• 제목/요약/키워드: incontinence

검색결과 382건 처리시간 0.029초

복합성 요실금과 복압성 요실금의 특성: 하부요로증상과 요역동학 검사결과의 관계 (Characteristics of Mixed Urinary Incontinence and Stress Urinary Incontinence: Relationship between Lower Urinary Tract Symptoms and Urodynamic Parameters)

  • 이지연;송미순
    • 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.

자가 발반사요법이 요실금 여성의 증상과 자존감 및 우울에 미치는 영향 (The Effect of Self-foot Reflexology on the Situation Score of Urinary Incontinence, Self-esteem and Depression of the Middle-aged Women)

  • 강현숙;김원옥;왕명자
    • 동서간호학연구지
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    • 제9권1호
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    • pp.7-14
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    • 2004
  • Purpose: This study was to identify the effects of self-foot reflexology on the situation score of Urinary incontinence, Self esteem and Depression of the middle-aged women. Method: A quasi-experimental design was used. The subject were 39 middle-aged women with urinary incontinence(18 experimental group, 21 control group). In the experimental group, self-foot reflexology was applied for 30 minutes, three times a week for 4 weeks. The obtained data were analyzed by using the Mann-Whitney U test of SPSS. Result: 1. The situation score of urinary incontinence were reduced significantly in the experimental group as compared to the control group(U=81.00, P=.002). 2. Self esteem were improved significantly in the experimental group as compared to the control group(U=59.00, p=.000). 3. Depression in the experimental group was reduced whereas that of the control group was increased significantly(U=45.00, p=.000). Conclusion: These findings indicate that self-foot reflexology is an effective method for reducing urinary incontinence and depression, and improving self esteem of middle-aged women. Therefore self-foot reflexology can be considered as a independent nursing intervention for urinary incontinence.

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수면과다증을 동반한 심인성 요실금 환자 호전 1례 (Case Report of a Psychogenic Urinary Incontinence Patient with Hypersomnia Disorder)

  • 이동근;손아현;강미정;신현수
    • 대한한방내과학회지
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    • 제37권2호
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    • pp.189-195
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    • 2016
  • Objective: This study evaluates the effects of traditional Korean medicine (including Guibi-tang) on a psychogenic urinary incontinence patient with hypersomnia disorder.Method: Herbal medicine, acupuncture, and moxibustion were carried out. The effect of the treatments was then evaluated via the Beck depression inventory (BDI), the Beck anxiety inventory (BAI), the symptom checklist-90-revised (SCL 90-R), the Epworth sleepiness scale (ESS), and the revised urinary incontinence scale (RUIS), as well as the number of urinations, incontinence levels, and sleeping times during the day.Results: After the treatments, both the urinary incontinence and hypersomnia symptoms showed improvement.Conclusion: This study suggests that traditional Korean medicine treatments are effective in caring for patients who suffer from psychogenic urinary incontinence with hypersomnia disorder.

시설거주 노인의 요실금과 기저귀 착용 경험 (Older Adults' Experiences of Living with and Using Diapers for Urinary Incontinence in Long-term Care Facilities)

  • 임경춘;김명숙
    • 근관절건강학회지
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    • 제26권2호
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    • pp.90-101
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    • 2019
  • Purpose: This study was aimed to describe older adults' experiences of living with urinary incontinence and using diapers for its management in long-term care facilities. Methods: Qualitative data were collected through in-depth interviews with 22 participants in long-term care facilities. Content analysis was used to analyze the data. Results: Three themes and six categories were emerged. Participants navigated through those three categories as stages, including the initial stage of confronting the unacceptable reality, transitional stage of physical and emotional suffering, and adaptive stage of accepting the diaper usage as a part of life and hoping improvement. Six categories were feeling terrible with unavoidable use of diapers, being frustrated by nursing staff shortage and unsatisfactory care for urinary incontinence, physical discomfort from of wearing diapers and remaining unchanged, emotional difficulties due to using diapers, accepting and adapting to diaper usage as a part of life, hope for gender-specific quality care for urinary incontinence. Conclusion: The findings suggest that using diapers should not be mandatory to manage older adults' urinary incontinence in long-term care facilities. It is also critical to establish policies to address issues of nursing shortage and financial support for qualitative care to manage urinary incontinence in long-term care settings.

