Factors Affecting the Severity of Urinary Incontinence and the Quality of Life of Women with Urinary Incontinence

여성 요실금 환자의 요실금 중증도 및 삶의 질에 대한 영향요인 분석

  • Published : 2005.06.01

Abstract

Purpose: This study was conducted to investigate the factors that affect the severity of urinary incontinence and the quality of life of women with urinary incontinence. Methods: An exploratory correlation research design was applied and the sixty women who responded that they currently experience involuntary urine leakage at least once per week were invited to participate in the study. Results: According to the study results, the factors that significantly contribute to the severity of urinary incontinence were age, number of parity, and number of normal deliveries. Other influencing factors, such as obesity, menopausal state, hysterectomy, and number of episiotomies, were not significant to predict the severity of urinary incontinence. Urinary incontinence frequency per week and duration of experiencing urinary incontinence were shown to be factors that significantly affect quality of life. Conclusion: In women above 60 years old, multiparity, and multiple experiences of vaginal delivery tended to present a higher level of severity of urinary incontinence. In addition, women with higher frequencies of urinary incontinence per week and a longer duration of urinary incontinence showed a lower level of quality of life.

Keywords

References

  1. Bortolotti, A., Bernardini, B., Colli, E., Di Benedetto, P., Giocoli Nacci, G., Landoni, M., Lavezzari, M., Turchi, P., Sessa, A., & Mirone, V. (2000). Prevalence and risk factors for urinary incontinence in Italy. Eur Urol, 37, 30-35 https://doi.org/10.1159/000020096
  2. Burgio, K. L., Matthews, K. A., & Engel, B. T. (1991). Prevalence, incidence and correlates of urinary incontinence in healthy, middle-aged women, Am Urol Assoc Inc, 146, 1255-1259
  3. Chiaffarino, F., Chatenoud, D., Dindelli, M., Meschia, M., Buonaguivdi, A., Amicarelli, F., Surace, M., Bertola, E., Di Clintio, E., Parazzini, F. (1999). Reproductive factors, family history occupation and risk of urogenital prolapse. Eur J Obstet Gynecol, 82, 63-67 https://doi.org/10.1016/S0301-2115(98)00175-4
  4. Choi, Y. H., & Baik, S. H. (1998). The incidence of urinary incontinence and influences on quality of life among elderly women. J Kor Acad of Adult Nurs, 10(1), 15-31
  5. Dwyer, P. L., Lee, E. T., & Hay, D. M. (1988). Obesity and urinary incontinence in women. Br J Obstet Gynecol, 95, 91-94 https://doi.org/10.1111/j.1471-0528.1988.tb06486.x
  6. Diokno, A. C., Estanol, M. V., & Mallett, V. (2004). Epidemiology of lower urinary tract dysfunction, Clin Obstet Gynecol, 47(1), 36-43 https://doi.org/10.1097/00003081-200403000-00007
  7. Elving, L. B., Foldspang, A., & Lam, G. W. (1989). Descriptive epidemiology of urinary incontinence in 3110 women 30-59, Scan J Urol Nephrol Suppl, 125, 37-43
  8. Farrell, S. A., Allen, V. M., & Baskett, T. F. (2001). Parturition and urinary incontinence in primiparas. Obstet Gynecol, 97, 350-356 https://doi.org/10.1016/S0029-7844(00)01164-9
  9. Hannestand, Y. S., Rertveit, S., Dalveit, A. J., & Hunskaar, S. (2003). Are smoking and other lifestyle factors associated with female urinary incontinence? The Norwegian EPINCONT study. Br J Obstet Gynecol, 110, 247-254 https://doi.org/10.1046/j.1471-0528.2003.02327.x
  10. Hendrickson, S. L. (1981). The frequency of stress incontinence In women before and after the implementation of an exercise program. Issues in Health Care of Women 3, 81-92 https://doi.org/10.1080/07399338109515579
  11. Harding, U., Pedersen, K. H., Sidenius, K., & Hedegaard, L. (1986). Urinary incontinence in 45-year old women. Scand J Urol Nephrol, 20, 183-186 https://doi.org/10.3109/00365598609024491
  12. Jolleys, J. V. (1988). Reported prevalence of urinary incontinence in a general practice. BMJ, 296, 1300-1302 https://doi.org/10.1136/bmj.296.6632.1300
  13. Kim, J. S., & Lee, J. Z. (1999). The prevalence of urinary incontinence in elderly women at institutionalized facilities in Pusan. Korean J Urol 40(8), 1019-1023
  14. Kim, H. J., Lee, H. S., Lee, S. H., SHim K. W., Suh, H. S., Kong, K. A., & Lee, H. J. (2003). The impact of urinary incontinence on the quality of life in women, J Kor Acad Fam Med, 24, 709-714
  15. Kinchen, K., Burgio, K., Diokno, A. C., Fultz, N. H., Bump, R., & Obenchain, R. (2002). Prevalence and frequency of stress urinary incontinence among community-dwelling women, Eur Urol, Suppl 1, 85
  16. Lee, Y. S. (1993). The effect of pelvic floor muscle exercise on female urinary incontinence, Unpublished Doctoral Dissertation, Yonsei University, Seoul
  17. Parazzini, F., Chiaffarino, F., Lavezzari, M., & Giambanco, V. (2003). On behalf of VIVA study group, Int J Obstet Gynecol, 110, 927-933
  18. Park, O. H., Kwon, I. S., & Kang, Y. S. (2001). A study on urinary incontinence of elderly women in a community. Korean J Women Health Nurs, 7(4), 536-546
  19. Persson, J., Wolner-Hanssen, P., & Rydhstroem, H. (2000). Obstetric risk factors for stress urinary incontinence: A population-based study. Obstet Gynecol, 96, 440-445 https://doi.org/10.1016/S0029-7844(00)00950-9
  20. Rortveit, G., Hannestad, Y. S., Dalveit, A. K., & Hunskaar, S. (2001). Age-and type-dependent effects of parity on urinary incontinence: the Norwegian EPINCONT study. Obstet Gynecol, 98, 1004-1010 https://doi.org/10.1016/S0029-7844(01)01566-6
  21. Thomas, T. M., Plymat, K. R., Blannin, J., & Meade, T. W. (1980). Prevalence of urinary incontinence. BMJ, 281, 1243-1245 https://doi.org/10.1136/bmj.281.6250.1243
  22. Ushiroyama, T., Ikeda, A., & Ueki, M. (1999). Prevalence, incidence, and awareness in the treatment of menopausal urinary incontinence. Maturitas, 33, 127-132 https://doi.org/10.1016/S0378-5122(99)00043-2
  23. Viktrup, L., Lose, G., & Rolff, M. (1992). The symptom of stress incontinence caused by pregnancy or delivery in primiparas. Obstet Gynecol, 79, 945-949
  24. Yoon, H. S., & Ro, Y. Z. (1997). Incidence and correlates of urinary incontinence in women, J Kor Acad Nur, 27(3), 683-693