• 지역사회간호학회지
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• 제25권3호
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• pp.198-206
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• 2014

Purpose: The purposes of this study were to identify the prevalence and influencing factors of fecal incontinence, and to analyze the association between fecal incontinence and depression. Methods: The subjects of this study were 233 women living in rural areas, and data were collected using questionnaires from February 24 to May 30, 2012. Fecal incontinence was measured with the Continence Grading Score, and depression with the Geriatric Depression Scale. Collected data were analyzed using SPSS through $x^2$-test, Fisher's exact test, t-test and ANOVA. Results: Of the subjects, 16.7% had fecal incontinence. The prevalence of fecal incontinence was higher in older women ($x^2=23.55$, p<.001), those with vaginal delivery ($x^2=4.81$, p=.049), those with parity of 4 or more ($x^2=13.47$, p=.003), and those with urinary incontinence ($x^2=26.36$, p<.001). The level of depression was significantly higher in older women (F=19.27, p<.001), those with low academic qualification (F=18.17, p<.001), those with urinary incontinence (F=4.15, p=.043), and those with fecal incontinence (F=14.90, p<.001). Conclusion: These results suggest that there should be supports by public health care for fecal incontinence prevention and care programs in order to promote the physical and emotional health of rural women.

• 한국농촌간호학회지
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• 제11권1호
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• pp.3-14
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• 2016

Purpose: This study aimed to evaluate a urinary incontinence self-management program for middle-aged women in Korean rural communities. Methods: A one-group pretest and posttest design was used to examine changes in severity, knowledge, and attitudes following the intervention. Fifty-six women completed weekly 90-min group sessions for seven weeks. Descriptive statistics and paired t-tests were used to analyze data. Results: The total of International Consultation on Incontinence Questionnaire scores was significantly decreased after the intervention (pre-test: $4.55{\pm}3.88$, post-test: $3.21{\pm}3.00$, p<.001). Significant improvement was also noted on the mean knowledge scores (pre-est: $16.66{\pm}6.24$, post-test: $21.43{\pm}5.15,$ p<.001). Conclusions: This study suggests that the UI self-management program is useful in improving the symptom of UI for middle-aged women living in communities.

• 농촌의학ㆍ지역보건
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• 제34권1호
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• pp.76-86
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• 2009

본 연구는 농촌지역 노인을 대상으로 요실금의 출현빈도를 조사하고 요실금과 관련된 요인을 검토하고자, 2007년 10월 1일부터 12월 31일까지의 기간에 충청남도의 농촌지역에 거주하고 있는 65세 이상 노인 464명을 대상으로 면접조사를 실시하였다. 그 결과 조사대상자의 요실금 경험률을 보면 「매일 실금」이 9.5%, 「가끔 실금」이 35.5% 로 요실금을 경험하고 있는 노인이 45.0%이었다. 성별로는 남자(29.8%)보다 여자(58.5%)에서, 연령이 낮은 군보다 높은 군에서, 교육수준이 높은 군보다 낮은 군에서, 월수입이 높은 군보다 낮은 군에서 요실금 경험률이 높았다. 일상생활습관별 요실금 경험률은 비흡연군보다 흡연군에서, 음주군보다 비음주군에서 유의하게 높았으며, 주관적 건강상태에 따른 요실금 경험률은 건강하다는 군보다 건강하지 않다는 군에서, 건강에 대한 걱정을 하지 않는다는 군보다 한다는 군에서, 신체부자유가 없다는 군보다 있다는 군에서, 건망증이 없다는 군보다 있다는 군에서, ADL과 IADL별로는 도움이 필요 없다는 군보다 도움이 필요하다는 군에서 유의하게 높은 비율이었다. 다변량 로지스틱회귀분석 결과 요실금발생에 영향을 미치는 관련요인으로 성별, 연령, 흡연습관, 건강에 대한 걱정유무, 신체부자유 유무, 건망증 유무, IADL이 유의한 변수로 선정되었다. 이상의 결과를 보면 농촌지역 노인들의 요실금 출현빈도는 남자보다 여자에서, 고연령일수록 높아지는 것을 알 수 있으며, 일상생활습관이나 주관적 및 신체적인 건강상태가 양호하지 않을수록 요실금 출현율이 높게 나타나고 있으므로 이에 따른 노인들의 적절한 건강관리 대책이 요구된다.

