• Title/Summary/Keyword: urinary incontinence in women

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Effects of Health Promotion Program on Physical Fitness and Quality of Life of Elderly Women Receiving Home Visiting Health Care Services (건강증진 프로그램에 참여한 방문건강관리 여성노인의 체력과 삶의 질)

  • Song, Min Sun;Lee, Eun Ju;Yang, Nam Young
    • Journal of muscle and joint health
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    • v.28 no.1
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    • pp.1-9
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    • 2021
  • Purpose: The study evaluated the effectiveness of health promotion program on the physical fitness and quality of life of elderly women receiving home visiting health care services. Methods: There were 122 elderly women participants. The data were collected between March and December 2019. The participants were provided with the 36-weeks health promotion program consisting of health education, such as nutrition, depression, urinary incontinence, fall, oral care, and exercises, such as stretching, weight-bearing exercise, and elastic resistance training. The balance, muscle strength, flexibility, and quality of life were measured before and after the program. The results were analyzed with paired t-test using the SPSS/WIN 26.0 program. Results: The dynamic balance, muscle strength, flexibility significantly increased. Conclusion: The health promotion program positively affected elderly women in terms of physical fitness, but there are limitations to increasing the quality of life of elderly women. Through this study, it is necessary to be supplemented in improving quality of life of elderly women.

Effect of different contraction methods on pelvic floor muscle contraction in middle-aged women

  • Kim, Ji-Seon;Choi, Jong-Duk;Shin, Won-Seob
    • Physical Therapy Rehabilitation Science
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    • v.4 no.2
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    • pp.103-107
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    • 2015
  • Objective: Pelvic floor muscles (PFMs) form the base of the abdomino-pelvic cavity and also the PFMs function is important for urinary continence. PFMs training (PFMT) is considered to be the first method for PFM dysfunction. This study demonstrated correct PFMs contraction among commonly used different contraction methods for PFMT. Design: Cross-sectional study. Methods: In this study, nineteen middle-aged (40-70 years) women participated. To evaluate PFM function, ultrasonography was used to measure the distance of the bladder base movement. The distance of the PFM movements were calculated at rest and during the other contractions. The following four different contraction methods were performed randomly: (1) PFM contraction, (2) abdominal drawing-in maneuver (ADIM), (3) anal contraction, and (4) hip adductor muscle contraction. The participants held the contraction for 3 seconds for a total of 3 times with a 30 seconds rest period between each trial. The mean of three measurements in each position were obtained and compared with that in the resting position. Results: The bladder base movement values were significantly greater when comparing PFM with ADIM and hip adductor contractions (p<0.05). The bladder base movement values were significantly greater when comparing ADIM and anal contractions with hip adductor contractions (p<0.05). Conclusions: The results of this study suggest that performing PFM contractions is the best method among the common methods for PFMT. Performing PFM contractions was more effective than the other contraction methods.

A literature study of acupuncture and moxibustion therapy in the "the Urine" section (in the Naegyeong Chapter) of "Dong-Ui-Bo-Gam" ("동의보감(東醫寶鑑)" "소변문(小便門)"의 침구법(鍼灸法)에 관한 소고(小考))

  • Kim, Kyung-Min
    • Journal of Haehwa Medicine
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    • v.19 no.1
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    • pp.129-142
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    • 2010
  • Objectives : The aim of this study was to show the rationale of point-selection for acupuncture and moxibustion in "the Urine"section(in the Naegyeong Chapter) of "the Dong-Ui-BO-Gam". Methods : First, We reviewed the causes of each disease in "the Urine" section of the "Dong-Ui-BO-Gam". Then, We explained the rationale of acupoint-selection for the treatment of those diseases referring to etiology and physiology of Oriental medicine, other applications of each acupoints in the "Dong-Ui-BO-Gam", characteristic of each acupoints, flow of Gi (Qi) through meridian pathways and specific acupoints etc. Results : There are comments on acupuncture and moxibustion for dysuria, urinary frequency, incontinence of urine, urethral pain, turbid urine, erythroid urine, cystitis of women, urethral pain of women in the Urine section of the "Dong-Ui-BO-Gam". Conclusions : Conception vessel and Kidney meridian are preferably used for acupuncture and moxibustion in "the Urine" section of the "Dong-Ui-BO-Gam". CV4(Kwanwon) is most frequently used and Sp9($\bar{U}$mn$\bar{u}$ngch'$\breve{o}$n), SP6(Sameumgyo), Liv1(Taedon) are also used often.

Analysis of the Effectiveness of Community Health Programs Based on Primary Health Care Post Areas (일 지역 보건진료소 중심 지역사회 건강 프로그램 효과 분석)

  • Choi, Hyun Kyoung;Moon, Hee
    • Journal of Korean Academy of Rural Health Nursing
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    • v.16 no.2
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    • pp.45-53
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    • 2021
  • Purpose: The study was conducted to identify the effectiveness of community health programs for local residents. Methods: This study was a one-group pretest-posttest study design. The subjects of the study were 259 residents in 26 villages of 13 primary health care posts located in G city. Data were collected using the questionnaire and analyzed using the paired t-test in SPSS 28.0. Results: As a result of performing the community health programs, prostate symptom scores improved in men, and stress and urgency urinary incontinence scores decreased in women. In addition, it was found that the degree of health-related knowledge increased among female subjects after the community health programs were provided. Conclusion: The community health programs were effective, and the effectiveness of the programs may differ according to gender. Therefore, when developing a program, it is necessary to consider a gender-sensitive approach that considers the difference between men and women.

