• 지역사회간호학회지
• /
• 제24권3호
• /
• pp.368-376
• /
• 2013

Purpose: The purpose of this study was to identify the current urinary incontinence states in women above middle age dwelling in rural areas and their coping with the problems. Methods: The participants were 261 women above middle age. Data were collected from February to May, 2012 using a structured questionnaire. The data were analyzed with the SPSS/WIN 20 program. Results: The frequency of urinary incontinence in women above middle age was 45.4%. There were significant differences in urinary incontinence due to age, education, job status, frequency of delivery, and menstrual status. And, there were significant relations among urinary symptoms, difficulty of ADL, incontinence stress and depression. Frequently used coping-methods with urinary incontinence were washing frequently in order to avoid awful smell, paying attention to perineal cleaning, and going to restroom frequently. Conclusion: Community nurses who are in charge of primary health care ought to assess urinary incontinence and develop a urinary incontinence program that includes psychological and social factors.

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

• 한국보건간호학회지
• /
• 제15권2호
• /
• pp.342-350
• /
• 2001

This study was designed to investigate the knowledge of urinary incontinence and its affecting factors among women aged over 30 years in Korea, and to provide the basic data for the primary urinary incontinence management program through the community-based cross sectional study from May 7 to July 18, 2000. The subjects, who were able to understand the questionnaires and consented their participation in the study, consisted of 2183 women, aged over 30 up to 89 years, residing in Seoul, Kyongki$\cdot$Kangwon, Chungchong, YongNam, HoNam, Cheju provinces. It took about 20 to 30 minutes to fill up the questionnaires. The data were analyzed by multiple regression with using SAS program. The results were as follows ; 1. The overall reported knowledge of urinary incontinence was $5.21\pm3.05$(range 0-14). Over the half of the subjects gave the correct answer to 5 items which referred to effects, treatment and management of urinary incontinence. Among items associated with the cause, two items, such as 'many common over-the-counter medications can cause involuntary urine loss', and 'involuntary urine loss is caused by only one or two conditions', were less likely to be correctly answered. 2. Those who were younger, had more education, or had urinary incontinence, were more likely to provide correct answers. The above findings indicated that the education program and campaign of the urinary incontinence should be developed and operated for those who are elderly and have had less education.

• Journal of Acupuncture Research
• /
• 제21권4호
• /
• pp.93-106
• /
• 2004

Objective: The purpose of this study is to investigate the effects of moxibustion on the stress urinary incontinence for middle-aged women. The study was performed with the nonequivalent control group non-synchronized design from April 14 thru June 16, 2003. Methods: The subjects are 60 middle-aged women with stress urinary incontinence which are composed of 30 in the experimental group and another 30 in the control group. The moxibustion procedure was applied to the experimental group in a week, and then the level of stress urinary incontinence was measured by using the revised Hendrickson's scale. Results: The results of this study are as follows: 1. Average period of stress urinary incontinence is 4.12 years, and the level of stress urinary incontinence is predominant in the mild state(63.3%), and the frequency of stress urinary incontinence is mostly 2-6 times per week(70%). 2. Hypothesis: Stress urinary incontinence will decrease for the experimental group as compared with for the control group: accepted(t=-5.113, p=0.000). Conclusion: Based on the results described above, it is considered that the moxibustion might be very effective oriental nursing intervention for improving the stress urinary incontinence for the middle-aged women.

• Journal of Yeungnam Medical Science
• /
• 제21권1호
• /
• pp.60-66
• /
• 2004

2001년 5월에서 11월까지 영남대학교 병원 산부인과 외래를 방문한 20세 이상의 환자 중 무작위로 선택한 412명을 대상으로 설문 조사를 하였고 이를 분석하여 다음과 같은 결과를 얻었다. 1. 대구지역 여성들의 요실금 유병률 조사대상자의 평균 연령은 45.5세이었으며 유병률은 46.84%로 조사되었다. 2. 대상환자의 연령이 증가할수록 요실금의 유병률이 높게 나타났다(p=0.00001). 3. 분만횟수가 증가할수록 요실금의 유병률이 증가하였다(p=0.007). 4. 제왕절개술에 비하여 질식분만시 요실금의 유병률이 높게 나타났다(p=0.001). 5. BMI, 유산, 폐경, 호르몬 요법, 당뇨병, 갑상선 질환, 만성 호흡기 질환은 요실금과 유의한 관계가 없는 것으로 나타났다(p=0.117, p=0.145, p=0.546, p=0.256, p=0.241, p=0.343, p=0.185).

