• 한국융합학회논문지
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• 제9권2호
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• pp.101-109
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• 2018

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.

• 한국노년학
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• 제38권4호
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• pp.853-869
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• 2018

본 연구는 전립선비대증을 가진 노인을 대상으로 주관적 기억장애에 영향을 미치는 요인을 파악하는 것을목적으로 하였다. 연구대상은 일 광역시 두 개 종합병원 비뇨기과 외래에서 전립선비대증을 진단받은 노인 179명이며, 하부요로증상, 수면장애, 일상생활 수행능력에 따른 주관적 기억장애의 차이를 파악하기 위하여 t-test, one-way ANOVA를 실시하였고, $Scheff{\acute{e}}$ test로 사후검정을 하였다. 또한, 제 변수와의 상관관계는 Pearson's correlation-coefficient로 분석하였고, 주관적 기억장애에 영향을 미치는 요인은 stepwise multiple regression으로 분석하였다. 본 연구결과 하부요로증상(${\beta}=.52$, p<.001), 일상생활 수행능력(${\beta}=.18$, p=.005)이 주관적 기억장애와 관련 있으며, 두 변수는 주관적 기억장애를 30.0% 설명하였다. 이 연구결과를 바탕으로 다음과 같은 점을 논의하였다. 첫째, 전립선비대증에 의한 하부요로증상은 주관적 기억장애의 위험성을 증가시킬 수 있다. 둘째, 하부요로증상 치료가 미뤄지는 이유는 연령이 증가할수록 하부요로증상을 노화에 따른 자연스런 생리현상으로 인식하기 때문이다. 셋째, 하부요로증상을 예방하기 위하여 조기 검진과 시기적절한 중재가 권고된다. 이를 바탕으로 전립선비대증을 가진 노인의 하부요로증상을 완화시킬 수 있는 간호중재 프로그램 개발과 주관적 기억장애를 사정, 평가, 중재할 수 있는 간호사 양성을 위한 교육 프로그램 개발을 제언한다.

• 대한임상검사과학회지
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• 제52권4호
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• pp.417-424
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• 2020

이 연구는 신경인성 방광 쥐 모델에서 줄기세포에 의해 발현된 뇌유래신경영양인자가 하부요로 증상에 미치는 영향을 조사하였다. 48마리의 Sprague-Dawley 쥐를 정상군, 하부요로증상군, 하부요로증상+imMSC군 및 하부요로증상+BDNF-eMSC군으로 무작위 선정하였다. 하부요로증상모델은 골반신경절 손상에 의해 유도되었으며 방광 기능평가는 마취 하에 실시하였고, 수축성 검사 및 웨스턴 블롯 분석을 위해 방광 조직을 절제하였다. 뇌유래신경영양인자 발현 중간엽줄기세포 치료가 하부요로증상에 미치는 영향도 평가되었으며 뇌유래신경영양인자 발현 중간엽줄기세포는 방광 조직의 섬유화를 억제하였고 Caspase-3 발현을 감소시켰다. 결론적으로, 뇌유래신경영양인자 발현 중간엽줄기세포는 하부요로증상 쥐 모델에서 세포 사멸의 억제와 함께 방광의 기능 및 수축성의 회복을 가져왔다.

• 지역사회간호학회지
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• 제21권3호
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• pp.303-310
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• 2010

Purpose: The purpose of this study was to find out lower urinary tract symptoms (LUTSs), self-management and quality of life (QOL) in middle aged men and to investigate how these factors are correlated with one another. Methods: The participants in this study were 217 men in G City. Data were collected using a questionnaire from October 23 to November 11, 2009. LUTSs were measured by IPSS, self-management by a self-management Likert scale, and QOL by the Korean-version WHOQOL-BREF. The collected data were analyzed through chi-square test, one-way ANOVA, and Pearson's correlation coefficient. Results: LUTS categories divided according to severity were none (10%), mild (57%), moderate (28%), and severe (5%). The mean score of self-management was 3.14 and that of QOL was 3.27. Self-management and QOL were significantly different according to LUTS. LUTS was negatively correlated with self-management and QOL. Self-management was positively correlated with QOL. Conclusion: In order to develop nursing interventions for middle aged men, comprehensive understanding of LUTS is needed.

• 지역사회간호학회지
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• 제20권4호
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• pp.522-530
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• 2009

Purpose: This study was performed to investigate the effects of lower urinary tract symptoms on depression and quality of life among women in urban areas. Methods: The participants in this study were 306 women in P city. Data were collected using a questionnaire from May 1 to June 6, 2008. Lower urinary tract symptoms (LUTS) were measured with BFLUTS-SF and categorized into voiding, filling and incontinence. The data were analyzed through t-test, one-way ANOVA, Fisher exact test, and multiple regression. Results: Age, filling and incontinence, and all of the subcategories of LUTS explained 16% of variance in depression. Older women, LUTS with incontinence, filling and incontinence, and all the problems including filling, voiding and incontinence lowered the quality of life. Conclusion: In order to develop nursing interventions for women with urinary tract symptoms, comprehensive understanding of LUTS is needed.