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;박선아
    • 지역사회간호학회지
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    • 제30권2호
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    • pp.109-118
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    • 2019
  • 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.

산후 요실금에 대한 침의 효과 : 체계적 문헌고찰 및 메타분석 (The Efficacy of Acupuncture on Postpartum Urinary Incontinence: A Systemic Review and Meta-analysis)

  • 이수형;김송백
    • 대한한방부인과학회지
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    • 제35권3호
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    • pp.37-55
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    • 2022
  • Objectives: The purpose of this study is to investigate the efficacy and safety of acupuncture on postpartum urinary incontinence. Methods: 'postpartum urinary incontinence', 'postnatal urinary incontinence', 'acupuncture' were searched on 4 online databases (Cochrane Library, Pubmed, CNKI, OASIS). Randomized controlled trials (RCTs) that used acupuncture on postpartum urinary incontinence were included. The methodological quality of each RCT was assessed by using Cochrane risk of bias tool. Results: 12 RCTs were finally selected. The overall risk of bias was evaluated as uncertain. 11 studies showed that combined treatment group was better than control group in effective rate and/or ICIQ-SF total score, but among those 1 study was not statistically significant in ICIQ-SF total score. In the comparison of alone treatment group and control group, 1 study showed favorable effect in ICIQ-SF total score, but 1 study was not significant in effective rate. Conclusions: Treatment that include acupuncture can effect on postpartum urinary incontinence. but considering quality of studies, inconsistent and insufficient evidence, further well-designed studies are needed to confirm the efficacy and safety of this treatment.

개에서 노년성 배뇨 실금으로 인한 부적절한 배뇨 일례 (A Case of Housesoiling Problem in a Dog with Geriatric Incontinence)

  • 김현희;황재민;구자민;이원익;손우진;정태성;장홍희;이주명;이효종
    • 한국임상수의학회지
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    • 제18권4호
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    • pp.411-413
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    • 2001
  • A 14-year-old, spayed female Labrador Retriever breed dog with housesoiling problem was presented to the Animal Behavior Clinic, College of Veterinary Medicine, Gyeongsang National University. Housesoiling problem was diagnosed as geriatric incontinence based on the questionnaire and interview on the dog. Pharmacological treatment was recommended. Phenylpropanolamine was prescribed at a dosage of 1.19 mg/kg PO q48h for 3 weeks. Housesoiling problem caused by geriatric incontinence disappeared after the treatment.

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요실금환자의 골반근육운동에 따른 자아존중감과 배뇨증상에 관한 연구 (A Study on Self-Esteem and Urinary Symptoms in Women with Urinary Incontinence)

  • 이영희;김선아
    • 기본간호학회지
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    • 제9권3호
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    • pp.360-369
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    • 2002
  • Purpose: The purpose of this study was to help enhance the quality of life for women with urinary incontinence. Self-esteem, urinary symptoms, peak pressure and duration in seconds for vaginal contraction after pelvic muscles exercise were examined. Method: One-group pretest-posttest design was employed participants were 27 married women from G city. The instrument for this study were : the self-esteem scale developed by Rosenberg(1965). the Urinary Symptom Questionnaire, a subjective measurement of urinary incontinence, developed by Jackson et al.(1996) and the Perineometer used as an objective measurement of peak pressure and duration in seconds. Result: 1. Self-esteem showed significant improvement after the exercise (t=-3.832, p= .001). 2. Comparison of results before the pelvic muscles exercise and after showed that there was a statistically significant difference for several urinary symptoms including enuresis (t=2.833, p=.009), frequency of incontinence (t=2.964, p= .006), incontinence volume (t=2.280, p= .031), incontinence before getting to the restroom (t=3.035, p= .006), incontinence with no reason or feeling (t= 3.051, p= 005) burning sensation (t= 2.132, p=.043), and a sense of residual urine (t=2.267 p=.032). The mean scores showed improvement in the urinary symptoms of management of incontinence (M=$0.04{\pm}0.22$), daily frequency of incontinence management (M=$0.13{\pm}0.85$), urinary control (M=$0.15{\pm}0.86$), running to the restroom (M=$0.15{\pm}0.60$) incontinence caused by coughing or physical activities (M=$0.19{\pm}0.57$) and hesitancy (M=$0.07{\pm}0.55$). Overall urinary symptoms decreased significantly (t =3.073. p= .007). 3. Peak pressure showed an increase from a mean of $24.26{\pm}16.20mmHg$ before the exercise to a mean of $28.63{\pm} 17.79mmHg$ after (t=-2.399, p=.024). Duration in seconds also increased from a mean of $6.00{\pm}4.95sec$ to $9.15{\pm}5.83sec$ (t=-4.400, p= 000). Conclusion: These findings suggest that pelvic muscle exercise serves to decrease urinary problems, improve self-esteem and increase peak pressure and duration in seconds.

