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Prevalence Rate and Associated Factors of Urinary Incontinence among Nursing Home Residents  

Kim, Moon-Sil (Division of Nursing Science, Ewha Womans University)
Lee, Seung-Hee (School of Nursing, University of Texas at Austin)
Publication Information
Journal of Korean Academy of Nursing / v.38, no.1, 2008 , pp. 92-100 More about this Journal
Abstract
Purpose: The aim of this study was to estimate the prevalence of urinary incontinence among nursing home residents and to identify the factors associated with this condition. Method: The data were collected from 618 subjects (146 males and 472 females; mean age $79.9{\pm}8.4$ yr; range 65-102 yr) of 30 nursing homes in Seoul, Gyeonggi-do and Gangwon-do in this cross-sectional study. The data were analyzed by chi-square test, t-test, and multiple logistic regression by using the SPSS/PC ver 12.0 program. Results: The prevalence of UI was 64.7% (64.6% in women; 65.1% in men). After adjustment for each of the variables considered in this study, six potential factors were strongly associated with UI: activities of daily living, comorbidity, age, cognition, specialty of the facility, and a bladder training program. Conclusion: Our finding suggests that it is necessary to develop a program for promotion of activities of daily living and to provide a bladder training program to prevent urinary incontinence among nursing home residents.
Keywords
Urinary incontinence; Prevalence; Nursing homes; Aged;
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Times Cited By Web Of Science : 1  (Related Records In Web of Science)
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1 Jennifer, T. A., Christopher, S. S., Jennifer, P., Larissa, V. R., & Mark, S. L. (2006). True prevalence of urinary incontinence among female nursing home residents. Urology, 67, 281-287   DOI   ScienceOn
2 Kim, J. I. (2002). Prevalence of urinary incontinence and other urologic symptoms in a community residing elderly people. J Korean Acad Nurs, 32(1), 28-39   DOI
3 Kikuchi, A., Niu, K., Ikeda, Y., Hozawa, A., Nakagawa, H., Guo, H., et al. (2007). Association between physical activity and urinary incontinence in a community-based elderly population aged 70 years and over. Eur Urol, 52, 868-875   DOI   ScienceOn
4 Park, S. C., Koh, M. W., Lee, T. H., & Youn, H. S. (2004). The prevalence of urinary incontinence of the women in Daegu. Yeungnam Univ J Med, 21(1), 60-66
5 Richard, L. N., & Sylvia, E. F. (2005). Risk factors for the development of fecal and urinary incontinence in Wisconsin nursing home residents. J Maturitas, 52, 26-31   DOI   ScienceOn
6 Ryu, S. A. (2006). Review on urinary incontinence of the cognitively impaired older adults. J Donshin Univ, 16, 547-561
7 Schnelle, J. F., Cadogan M. P., Yoshii, J, Al-Samarrai, N. R., Osterweil, D., Bates-Jensen, B. M., et al. (2003). The minimum data set urinary incontinence quality indicators: do they reflect difference in care processes related to incontinence? Med Care, 41, 909-922   DOI   ScienceOn
8 Thom, D. H., Haan, M. N., & Van Den Eeden, S. K. (1997). Medically recognized urinary incontinence and risks of hospitalization, nursing home admission and mortality. Age Ageing, 26, 367-374   DOI   ScienceOn
9 Carpenter, G. I. (2006). Accuracy, validity and reliability in assessment and in evaluation of services for older people: the role of the inter RAI MDS assessment system. Age Ageing, 35, 327-329   DOI   ScienceOn
10 Miles, T. P., Palmer, R. F., Espino, D. V., Mouton, C. P., Lichtenstein, M. J., & Markides, K. S. (2001), New-onset incontinence and makers of frailty: Data from hispanic established populations for epidemiologic studies of the elderly. J Gerontol, 56A(1), 19-24
11 Durrant, J., & Snape, J. (2003). Urinary incontinence in nursing homes for older people. Age Ageing, 32(1), 12-18   DOI   ScienceOn