• 한국노년학
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• 제36권4호
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• pp.1177-1189
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• 2016

나이가 듦에 따라 의존성이 문제가 되고 있어 요양병원 입원노인의 우울, 요실금, 수면양상 및 의존성의 정도를 파악하고, 의존성에 미치는 영향요인을 파악하고자 하였다. J시 소재 요양병원의 입원노인 209명을 대상으로 우울, 요실금, 수면양상 및 의존성 측정을 위해 구조화된 설문지를 이용하여 자료를 수집하였다. 수집된 자료는 기술통계, t-test, ANOVA, Pearson correlation coefficient 및 다중회귀분석기법으로 분석하였다. 주요연구결과는 다음과 같다. 대상자의 우울은 평균 $6.83{\pm}4.14$점, 요실금은 평균 $6.44{\pm}9.63$점, 수면의 양은 평균 $8.09{\pm}1.55$ 시간, 수면의 질은 평균 $39.37{\pm}6.55$ 점이었고, 의존성은 평균 $42.68{\pm}8.78$점이었다. 하위영역별 의존성은 경제적 의존성이 가장 높았다. 의존성은 우울(r=.26, p<.001), 요실금(r=.35, p<.001)과 양의 상관관계가 있었다. 의존성에 영향을 미치는 요인은 우울(${\beta}.23$, p=.001), 요실금(${\beta}=.26$, p<.001)이었고 11.5%의 설명력이 있었다. 이러한 연구결과는 요양병원 입원노인의 우울, 요실금을 개선하고 의존성을 감소시키기 위해 다학제적 접근과 효과적인 간호중재 개발의 필요성을 제시한다.

• International Neurourology Journal
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• 제22권4호
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• pp.305-312
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• 2018

Purpose: The aim of this study was to analyze the efficacy and to estimate the complication rate of incontinence surgery according to the surgeon's specialty and whether a preoperative urodynamic study (UDS) was performed, using a nationally representative dataset. Methods: We enrolled 356,155 women over 20 years old who had undergone surgery for stress urinary incontinence between 2006 and 2015. Patients were followed for up to 3 years to analyze the reoperation and complication rates. Data were obtained from the National Health Claims Database of the National Health Insurance Service (NHIS) of Korea. Multiple Cox regression analysis was conducted to examine the efficacy and safety of incontinence surgery according to the surgeon's specialty and whether a preoperative UDS was performed. Results: The hazard ratio (HR) for reoperation was significantly higher for procedures performed by nonurologists than for procedures performed by urologists (HR, 1.174; 95% confidence interval [CI], 1.103-1.249). Acute urinary retention, postoperative infections, procedure-associated pain, and other complications were also more common in procedures performed by nonurologists than in those performed by urologists. When stratified by whether a preoperative UDS was performed, the HR for reoperation according to the surgeon's specialty varied by performance of a preoperative UDS. While the reoperation rate was significantly higher in procedures performed by non-urologists when a preoperative UDS was performed (HR, 1.208; 95% CI, 1.122-1.3), there was no significant difference in the HRs for reoperation according to specialty when a preoperative UDS was not performed. Conclusions: This population-based study showed that the postoperative outcomes of incontinence surgery were dependent upon the surgeon's specialty and that the reoperation rate according to the surgeon's specialty varied based on whether a preoperative UDS was performed.