• 가정∙방문간호학회지
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• 제25권1호
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• pp.58-66
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• 2018

Purpose: The purpose of this study was to find out lower urinary tract symptoms, daily life inconvenience, and sleep quality in elderly community woman. Methods: Participants were 140 elderly women. Data collection was conducted from September 1 to October 30, 2017. Data were analyzed using descriptive statistics and t-test with the SPSS program. Results: The rate of urge incontinence was 25.0%, stress incontinence 36.4%, unexplained incontinence 15.7%, and nocturnal incontinence 9.3%. Those participants with urge incontinence presented significantly higher daily life inconvenience scores; urge incontinence, stress incontinence, and unexplained incontinence were significantly associated with lower sleep quality scores. Furthermore, frequent urination, nocturia, and incomplete emptying were significantly higher daily life inconvenience scores; and frequent urination, nocturia, hesitancy, straining, intermittent stream, burning, incomplete emptying, bladder pain, and abnormal strength of stream were significantly related to lower sleep quality scores. Conclusion: It is necessary to develop intervention strategies considering incontinence and urination symptoms to reduce daily life inconvenience caused by lower urinary tract symptoms and improve sleep quality in elderly women.

• 가정∙방문간호학회지
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• 제22권2호
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• pp.256-264
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• 2015

Purpose: This study aimed to identify the prevalence of lower urinary tract symptoms (LUTS), evaluate factors affecting LUTS among community-dwelling older adults, and provide basic data for a community-based LUTS management program. Methods: A community-based cross-sectional study was conducted from April to November 2010 by using a structured questionnaire. Participants were 157 individuals recruited from 5 community senior centers. Results: The mean LUTS score of the older adults was 9.4 (International Prostate Symptom Score range 0-35). For each LUTS (range 0-5), nocturia was the highest (2.3). Of all older adults, 24.8% had experienced urinary incontinence more than once a month during the past 6 months. Urinary incontinence was found to be an important factor associated with LUTS. Conclusion: A community-based management program for both LUTS and urinary incontinence in community-dwelling older adults should be implemented.

• 가정∙방문간호학회지
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• 제18권2호
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• pp.126-132
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• 2011

Purpose: The purpose of this study was to investigate the degree of LUTS (Lower Urinary Tract Symptoms) and factors affecting LUTS in patients with prostate cancer. Methods: Fifty-four patients with prostate cancer participated and they completed a structured questionnaire at a hospital in Seoul. The LUTS level was measured by using the International prostate symptom score (1992) and the data were analyzed by Wilcoxon rank sum test and Kurskal-Wallis test. Results: Most subjects obtained a higher than moderate LUTS score. The participants who had a lower perceived health status and did not drink alcohol were more likely to had a lower LUTS score than other patients who had higher perceived health status and drink alcohol. In addition, eye diseases were significantly associated with the LUTS score. In LUTS, all the patients received higher IPSS-QOL (International prostate symptom score quality of life) and frequency, nocturia. Conclusion: For proper nursing care related to LUTS, nurses should focus on the factors identified when performing nursing assessments and should develop nursing intervention programs for symptoms management.

• Journal of Korean Biological Nursing Science
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• 제19권2호
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• pp.60-68
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• 2017

Purpose: The purpose of this study was to analyze the relationship between lower urinary tract symptoms and urodynamic parameters to investigate the characteristics of mixed urinary incontinence (MUI) and stress urinary incontinence (SUI). Methods: The subjects were 318 women with MUI and 128 women with SUI. Data were collected retrospectively from electronic medical records including Bristol Female Lower Urinary Tract Symptoms-Scored Form (BFLUTS-SF), Incontinence Quality of Life Instrument (I-QOL), voiding diaries, and urodynamic parameters. Results: Compared with the SUI group, the MUI group was older and showed lower I-QOL and more severe urinary tract symptoms. The MUI group had more urinary frequency, more nocturia, and a higher urgency score than the SUI group. In the correlation analysis, the greatest difference between the two groups was that urgency was associated with Qmax, maximal cystometric capacity, and detrusor overactivity only in the MUI group (r = -.175, p= .004; r = -.281, p< .001; r= .232, p< .001, respectively). Conclusion: As a result of this study, we propose that a customized management program that emphasizes the control of urgency for the MUI group, and one that effectively strengthens the weak pelvic floor for the SUI group.

• Journal of Korean Biological Nursing Science
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• 제17권1호
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• pp.71-77
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• 2015

Purpose: This study was performed to identify lower urinary tract symptoms (LUTS), and to evaluate the factors affecting LUTS in patients with type 2 diabetes mellitus (T2DM). Methods: The cross sectional study was used with a structured questionnaire to collect data through interviews with 181 T2DM patients and their clinical data from a university hospital diabetes clinic from October 2010 to April 2012. LUTS were measured using the International Prostate Symptom Score (IPSS), depression using the Center for Epidemiologic Studies Depression Scale (CES-D), and glycosylated hemoglobin (HbA1c) from the clinical data. Results: Of all patients with T2DM, the mean IPSS of LUTS was $9.34{\pm}6.86$. Concerning the reported severity of LUTS, 53.6% of the subjects were in the moderate and severe group. In each symptom score of LUTS (range 0-5), nocturia was the highest 2.04, weak stream 1.62, and frequency 1.45. LUTS was significantly predicted by HbA1c and depression, and 14.3% of the variance in LUTS was explained. Conclusion: HbA1c and depression were found to be very important factors associated with LUTS in T2DM patients.