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일 지역 중년여성의 요실금.갱년기 증상과 생활만족도와의 관계 (The Relationship Among Urinary Incontinence, Menopausal Symptom and Life Satisfaction in Middle Aged Women)

  • 임현자
    • 여성건강간호학회지
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    • 제7권2호
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    • pp.157-168
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    • 2001
  • The purpose of this study was to investigate of the relationship of the urinary incontinence, menopausal symptom and life satisfaction in middle aged women. The subjects of this study were 235 middle aged women, living in M city, during the period from June 21 to August 31, 2000. The instruments for this study were the urinary incontinence modified and adding by Lee Young Sook(1994), the menopausal symptom developed by Song Ae Ri and Chung Eun Soon(1998) and the life satisfaction translated and modified by Suh Kyung Hee(1988). Collected data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficients and stepwise multiple regression with SAS package. The result of this are as follows : 1. The total mean score of urinary incontinence was $1.56{\pm}0.58$ with a range of 0 to 4. The mean score on the menopausal symptom was $2.05{\pm}0.43$ with a range of 1 to 4. The mean life satisfaction score was $1.14{\pm}0.41$ with a range of 0 to 2. 2.General characteristics ralated to urinary incontinence were age and numbers of children (F=7.66, p=0.000, F=2.86, p=0.037). General characteristics ralated to menopausal symptom were age (F=7.37, p=0.000), occupation (t=5.33, p=0.021), problem of children (t=6.46, p=0.011) and marital satisfaction (F=5.65, p=0.004). General characteristics ralated to life satisfaction were type of housing (t=12.06, p=0.000), problem of children (t=6.96, p=0.008) and marital satisfaction (F=18.86, p=0.000). 3.The urinary incontinence and menopausal symptom were correlated positively (r=.235, p=.000). The urinary incontinence and life satisfaction were correlated negatively (r=-.114, p=.007). The menopausal symptom and life satisfaction were correlated negatively (r=-.277, p=.000). 4.The menopausal symptom, type of housing and marital satisfaction explained 16.6% of the variance for life satisfaction in the middle aged women.

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웰빙용 여성 요실금 치료기의 유럽 마케팅 전략 (Marketing strategy of urinary incontinence equipment in Europe)

  • 이우천;박노국
    • 벤처창업연구
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    • 제7권1호
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    • pp.67-72
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    • 2012
  • 본 연구는 국내 벤처기업에서 세계 최초로 제조된 요실금 치료기기의 유럽시장 진출을 위하여 국내외 의료기기 시장의 환경변화에 대하여 서술하고 요실금과 치료방법, 그리고 신제품의 특성 및 유럽 요실금 치료기기 시장을 분석하여 유럽시장 진출 방안을 제시하였다. 그 결론으로 국내 의료기기 벤처기업에서 세계 최초로 개발된 요실금 치료기기를 유럽시장에 판매하기 위해서는 다음과 같은 전략이 필요하다. 첫째, 시장침투수준을 증가시키기 위하여 국내 업체는 유럽에서 개최되는 관련 학회 및 전시회 참가 등을 통하여 유럽의 가정의와 비뇨기과 의사들에게 국내에서 개발된 요실금 치료 장비에 대한 인식을 높이는 전략이 필요하다. 둘째, 개성 있는 독특한 제품임과 치료방법의 제시, 그리고 감염률을 줄일 수 있는 비용-효과적인 제품이라는 점의 강조가 필요하다. 셋째, 요실금 치료기기 시장의 경쟁이 심화되고 있는 상황에서 국내의 요실금 치료기기 제조업체는 품질을 확보하면서 가격을 낮출 수 있는 방법 모색을 통하여 품질과 배송, 그리고 가격의 일관성을 제시하여야 할 것으로 연구되었다.

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