Journal of Korean Public Health Nursing (한국보건간호학회지)

Korean Society of public Health Nursing (한국보건간호학회)
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The Effect of an Exercise Program for Preventing Urinary Incontinence among Community-Dwelling Elderly Females Living Alone

일개 시 지역사회 거주 독거여성노인의 요실금예방 운동프로그램 중재효과

  • Song, Mi Sook (College of Nursing Institute of Nursing Science Ajou University) ;
  • Boo, Sunjoo (College of Nursing Institute of Nursing Science Ajou University)
  • 송미숙 (아주대학교 간호대학.간호과학연구소) ;
  • 부선주 (아주대학교 간호대학.간호과학연구소)
  • Received : 2016.05.03
  • Accepted : 2016.08.19
  • Published : 2016.08.31
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Abstract

Purpose: The purpose of this study was to evaluate the effects of a comprehensive exercise program for the prevention of urinary incontinence (UI), frailty, and depression, as well as the promotion of physical function in community-dwelling elderly female living alone. Methods: A nonequivalent control group pretest-posttest design was employed. The participants were 76 vulnerable elderly female with a mild-to-moderate urinary incontinence. The exercise group completed 12 weeks of a moderate intensity, comprehensive exercise program. Descriptive statistics, independent t-tests and ANCOVA were used for data analysis with SPSS. Results: Upon the completion of the 12-week exercise program, significant improvements for UI symptoms (p=.001), timed up and go (p<.001), frailty (p=.006), and depression (p<.001) were observed, but not for hand grip strength (p=.053). Conclusion: The findings of this study indicate that the 12-week comprehensive exercise program for the prevention of urinary incontinence had positive effects on improving UI symptoms, physical function, levels of frailty and depression in elderly women living alone. More prolonged exercise programs with other types of exercise should be developed for these vulnerable elderly women, and future studies are encouraged to confirm the effect of the comprehensive exercise program in other settings.

