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http://dx.doi.org/10.15204/jkobgy.2013.26.1.069

A Study on Factors Influencing Medical Treatment Decision-Making for Overactive Bladders in Female Patients over 40 - Data from Clinical Trial Participants -  

Ahn, In-Suk (Dept. of OB & GY, College of Korean Medicine, Dong-Guk University)
Kim, Dong-Il (Dept. of OB & GY, College of Korean Medicine, Dong-Guk University)
Choi, Min-Sun (Dept. of OB & GY, College of Korean Medicine, Dong-Guk University)
Publication Information
The Journal of Korean Obstetrics and Gynecology / v.26, no.1, 2013 , pp. 69-81 More about this Journal
Abstract
Purpose: The aim of this study is to determine associated factors affecting the utilization of Medical Care for an overactive bladder. Methods: Total 114 women with overactive bladder participated in this study. Patients were categorized in two groups, the patients with treatment experiences for an overactive bladder(n=40) and without treatment experiences for an overactive bladder(n=74). Patients completed Overactive Bladder Severity Score, Beck Depression Inventory, King's Health Questionnaire, and questionnaires on treatment experience. The results were analysed using SPSS for Windows 12.0k. All statistical tests were two-sided with a p-value < 0.05 being significant. Results: Patients with treatment experience had a greater score on KHQ, OABSS, BDI and had longer symptom duration period than those without treatment experience. And only Impact of Life(P=0.004), Role Limitation(P=0.004), Social Limitation(P=0.007), Emotion(P=0.035), Sleep/Energy(P=0.001), Incontinence Severity Measures(P=0.012) among KHQ domains were statistically significant difference between two groups. Conclusions: The most influencing factor associated with utilization of Medical Service in overactive bladder is the impact of the patient's quality of life.
Keywords
Overactive Bladder; Medical Service Utilization; Quality of Life; Decision-making;
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Times Cited By KSCI : 2  (Citation Analysis)
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1 안인숙, 김동일. 과민성 방광의 발병 시기에 따른 심박변이도 특성 비교 에 관한 연구. 대한한방부인과학회지. 2011;24(3):116-26.
2 유정은 등. 과민성 방광 환자 치험 2 례. 대한한방부인과학회지. 2012;25(1): 106-15.
3 정소영, 김동일. 과민성 방광에 대한 임상 결과 분석; 후향적 연구. 대한 한방부인과학회지. 2009;22(3):169-84.
4 Darkow T, Fontes CL, Williamson TE. Costs associated with the management of overactive bladder and related comorbidities. Pharmacotherapy. 2005; 25(4):511-9.   DOI   ScienceOn
5 Morrison LM et al. Personality testing in 226 patient with urinary incontinence. Br J Urol. 1986;58(4):387-9.   DOI   ScienceOn
6 이규성, 이영숙. 과민성방광. 대한비뇨기과학회지. 2007;48(12):1191-208.
7 조현희. 일반부인과학 : 과민성 방광의 치료. 대한산부인과학회 연수강좌. 2005;34:58-62.
8 김선아 등. 성인의 과민성방광증후군의 관련 요인 및 삶의 질. 대한가정의학회지. 2009;30(11):872-9.
9 Homma Y et al. Symptom assessment tool for overactive bladder syndrome -overactive bladder symptom score. Urology. 2006;68(2):318-23.   DOI   ScienceOn
10 Hahn HM et al. A standardization study of beck depression inventory in Korea. J Korean Neuropsychiatr Assoc. 1986;25:487-500.
11 오승준 등. 여성 복압성요실금 환자에 서 한국어판 King's Health Questionnaire 설문지의 타당도 및 신뢰도에 관한 정신측정학적 특성. 대한배뇨장애요실금학회지. 2005;9(2):115-23.
12 임정기. 의사결정분석을 이용한 우리 나라 노인의 요양시설서비스 이용결정요인에 관한 연구. 2008;60(3): 129-50.
13 전보영 등. 장애노인의 의료이용에 영향을 미치는 요인. 한국노년학. 2011; 31(1):171-88.