Symptom Bother, Physical and Mental Stress, and Health-related Quality of Life in Women with Overactive Bladder Syndrome (과민성방광증후군 여성의 증상 심각도, 스트레스 및 건강 관련 삶의 질)

  • Kim, Mi-Young;Kim, Young-Hea;Lee, Jeong-Zoo;Son, Hyun-Mi
    • Women's Health Nursing
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    • v.19 no.4
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    • pp.295-305
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    • 2013
  • Purpose: The objective of this study was to identify the relationships among symptom bother, physical and mental stress and health-related quality of life (HRQoL) in women with overactive bladder (OAB) syndrome. Methods: The participants were 106 women who were diagnosed with OAB (urgency, urge urinary incontinence, frequency, and/or nocturia) at P university hospital. Data were collected from Dec 23, 2011 to Aug 31, 2012. Results: The mean score for symptom bother was 43.1 points, for physical stress, 12.8 which was slightly higher than mental stress (11.8), and for HRQoL, 63.9. For symptom type, there were statistically significant differences in the symptom bother (F=8.67, p<.001) and HRQL (F=3.32, p=.023). The Symptom bother of OAB was positively correlated with physical stress (r=.23, p=.014) and mental stress (r=.33, p<.001) and negatively correlated with the subscales of HRQoL; coping (r=-.66, p<.001), concern (r=-.71, p<.001), sleep (r=-.59, p<.001), and social interaction (r=-.58, p<.001). Conclusion: From the results, bother symptom was associated with physical, mental stress and HRQoL. These results suggest that nursing intervention programs for OAB should be developed not only to relieve the symptoms but also to reduce stress and improve the quality of life.

A Study for the Development of Standardized Management Manuel in Sanhujoriwon - Centered on the Management of Women & Newborn - (산후조리원의 표준화 관리 지침을 위한 연구 - 산모와 신생아 관리현황을 중심으로 -)

  • Jung, Eun-Sil;Yoo, Eun-Kwang
    • Women's Health Nursing
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    • v.8 no.2
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    • pp.301-313
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    • 2002
  • The purpose of this study was to develop the frame for standardized manual for Sanhujoriwon by finding out the status of the management of women & newborn in Sanhujoriwon, like postpartum care center. The subjects were 95 staffs of 22 Sanhujoriwon agreed on oral consent, in Seoul and Bundang, Korea. Data were collected from Sep. 15 to Oct. 24, 2001. The instrument used for this study was a structured questionnaire consisted of 16 items of general characteristics & educational characteristics about postpartum care, 31 items of degree of management of women's postpartum care (Cronbach's $\alpha$.93 ), 24 items of degree of management of newborn's care(Cronbach's $\alpha$.94 ), 10 items of methods of management of women's postpartum care, 8 items of methods management of newborn's care. The data were analyzed by the SPSS/PC+ program using frequency, percentage, mean, standard deviation, t-test, ANOVA and Pearson correlation coefficient. The results of the study were as follows ; 1. The mean of the degree of management for postpartum women was 4.1. The mean score for the degree of management of general postpartum care for women was 4.00 & traditional postpartum care(Sanhujori) was 4.20. The degree of management of traditional postpartum care was higher than general postpartum care for women. 2. The degree of management for newborn : The mean score for the degree of management of newborn was 4.37. 3.There was a strong positive correlation between general postpartum care and traditional postpartum care($r=.744^{**}$), and postpartum mother care and newborn care($r=.798^{**}$). 4.The basic frame for the management of the women and newborn in Sanhujoriwon. 1) For women: Integrated postpartal care Physical management : Vital sign & BP check, contraction of uterus, form and amount of lochia, management of personal hygiene, management of breast & breast-feeding, management of postpartum exercise, prevention of infection, symptom & sign of high risk and prevention & management of high risk condition; Emotional-psychological management: assessment and management of mother-baby attachment, emotional state; Educational management : education of vaccination schedule, urinary incontinence, rearing infant, breast-feeding ; and Environmental management : temperature, humidity, disinfection, cleaning, light, infection control integrated with 6 principles of Sanhujori. 2) For newborn Physical management : check of vital sign, management of umbilical cord, jaundice, prevention of infection, management of diaper rash; Emotional-psychological management : assessment of sleep, crying, activity, response of mother-baby attachment; and Environmental management : temperature, humidity, disinfection, cleaning, light, infection control integrated with 6 principles of Sanhujori. In conclusion Sanhujoriwon must be health care center for the postpartum women and newborn. Therefore, the establishment of various laws and regulations in such a way to meet the realistic needs of Sanhujoriwon as a health care center for women and infants future health should be done. The standardized management manual based on the results is absolutely required above all.