• 지역사회간호학회지
• /
• 제11권2호
• /
• pp.441-452
• /
• 2000

The purpose of this study was to identify the prevalence of urinary incontinence and its relating factors elderly communities. Subjects of this survey consisted of 877 elderly women and men in one Kun. Korea, who were over 60 years old. The design for this study was descriptive: the subjects were interviewed by well trained investigators from July 9. 1999 to July 20. 1999. During that survey period, the subjects were interviewed with a structured questionnaire. The data were analyzed by frequency, percentage, $X^2-test$. T-test using an SAS program. The results of the study were the following: 1. The prevalence rate of urinary incontinence was 20.1 %. of the total. The types of urinary incontinence were mixed incontinence 44.3%. stress incontinence 38.1%. and urge type incontinence 17.6%. 2. The relating factors of urinary incontinence were as follows: 1) 33.5% of UI(urinary incontinence) subjects reported urine loss once a month. twice or three times a week 23.3%. one or two times a day 17.0% 2) 38.1% of elderly reported only 1 to 2 drops. 1 t-spoon 36.9%. 1 T-spoon 15.9% 3) The volume of urine loss registered by changing underwear was 63.1 %. no necessity of changing underwear was 22.1 %. or using some type of pads was 13.1%. 4) 62.5% of UI subjects never discussed their UI problem with other people. 73.9% of the total had never experienced any treatment for their UI problem. The reasons for not receiving medical cure were their typical conception about urinary incontinence taking UI as a normal part of aging 76.2% and due to their bad financial situation 9.2%. 3. Women had more prevalence of UI than men (p=0.01), and it was found that the worse the subjective health state. the higher the prevalence of UI (p=0.001). However. there was no statistical difference in daily frequency of UI (p>0.05). The more nocturnal incontinence (p=0.001), the more intermittent stream experience (p = 0.01), the more retention experience (p = 0.01), and the more incomplete the emptying experience (p=0.001), the higher the prevalence of UI. 4. UI groups had lower ADL scores than non UI groups(p=0.01). The level of depression in the group of urinary incontinence was significantly higher than that of non incontinence group (p=0.0001). As shown above, the elderly people suffering from UI haven't been treated properly: their subjective health state and their ADL competence was lower, and their depression level was higher than non UI groups. Therefore, the development of a proper urinary incontinence management program are required so that they can lead more healthy lives. Also continual case studies for the elderly people with UI are necessary.

• 대한간호학회지
• /
• 제35권8호
• /
• pp.1476-1484
• /
• 2005

Purpose. The purposes of this study were to examine the effectiveness of a behavioral intervention program combining pelvic floor muscle exercise with bladder training for urinary incontinence and also to conduct follow-up assessment after self-training. Methods. This study was conducted using a non-equivalent control group, pretest-posttest design. The subjects were 60 middle-aged women(control group, n=30; intervention group, n=30) who experienced an episode of urinary incontinence at least once a week. The program was run over a 4 week period (once a week) and composed of urinary incontinence education, pelvic floor muscle exercise, and bladder training. Results. Overall, there was a significant difference in urinary incontinence symptoms and psycho-social well-being related to urinary incontinence between the treatment and control group. Of the variables, weekly leakage frequencies, leakage amounts on each occasion, leakage index, frequencies of nocturia, and quality of life were significantly different between the groups. Follow-up assessment (9th week) indicated that overall incontinence symptoms and psycho-social well-being were significantly different between the posttest and follow-up assessments. Most variables of incontinence symptoms and psycho-social well-being were significantly improved at follow-up assessment versus posttest. Conclusions. The program was voerall effective in terms of relieving symptoms and improving psych-social well-being related to urinary incontinence, and this effect continued after a 4-weeks self-training period. In the respect that this is a community-based application study, the results can be meaningful and applicable.

• 기본간호학회지
• /
• 제14권4호
• /
• pp.483-492
• /
• 2007

Purpose: The purpose of this study was to compare anxiety, depression and quality of life according to the severity of urinary incontinence in married women. Method: The participants were 168 married women aged 30-65 years who experienced urinary incontinence. The data were collected from May to July, 2006 using a structured questionnaire. Frequencies, percent, means and standard deviation, t-test, ANOVA, $X^2-test$ and Scheffe test with SPSS win 14.0 program were used to analyze the data. Results: The distribution of urinary incontinence severity was mild 87.5%, or moderate 12.5%. Significant differences in the severity of urinary incontinence were found for the general characteristics of age, education level, having a job and having a spouse and for the obstetric characteristics of type of delivery, and menopause. Differences in the score for anxiety(t=-2.41, p=0.001) and quality of life(t=5.50, p<0.001) according to the severity of urinary incontinence were statistically significant. Conclusion: Women with moderate to severe urinary incontinence should be screened for psychosocial factors. Severity of urinary incontinence in married women negatively affects their quality of life. Further research is needed to determine factors predicting the quality of life for incontinent women.

• 동서간호학연구지
• /
• 제9권1호
• /
• pp.7-14
• /
• 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.

• 근관절건강학회지
• /
• 제26권2호
• /
• pp.90-101
• /
• 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.