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References

  1. Choi, I. H. (2008). The effects of pelvic floor muscle exercise on urinary symptoms and quality of life in women with stress urinary incontinence. Journal of Korean Academy of Community Health Nursing, 19(1), 46-56.
  2. Choi, K. W., Park, E. A., & Lee, I. S. (2012). Homebound status and related factors according to age in female elders in the community. Journal of Korean Academy of Nursing, 42(2), 291-301. http://dx.doi.org/10.4040/jkan.2012.42.2.291
  3. Choi, K. W. & Park, E. A. (2013). The severity of urinary incontinence and relevant factors in low-income elderly women. Journal of the Korean Gerontological Society, 33(2), 335-347.
  4. Hanam Health Center (2014). Reports for visiting health management project. Hanam: Ajou university college of nursing.
  5. Holroyd-Leduc, J. M., Mehta, K. M., & Covinsky, K. E. (2004). Urinary incontinence and its association with death, nursing home admission, and functional decline. Journal of the American Geriatrics Society, 52(5), 712-718. http://dx.doi.org/10.1111/j.1532-5415.2004.52207.x
  6. Jang, I. S. & Park, E. O. (2013). The prevalence and factors of falls among the community-dwelling elderly. Journal of Korean Public Health Nursing, 27(1), 89-101. https://doi.org/10.5932/JKPHN.2013.27.1.89
  7. Jeong, S. S. & Kim, J. S. (2014). Comparison of health behaviors and health level between elders living alone and those living with a spouse. Global Health and Nursing, 4(1), 27-36.
  8. Kang, H. K. & Hong, G.-R. S. (2015). Effect of muscle strength training on urinary incontinence and physical function: A randomized controlled trial in long-term care facilities. Journal of Korean Academy of Nursing, 45(1), 35-45. http://dx.doi.org/10.4040/jkan.2015.45.1.35
  9. Kee, B. S. (1996). A preliminary study for the standardization of geriatric depression scale short form-Korea version. Journal of the Korean Neuropsychiatric Association, 35(2), 298-307.
  10. Kim, E. H. (2011). A study on the effects of thera-band exercise program for frail elderly. Journal of the Korean Data Analysis Society, 13(3), 1241-1254.
  11. Kim, H. G. & Nam, H. K. (2011). The effect of thera band exercise on muscle flexibility, balance ability, muscle strength in elderly women. Journal of Korean Academy of Community Health Nursing, 22(4), 451-457. http://dx.doi.org/10.12799/jkachn.2011.22.4.451
  12. Kim, I. J., Lee, E. O., & Choi, H. J. (2003). Perceived barriers to exercise of adults: Difference by age, gender and residence. Journal of Korean Academy of Adult Nursing, 15(2), 193-204.
  13. Kim, K. H., Park, H. J., Jin, L. H., Kang, Y. H., & Shin, K. R. (2007). The correlation among quality of life, depression, and urinary incontinence of elderly women in a urban city. Journal of the Korean Gerontological Society, 27(4), 943-962.
  14. Kim, M. S. & Lee, S. H. (2008). Prevalence rate and associated factors of urinary incontinence among nursing home residents. Journal of Korean Academy of Nursing, 38(1), 92-100. http://dx.doi.org/10.4040/jkan.2008.38.1.92
  15. Kim, Y. J. (2007). Differences in health, economic status, and social relations of female elderly living alone : A comparative analysis of residental areas including urban, rural, fishing, and island communities in Chungcheong province. The Korean Journal of Community Living Science, 18(3), 417-431.
  16. Ko, Y. M. & Cho, Y. (2013). Different influence of risk factors on self-rated health between the economically poor and non-poor elderly populations living alone: Based on one sub-area in Seoul. Korean Journal of Health Education and Promotion, 30(2), 41-53. http://dx.doi.org/10.14367/kjhep.2013.30.2.041
  17. Lee, D. Y. & Park, J. D. (2011). A study on the factors for the elderly living alone at home to determine their participation in a health promotion activity program: With the application of Anderson model. Social Welfare Policy, 38(4), 1-23.
  18. Lin, Q. L., Kim, H. K., & Ann, J. S. (2011). Relationship between depression and quality of life in elderly women living alone: The moderating and mediating effects of social support and social activity. Journal of the Korean Gerontological Society, 31(1), 33-47.
  19. Matos, L. C., Tavares, M. M., & Amaral, T. F. (2007). Handgrip strength as a hospital admission nutritional risk screening method. European Journal of Clinical Nutrition, 61(9), 1128-1135. http://dx.doi.org/10.1038/sj.ejcn.1602627
  20. Ministry of Health and Welfare Affairs. (2011). Guidebook for 2013 community integrated health promotion program. Seoul: Author.
  21. Park, J. S. & Oh, Y. J. (2012). Factors influencing empowerment of customized home visiting health care services beneficiaries. Journal of Korean Public Health Nursing, 26(3), 491-503. https://doi.org/10.5932/JKPHN.2012.26.3.491
  22. Park, O., Kwon, I., & Kang, Y. (2001). A study on urinary incontinence of elderly women in a community. Korean Journal of Women Health Nursing, 7(4), 536-546.
  23. Shaw, C., Tansey, R., Jackson, C., Hyde, C., & Allan, R. (2001). Barriers to help seeking in people with urinary symptoms. Family Practice, 18(1), 48-52. https://doi.org/10.1093/fampra/18.1.48
  24. Shin, K. R., Kang, Y. H., & Oak, J. (2008). The relationship of quality of sleep, depression, late-life function and disability (LLFDI) in community-dwelling older women with urinary incontinence. Journal of Korean Academy of Nursing, 38(4), 573-581. http://dx.doi.org/10.4040/jkan.2008.38.4.573
  25. Shin, M. K. & Shin, S. J. (2008). Effects of group exercise program tailored by physical fitness on perceived health status, physical strength, depression and cognitive function of the elderly. Korean Journal of Adult Nursing, 20(4), 613-625.
  26. Shinkai, S., Fujita, K., Fujiwara, Y., Kumagai, S., Amano, H., Yoshida, H., Wang, D. G., & Watanabe, S. (2005). Prevalence and characteristics of different types of homeboundness among community-living older adults. Japanese Journal of Public Health, 52(6), 443-455.
  27. Sim, M. S. (2007). The living experiences of low-income elderly living alone. Journal of Korean Public Health Nursing, 21(2), 171-181.
  28. Steffen, T. M., Hacker, T. A., & Mollinger, L. (2002). Age-and gender-related test performance in community-dwelling elderly people: Six-minute walk test, berg balance scale, timed up & go test, and gait speeds. Physical Therapy, 82(2), 128-137. https://doi.org/10.1093/ptj/82.2.128
  29. Sung, M. H., Lim, Y. M., & Joo, K. S. (2011). The relationship between social support and loneliness in elderly women living alone. Journal of Korean Public Health Nursing, 25(1), 95-106.
  30. SunWoo, D., Lee, S. H., Park, J. S., Bae, S. S., Cho, Y. H., Kim, C. B., Koh, K. W., & Kim, Y. A. (2008). Analysis of the effects of muscle strength exercise on physical function and quality of life in the frail elderly. Korean Journal of Health Education and Promotion, 25(1), 39-53.
  31. Vinsnes, A. G., Helbostad, J. L., Nyronning, S., Harkless, G. E., Granbo, R., & Seim, A. (2012). Effect of physical training on urinary incontinence: A randomized parallel group trial in nursing homes. Clinical Interventions in Aging, 7, 45-50. http://dx.doi.org/10.2147/cia.s25326
  32. Yesavage, J. A., Brink, T., Rose, T. L., Lum, O., Huang, V., Adey, M., & Leirer, V. O. (1983). Development and validation of a geriatric depression screening scale: A preliminary report. Journal of Psychiatric Research, 17(1), 37-49. https://doi.org/10.1016/0022-3956(82)90033-4
  33. Yoon, H. S., Kwon, I. S., Park, S. P., & Cho, Y. C. (2008). Urinary incontinence and its association with depression, cognitive function, and daily living activity in elderly women. Journal of Korean Mother-child Health Care, 12(2), 242-254.

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