14 Shaw C et al. Barriers to help seeking in people with urinary symptoms. Fam Pract. 2001;18(1):48-52.   DOI   ScienceOn
15 Yoo ES et al. The impact of overactive bladder on Health-Related Quality of Life, sexual life and psychological health in Korea. Int Neurourol. 2011; 15(3):143-51.   DOI   ScienceOn
16 Irwin DE et al. Symptom bother and health care-seeking behavior among individuals with overactive bladder. Eur Urol. 2008;53(5):1029-37.   DOI   ScienceOn
17 Milsom I et al. Effect of Bothersome Overactive Bladder Symptoms on Health-related Quality of Life, Anxiety, Depression, and Treatment Seeking in the United States: Results From EpiLUTS. Urol. 2012;80(1):90-6.   DOI   ScienceOn
18 Irwin DE et al. Population-based survey of urinary incontinence, overactive bladder, and other lower urinary tract symptoms in five countries: results of the EPIC study. Eur Urol. 2006;50(6):1306-14.   DOI   ScienceOn
19 Choo MS et al. Cross-cultural differences for adapting overactive bladder symptoms: results of an epidemiologic survey in Korea. World J Urol. 2007;25(5):505-11.   DOI
20 Wennberg AL et al. A longitudinal population-based survey of urinary incontinence, overactive bladder, and other lower urinary tract symptoms in women. Eur Urol. 2009;55(4): 783-91.   DOI   ScienceOn
21 Hannestad YS et al. Are smoking and other lifestyle factors associated with female urinary incontinence? The Norwegian EPINCONT Study. BJOG. 2003;110(3):247-54.   DOI   ScienceOn
22 Wang H, Tanaka Y, Kawauchi A. Acupuncture of the sacral vertebrae suppresses bladder activity and bladder activity-related neurons in the brain -stem micturition center. Neurosci Res. 2012;72(1):43-9.   DOI   ScienceOn
23 Abrams P et al. The standardization of terminology of lower urinary tract function: Report from the Standardization Sub-committee of the International Continence Society. Neurourol Urodyn. 2002;21(2):167-78.   DOI   ScienceOn
24 Irwin DE et al. The economic impact of overactive bladder syndrome in six western countries. BJU Int. 2008; 103(2):202-9.
25 Hu T, Wagner TH. Economic consideration in overactive bladder. Am J mang care. 2000;6(11):591-8.
26 김용태. 과민성방광. 대한신장학회지. 2011;30(2):225-7.
27 Milsom I et al. How widespread are the symptoms of an overactive bladder and how are they managed? A population-based prevalence study. BJU Int. 2001:87(9):760-6.
28 Stewart WF et al. Prevalence and burden of overactive bladder in the United States. World J Urol. 2003; 20(6):327-36.
29 Chen GD et al. Prevalence and correlation of urinary incontinence and overactive bladder in Taiwanese women. Neurourol Urodyn. 2003;22(2):109-17.   DOI   ScienceOn
30 Homma Y, Yamaguchi O, Hayashi K. An epidemiological survey of overactive bladder symptoms in Japan. BJU Int. 2005;96(9):1314-8.   DOI   ScienceOn
31 Lee YS et al. Prevalence of overactive bladder, urinary incontinence, and lower urinary tract symptoms: results of Korean EPIC study. World J Urol. 2011;29(2):185-90.   DOI   ScienceOn
32 Coyne KS et al. The impact of overactive bladder, incontinence and other lower urinary tract symptoms on quality of life, work productivity, sexuality and emotional wellbeing in men and women: results from the EPIC study. BJU Int. 2008;101(11): 1388-95.   DOI   ScienceOn
33 Kinchen KS et al. Factors associated with women's decisions to seek treatment for urinary incontinence. J Women Health. 2003;12(7):687-98.   DOI   ScienceOn
34 Nicolson P et al. It's just the worry about not being able to control it! A qualitative study of living with overactive bladder. Br J Health Psychol. 2008; 13(2):343-59.   DOI   ScienceOn
35 Vatche AM et al. Predictors of care seeking in women with urinary incontinence. Neurourol Urodyn. 2012; 31(4):470-4.   DOI   ScienceOn
36 El-Azab AS, Shaaban OM. Measuring the barriers against seeking consultaion for urinary incontinence among Middle Eastern Women. BMC Women's Health. 2010;10:3.   DOI   ScienceOn