• 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.

• 임상간호연구
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• 제15권2호
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• pp.91-102
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• 2009

Purpose: This study was done to examine the effect of a urinary incontinence management program on physical symptoms, daily life problems, and sexual life problems for women with mixed urinary incontinence. Methods: This study was conducted using a one group pre-test and post-test design. For the survey, 28 women having mixed urinary incontinence were chosen by convenience sampling and agreed to participate in this study. Their physical symptoms (urinary symptoms, maximum vaginal contraction pressure, and duration of vaginal contraction), daily life problems, and sexual life problems were measured. For descriptive statistics and Wilcoxon signed-rank test were used with SPSS Win 14.0. Results: There were statistically significant differences in the mean scores of physical symptoms (urinary symptoms and maximum vaginal contraction pressure), daily life problems, and sexual life problems. Conclusion: This urinary incontinence management program showed improvements in physical symptoms, daily life, and sexual life of women in the sample. The study results indicate that for effective urinary incontinence management programs nurses should recognize the importance of continual treatment and also develop coping strategies that have sensitivity and are appropriate for patients' daily and sexual problems.

• 대한간호학회지
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• 제35권8호
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• pp.1476-1484
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• 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.

• 한국컴퓨터정보학회논문지
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• 제27권1호
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• pp.115-128
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• 2022

본 연구는 50대 이상 여성을 대상으로 요실금 증상 및 요실금 제품에 대한 착용실태 및 구매실태, 선호도 등을 조사 분석하고자 하였다. 연구는 설문지법으로 이루어졌으며, 분석에는 SPSS 26.0 프로그램을 활용하였다. 요실금 패드와 팬티 구입 시 방수기능, 흡수속도 등이 중요한 것으로 인식되었다. 요실금 제품의 추가 희망 기능은 샘 방지 기능이 가장 많았고, 선호 색상은 살색이 많았다. 요실금 횟수가 많을 때 흡수기능, 요실금 양이 적을 때는 치수나 맞음새가 중요하였지만, 요실금 양이 많아지면 방수기능이 중요한 것으로 나타났다. 요실금 발생빈도가 높고 요실금 양이 많을 때 샘 방지 기능이 추가되기를 희망하였고, 팬티형 패드를 선호하였다. 분만 횟수가 많을수록 요실금의 양도 많았으며, 요실금 증상도 빈번하게 나타나는 것으로 분석되었다. 폐경 연령에 따라서도 요실금 양에 유의미한 차이를 나타내 조기 폐경 시 요실금 양이 많은 것을 알 수 있다.

• 가정간호학회지
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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.

• 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.

• 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.

• 한국농촌간호학회지
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• 제4권2호
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• pp.94-102
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• 2009

Purpose: The objective of this study was to evaluate the effects of a urinary incontinence management program for middle aged women living in a rural area. Method: The research design was a one-group pretest-posttest design. Forty eight women with urinary incontinence aged 40-64, who lived in a rural area were included in the study. The urinary incontinence management program was composed of urinary incontinence education, pelvic floor muscle exercise, behavior management using a voiding diary. The program had three weekly sessions. Knowledge about urinary incontinence, physical symptoms, self-efficacy, and urinary incontinence related quality of life were measured before and after the program. Results: After carrying the urinary incontinence management program, knowledge score improved significantly compared to before the program ($6.31{\pm}3.30$ vs $7.77{\pm}2.55$, p=.01). But the score for self-efficacy, and urinary incontinence related quality of life did not improve. Conclusion: The 3 week urinary incontinence program had an effect on knowledge related to urinary incontinence, but not self efficacy nor urinary incontinence related quality of life. Thus further study is required to better evaluate the effects of the urinary incontinence program.

• The Journal of Korean Physical Therapy
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• 제13권2호
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• pp.305-312
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• 2001

The purpose of this study were to identify the characteristics of incontinence in adult women and to identify it's relating factors, physiology, evaluation and treatment related urinary incontinence. Urinary incontinence is a common health problem for adult women. And the symptoms of urinary incontinence are causes of discomfort, shame, loss of self-confidence and result in sufferers to withdraw from social life. But many do not report this problem until they have had the symptoms for a long time. So physical therapy protocol for assessment, treatments, educational programs should be implemented in primary care setting. In conclusion, this study revealed that self·care agency may be a important that it would be necessary to promote quality of life in urinary incontinence women.

• 대한한방부인과학회지
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• 제19권2호
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• pp.261-270
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• 2006

Purpose : The purpose of this study is to show the effect of acupuncture, moxibustion and magnetic innervation therapy for urinary incontinence symptoms. Methods : Ten female patients suffering from urinary incontinence had been given the treatments of acupuncture, moxibustion and magnetic innervation therapy for more than 8 times. Before and after treatment, they accomplished questionnaire for quality life survey and checked vaginal pressure measurement with perionometer. Results : The results were as follows 1) The mean${\pm}SD$ of Questionnaire score was significantly decreased from $35.40{\pm}11.88$ to $21.20{\pm}7.66$ after treatment(P<&0.047). 2) The mean${\pm}SD$ of maximum vaginal presssure was significantly increased from $48.80{\pm}25.35mmHg$ to $62.20{\pm}25.09mmHg$(p<&0.040). 3) The mean${\pm}SD$ of average vaginal presssure was significantly increased from $33.50{\pm}19.62mmHg$ to$43.10{\pm}16.49mmHg$(p<&0.015). Conclusion : Our results suggested that acupuncture, moxibustion and magnetic innervation therapy is effective for urinary incontinence symptoms.