Journal of Korean Academy of Nursing (대한간호학회지)

Korean Society of Nursing Science (한국간호과학회)
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Prevalence of Urinary Incontinence and Other Urologic Symptoms in a Community Residing Elderly People

일개지역 고령자의 요실금의 유병률, 지식 및 배뇨특성

  • 김증임 (순천향대학교 간호학과)
  • Published : 2002.02.01
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Abstract

The purpose of this study was to measure the prevalence of urinary incontinence (UI), urologic symptoms, chronic health problems they have, and to explore whether the differences in incidence of UI ware by age, sex, voiding pattern, and chronic health problems. Method: 298 subject were selected, age range from 60 to 94 years residing in one city, in republic of Korea. Data was collected presence of UI, urologic symptoms, chronic health problems, knowledge, and the discomfort with incontinent. Collected data was analyzed with frequency, percentage, t-test, and $\chi$2-test. Result: The results of this study are as follows: 1. Mean age was 71.4 years. Prevalent rate of UI was 17.0%, woman showed more than man. 2. UI incidence was significant in age (t=7.84, p=.000), sex ($\chi$2 =9.47, p=.002), and voiding frequency ($\chi$2=18.34, p=.000). Also, UI incidence was significant relationship with chronic health problem of heart disease ($\chi$2 =10.65, p=0.001), hypertension ($\chi$2=4.04, p= 0.046) and respiratory problem ($\chi$2=9.67, p=0.002). 3. The UI was grouped into urgent incontinence (45%), stress incontinence (33%), and combined (22%). UI occurred during the daytime 48% and 17% at night. 4. Only 9.8 % of the UI seek advice and/or treatment for their symptoms, almost 90 % remained untreated due to lack of knowledge or improper information. 5. The discomforts due to their UI was no significant difference in their condition, the urgent use of the rest room, leaking urine, and nocturia. Conclusion: This study suggests that 1 year and 3 year follow-up study is needed to compare health status of UI. Also suggests intervention study for urologic discomfort of incontinent and behavioral education for the elderly are needed.