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Status and It's Related Factors of Total Body Water in the Community-Dwelling Elderly (지역사회 재가노인의 체수분정도와 영향요인)

  • Lee, Young Hee;Oh, Jin Joo
    • 한국노년학
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    • v.38 no.3
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    • pp.537-550
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    • 2018
  • The purpose of this study was to investigate the status of total body water and it's influencing factors in community elderly. In this descriptive study, data were collected from 135 elderly at senior citizen center, from October 4 2016 to February 28 2017. Surveys using questionnaire and anthropometric measurements for BMI and total body water were done for data collection. The results of the study showed that while most of the subjects of the study showed total body water within the appropriate range, some elderly especially elderly women show a degraded total body water. Total body water showed significant difference according to sex, body mass index, number of chronic illness, number of medication and urinary incontinence levels. Significant influencing factors were BMI(${\beta}=-0.51$, p=<.001), sex(${\beta}=-0.47$, p=<.001) and this regression model explained 51% of the variance in total body water. In the future, attention needs to be paid to the total body water of the elderly in the local community, especially to the elderly women with risk factors.

The Associated Factors of Health Examinations Behaviors among Some Elderly Persons in Urban and Rural Areas (일부 도시·농촌지역 고령자의 건강검진 수진행동에 관련된 요인)

  • Kim, Yong-Ik;Cho, Young-Chae
    • Journal of agricultural medicine and community health
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    • v.29 no.1
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    • pp.1-14
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    • 2004
  • Objectives: We investigated the factors related to health examination behaviors, sociodemographic aspects and lifestyles of elderly persons with different social backgrounds, and compared sexual and regional differences in urban and rural elderlies. Methods: The total study subjects(464 individuals) from urban(236) and rural areas(228), recruited by a stratified cluster random sampling were interviewed and examined about their sociodemographic profiles, daily lifestyles, subjective health status, conditions concerning use of medical resources, hearing acuity, visual acuity and ADL(activity of daily living), and whether they receive health examination or not. For statistical analysis, Chi-square test was used for sexual and regional comparisons among the groups who have been given a health examination and the one who have not. Results: In urban areas, the rate of having underwent health examination was 54.5% in men and 46.9% in women, and in rural areas, it was 59.8% in men and 42.7% in women, showing its higher rate in men than in women in both areas. For regional differences between the group who have taken a health examination and the one who have not, there was a significant difference in terms of age, family pattern, current job, monthly household income, owning a house, drinking status, eating habit, subjective health status, whether they have taken outpatient medical service for the recent 3 months or not, anxiety for the health, and IADL conditions according to whether the community is rural or urban. In multiple regressions, the influential factors on the health examination behaviors were selected such as having their own house, their family doctor, amnesia, urinary incontinence and chronic disease in urban districts. But in rural districts, the variables were selected such as having or not of their family doctor, urinary incontinence, anxiety for the health, educational level, their own house and chronic disease. Conclusions: It is suggested that the approach to the health examination of an older patient requires substantial consideration of highly variable individual sociodemographic characteristics involving regional attributes as well as their daily life styles, subjective health status, status of performing health examination, physical health status and ADL conditions.

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Effect of Singled and Mixed Pomegranate on Postmenopausal Symptoms in Overiectomized Rats (난소 절제술을 실시한 암컷 쥐에서 석류 단일과 석류 복합 시료의 갱년기 증상 개선 효과)

  • Lee, Yong-Hyuk;Hyun, Sun-Hee;Choung, Se-Young
    • YAKHAK HOEJI
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    • v.50 no.3
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    • pp.177-183
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    • 2006
  • Women's aging made a functional decline at ovary, This functional problem causes estrogen deficiency and many disorders, such as, sexual dysfunction, obesity, osteoporosis, urinary incontinence, skin and all body's aging, etc. We determined the ameliorative effects of some herbal extracts mixture on postmenopausal symptoms in ovariectomized Sprague Dawley rats. Nine-weeks-old female rats were ovariectomized and treated with singled pomegranate extracts (0.40, 1.20 g/kg/day) and mixed pomegranate extracts (1.08, 3.24g/kg/day) for 8 weeks. Oral administration of pomegranate extracts for 8 weeks were increased serum estradiol level and improved the serum osteocalcin, ALP activity and bone specific ALP level. And pomegranate extracts were reduced body weight, adipose tissue. Uterus weight in treated group tended to improve. In addition, the concentrationl of triglyceride and total cholesterol were lower after 8 weeks. HDL-cholesterol levels improved with does-dependency in treated groups. Collagen level on skin and cartilage showed a slight increase at treatment for 8 weeks. $^{\infty}These$ results showed that both of singular extract treatments and extracts mixture treatments were effective on general postmenopausal symptoms at overiectomized rats, and especially, the mixture treatments were more effective than singular treatment. $^{\infty}In$ conclusion, these herbal extracts' mixture showed improvement effect in general factors related with postmenopausal disorders.