://kostat.go.kr/portal/korea/kor_nw/1/8/6/index.board?bmode=read&bSeq=&aSeq=381656&pageNo=1&rowNum=10&navCount=10&currPg=&searchInfo=&sTarget=title&sTxt=
  4. Lee S. The home visiting program of community health centers: status and future improvement task. Weekly Issue. 2017 (018):1-8.
  5. Veronese N, Soysal P, Stubbs B, Marengoni A, Demurtas J, Maggi S, et al. Association between urinary incontinence and frailty: A systematic review and meta-analysis. European Geriatric Medicine. 2018;9:571-578. https://doi.org/10.1007/s41999-018-0102-y
  6. Gibson W, Johnson T, Kirschner-Hermanns R, Kuchel G, Markland A, Orme S, et al. Incontinence in frail elderly persons: Report of the 6th International Consultation on Incontinence. Neurourol Urodyn. 2021;40(1):38-54. https://doi.org/10.1002/nau.24549
  7. Kang J, Kim C. Association between urinary incontinence and physical frailty in Korea. Australasian Journal on Ageing. 2018;37(3):E104-E109. https://doi.org/10.1111/ajag.12556
  8. Lee I, Jeong IS. Frailty level and health-related characteristics among participants of a tailored home visiting service. Journal of the Korean Geriatrics Society. 2012;16(2):74-83 https://doi.org/10.4235/jkgs.2012.16.2.74
  9. Batmani S, Jalali R, Mohammadi M, Bokaee S. Prevalence and factors related to urinary incontinence in older adults women worldwide: A comprehensive systematic review and meta-analysis of observational studies. BMC Geriatrics. 2021;21(1):212. https://doi.org/10.1186/s12877-021-02135-8
  10. So AY, Park S. Influencing Factors on the urinary incontinence related quality of life in older rural women aged 60 or over. Journal of Korean Academy of Community Health Nursing. 2019;30(2):109-118. https://doi.org/10.12799/jkachn.2019.30.2.109
  11. Pizzol D, Demurtas J, Celotto S, Maggi S, Smith L, Angiolelli G, et al. Urinary incontinence and quality of life: A systematic review and meta-analysis. Aging Clinical and Experimental Research. 2021;33(1):25-35. https://doi.org/10.1007/s40520-020-01712-y
  12. Carlos VB. Geriatric urinary incontinence-special concerns on the frail elderly. In: Alhasso A, editor. Urinary incontinence. London: InTech; 2012. p. 113-130.
  13. Goral Turkcu S, Kukulu K. Urinary incontinence and quality of life of women living in nursing homes in the Mediterranean region of Turkey. Psychogeriatrics. 2017;17(6):446-452. https://doi.org/10.1111/psyg.12271
  14. Saboia DM, Firmiano MLV, Bezerra KC, Vasconcelos JA Neto, Oria MOB, Vasconcelos CTM. Impact of urinary incontinence types on women's quality of life. Revista da Escola de Enfermagem da USP. 2017;51:e03266. Portuguese, English. https://doi.org/10.1590/S1980-220X2016032603266
  15. Kim JI. Levels of health-related quality of life (EQ-5D) and its related factors among vulnerable elders receiving home visiting health care services in some rural areas. Journal of Korean Academy of Community Health Nursing. 2013;24(1):99-109. https://doi.org/10.12799/jkachn.2013.24.1.99
  16. Choi K, Park EA. The severity of urinary incontinence and relevant factors in low-income elderly women. Journal of the Korean Gerontological Society. 2013;33(2):335-334.
  17. 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.
  18. 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
  19. Sumarsono B, Jong JJ, Wang JY, L Liao L, Lee KS, Yoo TK, et al. The prevalence of urinary incontinence in men and women aged 40 years or over in China, Taiwan and South Korea: A cross-sectional, prevalence-based study. Lower Urinary Tract Symptoms. 2020;12(3):223-234. https://doi.org/10.1111/luts.12308
  20. 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
  21. 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
  22. 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
  23. Song HJ. A study of urinary incontinence: Its prevalence and its effect on the quality of life [dissertation]. [Seoul]: The Catholic University of Korea; 2001. 48 p.
  24. Korea Health Promotion Institute. 2021 Information on integrated community health promotion program [Internet]. Seoul: Korea Health Promotion Institute. [cited 2020 December 21]. Available from: https://www.khealth.or.kr/kps/publish/view?menuId=MENU00890&page_no=B2017003&pageNum=3&siteId=&srch_text=&srch_cate=&srch_type=&str_clft_cd_list=&str_clft_cd_type_list=&board_idx=10609#
  25. 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.
  26. Aly WW, Sweed HS, Mossad NA, Tolba MF. Prevalence and risk factors of urinary incontinence in frail elderly females. Journal of Aging Research. 2020;2020:1-8. https://doi.org/10.1155/2020/2425945
  27. Takazawa K, Arisawa K. Relationship between the type of urinary incontinence and falls among frail elderly women in Japan. The Journal of Medical Investigation. 2005;52(3,4):165-171. https://doi.org/10.2152/jmi.52.165
  28. Kim SY, Kim MI, Chang S, Moon KJ. Identification and prediction of patterns of health promoting behaviors among the elderly. Health and Social Welfare Review. 2017;37(2):251-286. https://doi.org/10.15709/hswr.2017.37.2.251
  29. Ko Y, Lee IS. Factors affecting the self-rated health of vulnerable elderly. Journal of Korean Academy of Community Health Nursing. 2009;20(1):31-40
  30. Schumpf LF, Theill N, Scheiner DA, Fink D, Riese F, Betschart C. Urinary incontinence and its association with functional physical and cognitive health among female nursing home residents in Switzerland. BMC Geriatrics. 2017;17(1):17. https://doi.org/10.1186/s12877-017-0414-7