Keywords

References

  1. Diokone, A. C, Brock, B. M, & Brown, M. B, & Herzog, A. R. (1986). Prevalence of urinary Incontinence and other urologic symptoms in the noninstitutionalized Elderly. J Urol, 136, 1022-1025
  2. Flaherty, J. H, Takahashi, R, Teoh, J, Kim, J, Habib, S., Ito, M., & Matsushita, S. (2001). Use of alternative medical therapies among older American and Japanese: prevalence, reporting patterns, and perceived effectiveness. J Gerontology: Medical Sciences, 56, M1-M6
  3. Fults, N. H. & Herzog, A. R. (2001). Self-reported social and emotional inpact of urinary ircoctineoce, J Am Geriatr Soc, 49(7), 998-999 https://doi.org/10.1046/j.1532-5415.2001.49194.x
  4. Gravira lglesias, F. J, Caridad, Y, Ocerin, J. M., perez del Molino Martin, J, Valderrama Gama, E, Lopez Perez, M., Romero Lopez, M., Pavon Aranguren, M. Y, Guerrero, & Munoz, J. B. (2000). prevalence and psychosocial inpact of urinary incontinence in older people of a Spanish rural population. J Gerontol A Bio Sci Med Sci, April, 55(4), M 207-14
  5. International Continence Society (1976). First reports on the standardization of terminology of lower urinary tract function, Br J Urol, 48, 39-42
  6. Jackson, S., Donovan, J, Brookes, S., Ecktorel, S., Swithinbank, L, & Abrams, P. (1996) The Bristol female lower urinary tract symptoms questionnaire: development and psychometric testing. Br J Urol, 77(6), 805-812
  7. Kang, K. J. (1996). The study of stress urinary incontinence in the elderly. Unpublished master thesis, Seoul National University, Seoul
  8. Keller, S. L. (1999) Urinary incontinence occurrence, knowledge, and attitudes among women aged 55 and older in a rural Midwestern setting. JWOCN, 26(1), 30-38
  9. Kim, G., Rhee, S. J, Kim, J. H, & Chun, B. C, (1997). Urinary incontinence and associated factors in the elderly, Korean J Gerontology, 17(3), 70-96
  10. Kim, J. I, Kanagawa, K, & Saito, E(1997, June 20). Actudl condition cf urinary incontinence in community residing women Paper presented at 1st Conference of Japanese Community Health Nursing Academy. Tokyo (in Japanese)
  11. Kim, J. I. (1999). Relatiomhips between continence self-efficacy and PFM exercise adherence in patients with stress urinary inocontinence. urocblisfed doctoral dissertaton, The University of Tokyo, Tokyo
  12. Kim, J. I, Kanagawa, K, & Matsuzaki, Y. (1999, June). Psychosocial impact of patients with urinary incontinence: a comparison of community residents and outpatients Poster session presented at 6th Asia/Oceania Regional Congress of Cerontology, Seoul. 8-11
  13. Kim, J. I., Kanagawa, K, & Nishimura, K. (1999). Incontinence stress and continence self-efficacy in women with attending the pelvic floor muscle exercise education program in the community. Paper presented at 2nd Conference of Japanese Community Health Nursing Academy, Yamanashi, June 19-20(in japanese)
  14. Kim, J. I. (2001). Continence efficacy interven-tion program for community residing women with stress urinary incontinence in Japan PHN, 18(1), 64-72
  15. Kitagawa, et. al. (1993). How do we deal with urinary ircoainerce Japan Public Health Assoc, Tokyo
  16. Korea National Statistical Office (2000). www.nso.go.kr/ total tertility retes/index of aging
  17. Lee, K. J., Kim, M. K, & Song, H. Y.(1997). The Effects of promepted voiding therapy on urinary incontinence control of elderly patients. J Korean Acad Nurs, 27(4), 943-952
  18. Lee, K Seo, O., & Park, J. D.(1994). The life condition and its Polish task in the elderly. KIHASA
  19. Miller, C. A. (1995). Nursing care of older adults, J.B. Lippincott Company
  20. Ministry of Health and Welfare MOHW(2000). A report em population in Korea, Seoul
  21. Nakanishi, N., Tatera, K, Shinsho, F., Murakami, S., Takatcrige, T, Fukuda, H, Nakajima, K, & Naramura, H. (1999). Mortality in relation to urinary and faecal incontinence in elderly people living at home. Age Ageing, 28(3), 301-306
  22. Ooslander, J. G., Kane, R. L., & Abrams, L. B. (1982). Urinary incontinence in elderly nursing home patients, JAMA, 248, 1194-1198
  23. Roe, B. & Doll, H.(1999). Lifestyle factors and continence status: comparison of self-report data from a postal survey in England JWOCN, 26(6), 312-312, 315-319
  24. Roe, B., Doll, H, & Wilson, K. (1999). Help seeking behavior and health and social services utilisation by people suffering from urinary incontinence. Int J Nurs Stud, 36(3), 245-253
  25. Roe, B., & Doll, H (2000). Prevalence of urinary incontinence and its relationship with health status. J Clin Nus, 9(2), 178-187
  26. Tobin, G. W, & Brocklehurst, J. C. (1986). Faecal inccctirence in residential homes for the elderly: prevalence, aetiology and management, Age Ageing, 15, 41-46
  27. Tomas, T. M, Plymat, K R, Blannin, J, & Meader, T. W. (1980). Prevalence of urinary incontinence, BMJ, 281, 1243-1245
  28. Vetter, N., Jones, D., & Victor, C. (1988). Urinary incontinence in the elderly at home, Lancet, 2, 1275-1277 cited in Pa, MP. Incontinence the magnitude of the problem, Nurs a North Am, 23(1), 139-157
  29. Wetle, T, Scherr, P., Branch, L.G., Resnick, N. M., Harris, T, Evans, D., & Taylor, J. O. (1995). Difficulty with holding urine among older persons in a geograpically defined community: prevalence and correlates, AGS, 43, 349-355
  30. Wilsom, L, Brown, J. S., Shin, G. P., Luc, K. O., & Subak, L. L. (2001). Annual direct cost of urinary incontinence, Obstet Gynecol, 98(2), 398-406