12 Raudenbush, S.W., & Bryk, A. S. (2002). Hierarchial linear models (2nd ed.), Thousands oaks: Sage Publications
13 Landi, F., Cesari, M., Russo, A., Onder, G., Lattanzio, F., Bernabei, R., et al. (2003). Potentially reversible risk factors and urinary incontinence in frail older people living in community. Age Ageing, 32, 194-199   DOI   ScienceOn
14 Korea National Statistical Office(2006, September), Population movement estimation, archived at http://www.nso.go.kr/nso2006/ k01_0000/k01c_0000/k01ca_0000/k01caa0000/k01caa0 000.html?method=view&board_id=4&seq=5&num=5&parent_ num=0&page=1
15 Holroyd-Leduc, J. M., Mehta, K. M., & Covinsky, K. E. (2004). Urinary incontinence and its association with death, nursing home admission, and functional decline. J Am Geriatr Soc, 52, 712-718   DOI   ScienceOn
16 International Continence Society (1976). First reports on the standardization of terminology of lower urinary tract function. Br J Urol, 48, 39-42   DOI   ScienceOn
17 Valk, M., Moons, K. G., Cools, H. J., & Schrijvers, A. J. (2002). Classifying the probability of urinary incontinence in psychogeriatric nursing home patients. Arch Gerontol Geriatr, 34, 79-91   DOI   ScienceOn
18 Wagner, T. H., & Hu, T. W. (1998). Economic costs of urinary incontinence in 1995. Urology, 51, 355-361   DOI   ScienceOn
19 Hawes, C., Morris, J. N., Phillips, C. D., Mor, V., Fries, B. E., & Nonemaker, S. (1995). Reliability estimates for the minimum data set for nursing home resident assessment and care screening (MDS). Gerontologist, 35, 172-178   DOI   PUBMED   ScienceOn
20 Saxer, S., Halfens, R. J., Muller, M., & Dassen, T. (2005). Risk factors for urinary incontinence in nursing home residents. Swiss Med Wkly, 135, 495-502
21 Schnelle, J. F., Alessi C. A., Simmons, S. F., Al-Samarrai, N. R., Beck, J. C., & Duslander, J. G. (2002). Translating clinical research into practice: a randomized controlled trial of exercise and incontinence care in nursing home residents. J Am Geriatr Soc, 50, 1476-1483   DOI   ScienceOn
22 Resnick, N. M., Brandeis, G. H., Baumann M. M., & Morris J.N. (1996). Evaluating a national assessment strategy for urinary incontinence in nursing home residents: Reliability of the minimum data set and validity of the resident assessment protocol. Neurourol Urodyn, 15, 583-598   DOI   ScienceOn
23 Holtedahl, K., & Hunskaar, S. (1998). Prevalence, 1-year incidence and factors associated with urinary incontinence: a population based study of women 50-74 years of age in primary care. Maturitas, 28, 205-211   DOI   ScienceOn
24 Gasquet, I., Tcherny-lessenot, S., Gaudebout, P., Bosio Le Goux, B., Klein, P., & Haab, F. (2006). Influence of the severity of stress urinary incontinence on quality of life, health care seeking, and treatment: A national cross-sectional survey. Eur Urol, 50, 818-825   DOI   ScienceOn
25 Watson, N., Brink, C., Zimmer, J., & Mayer, R. (2003). Use of the agency for health care policy and research urinary incontinence guideline in nursing homes. J Am Gerictric Soc, 51, 1779-1786   DOI   ScienceOn
26 Jumadilova, Z., Zyczynski, T., Paul, B., & Narayanan, S. (2005). Urinary incontinence in nursing home: resident characteristics and prevalence of drug treatment. Am J Manag Care, 11(4 Suppl), S112-120
27 Park, O. H., Kwon, I. S., & Kang, Y. S. (2001). A study on urinary incontinence of elderly women in a community. Korean J Women Health Nurs, 7, 536-546   과학기술학회마을
28 Kim, J. S. (1999). Prevalence of urinary incontinence among aged home residents. Unpublished master's thesis, Pusan national university, Pusan
29 Coppola, L., Caserta, F., Grassia, A., Mastrolorenzo, L., Altrui, L., Tondi, G., et al. (2002). Urinary incontinence in the elderly: Relation to cognitive and motor function. Arch Gerontol Geriatr, 35(1), 27-34   DOI   ScienceOn
30 Joo, Y. H., & Kim, J. S. (2000). A study on urinary incontinence of elderly communities. J Korean Comm Nurs, 11, 441-452