• 전기전자학회논문지
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• 제12권2호
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• pp.87-94
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• 2008

골반저근은 골반기관을 지지하여 요자제를 유지하는 여성의 주요 하부조직으로 수축압력을 평가함으로써 복압성 요실금의 정도를 진단할 수 있다. 본 연구에서는 생체신호 측정 시스템을 개발하여 골반저근의 수축압력을 측정하였으며, 데이터 분석을 통하여 진단 파라메터를 추출하였다. 진단 파라메터의 통계적 분석을 수행하여 특성이 유사한 피험자를 다섯 개의 군집으로 분류하였으며, 군집으로 분류된 데이터가 중첩되지 않도록 복압성요실금 진단 알고리즘을 구현하였다. 임상시험 결과 진단 알고리즘의 정확성이 약 78.9%로 나타났으며 그 유용성이 확인되었다.

• 여성건강간호학회지
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• 제9권4호
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• pp.439-448
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• 2003

Purpose: This study was accomplished to apply and to evaluate the 10-week Urinary tract Function Promotion for the Elderly Women (UFPE), and to suggest guideline and to be utilized on the community level. Method: Subjects were 30 persons of 16 healthy elderly and 14 hemiplegic elderly. This UFPE was composed of diagnosis of incontinence & evaluation of physical condition, understanding of urogenital system & urinary incontinence management. UFPE was evaluated by subjective urinary condition, intra-vaginal contraction power, continence self-efficacy (CSE), incontinence stress, geriatric depression. The collected data was analyzed using Wilcoxon Matched Signed-Ranks test by SPSS/WIN program. Result: 5 subjects (31.2%) in healthy group and 2 subjects(14.3%) in hemiplegic group have a daytime frequency, 14 subjects(87.5%) in healthy- group and 14 subjects(100%) have a nocturia. After program, subjective urinary condition was increased just only healthy elderly (Z=-2.545, p<0.05), while intra-vaginal contraction power and CSE were increased significantly only in the hemiplegic elderly (Z=-2.57, P<0.05: Z=-2.29, p<0.05). There were barriers not to comply program guidance such as inadequate perception of pelvic floor muscle, forget to do exercise, fatigue. Conclusion: UFPE was effective in increasing subjective urinary condition for healthy elderly and in increasing intra-vaginal contraction power and continence self-efficacy for the hemiplegic elderly women. I suggest that this UFPE be utilized at the health center and elderly center, and public health nurse counsel and guide the elderly's work through phone service.

• 대한한방내과학회지
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• 제39권1호
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• pp.69-75
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• 2018

Objectives: This study was designed to report the effect of HongYi pharmacopuncture on three cases of severe female urinary disorder. Method: Patients were treated with HongYi pharmacopuncture alone for 4 weeks. The effect of treatment was assessed through scores obtained using International Prostate Symptom Score (IPSS) and International Consultation on Incontinence Modular Questionnaire-Female Lower Urinary Tract Symptoms (ICIQ-FLUTS). Result: After treatment, urinary symptoms, and the scores of IPSS and ICIQ-FLUTS were improved in all of the patients. Conclusion: HongYi pharmacopuncture shows a significant beneficial effect on female urination disorder. Further well-designed, controlled studies and more cases are needed to define the effect of HongYi pharmacopuncture.

• Clinical and Experimental Pediatrics
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• 제48권6호
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• pp.575-579
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• 2005

Urinary incontinence is the most common urinary symptom in children and causes considerable anxiety in children and parents. In most cases, there is no underlying organic pathology and the longterm prognosis is excellent. Despite these reassuring facts, children with wetting problems can be a challenge for primary pediatrician. This is probably because the problem is poorly understood, there is no readily identifiable medical pathology, and because treatment is usually time consuming and arduous. There is a great demand for treatment because wetting is an unpleasant symptom that can cause a stress and anxiety in the family. There may also be other coexisting problems such as urinary tract infection, constipation, soiling, and behavioral or emotional difficulties. Despite the frequency and vexing nature of voiding dysfunction, physicians may not always obtain a careful history to identify and to treat children properly with this condition. This article addresses the comprehensive diagnostic and therapeutic approach to such children.

• 대한약학회:학술대회논문집
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• 대한약학회 2001년도 Proceedings of the Pharmaceutical Society of Korea
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• pp.133.2-134
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• 2001