Research in Community and Public Health Nursing

Original Articles

Factors Influencing Urinary Incontinence Quality of Life among Elderly Women in Home Visiting Healthcare Services: Ae Young So, Sun Ah Park; J Korean Acad Community Health Nurs. 2021;32(3):243-253. Published online September 30, 2021; DOI: https://doi.org/10.12799/jkachn.2021.32.3.243

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Purpose
The purpose of this study is to identify factors affecting the urinary incontinence (UI) prevalence and the quality of life among elderly adult women who are subject to home visiting healthcare services.
Methods
A cross-sectional study was conducted with 400 women aged 60 or over who were registered for home health care services at one health center in Gangwon-do. Data were collected using a structured questionnaire consisting of UI severity, UI type, and the quality of life. The UI severity was assessed using International Consultation of Incontinence Questionnaire-Short Form (ICIQ-SF), the quality of life using Incontinence Quality of Life (I-QOL), and type of UI using Questionnaire for Urinary Incontinence Diagnosis (QUID). The data were analyzed by using x² test, independent t-test, one-way ANOVA, Pearson’s Correlation, binary logistic, and multiple lineal regression.
Results
The prevalence of UI is 51.7%. The mean score of ICIQ-SF was 9.70±4.04 for women with UI and 0.04±0.51 for women without UI (t=-33.67, c<.001). As the frequency of day time urination (OR=1.34), the subjective health status (OR=1.45), and the educational status (OR=0.90) were higher, the risk of UI prevalence was the higher. The factors affecting I-QOL were ICIQ-SF score, mixed UI, subjective health status, and nighttime urination (adjusted R² =.61).
Conclusion
The results of this study showed that UI severity, mixed UI, subjective health status, and day time urination affected the quality of life. It suggests that the assessment for the severity and type of UI be needed to prevent UI or improve the quality of life of UI vulnerable elderly adult women.

Citations

Citations to this article as recorded by

A Multisite Study on the Effect of a Urinary Incontinence Self-Management Program on Community-Dwelling Older Women in Korea
Sunah Park, Aeyoung So
Journal of Wound, Ostomy & Continence Nursing.2024; 51(1): 61. CrossRef

Influencing Factors on the Urinary Incontinence Related Quality of Life in Older Rural Women Aged 60 or Over: Ae Young So, Sun Ah Park; J Korean Acad Community Health Nurs. 2019;30(2):109-118. Published online June 30, 2019; DOI: https://doi.org/10.12799/jkachn.2019.30.2.109

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Abstract PDF

PURPOSE
The purpose of this study is to identify factors affecting the quality of life among community-dwelling older women with urinary incontinence (UI).
METHODS
A cross-sectional study was conducted with 475 women aged 60 or over who were recruited from 10 primary health care facilities in rural Korea. Data were collected using a structured questionnaire consisting of socio-demographic, health-related, and UI-related characteristics. The quality of life was assessed using Incontinence Quality of Life (I-QOL). SPSS/WIN 23.0 program was used to analyze descriptive statistics, Ï‡2 test, t-test, ANOVA, Pearsonâ€™s Correlation, and hierarchical regression.
RESULTS
Of 475 subjects, 180 (37.9%) had urinary incontinence. The mean scores of I-QOL of women with and without UI were 76.87 and 94.77, respectively. The results of hierarchical regression analysis show that the Questionnaire for Urinary Incontinence Diagnosis total score was the greatest influencing factor, followed by age and the International Consultation on Incontinence Questionnaire-Short Form total score.
CONCLUSION
The study revealed that factors related to UI symptoms are more likely to have impact on the quality of life in women with UI. It suggests that early detection or management of UI is important in improving the quality of life of women with UI.

Citations

Citations to this article as recorded by

Factors Influencing Urinary Incontinence Quality of Life among Elderly Women in Home Visiting Healthcare Services
Aeyoung So, Sunah Park
Journal of Korean Academy of Community Health Nursing.2021; 32(3): 243. CrossRef
Experience of Urinary Incontinence in Elderly Women in Urban Areas
Min Ryu, Haeyun Shin, Miseon Bang, Suhye Kwon
Journal of Korean Gerontological Nursing.2021; 23(3): 213. CrossRef

The Effect of a Workshop on a Urinary Incontinence Self-Management Teaching Program for Community Health Nurses: Ae Young So, Jennie C De Gagne, Sun Ah Park, Young Oak Kim; J Korean Acad Community Health Nurs. 2015;26(3):260-267. Published online September 30, 2015; DOI: https://doi.org/10.12799/jkachn.2015.26.3.260

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Abstract PDF

PURPOSE
This study aimed to examine the effectiveness of the workshop on the nurses' knowledge about urinary incontinence (UI) self-management, attitudes toward UI, and self-efficacy to plan and implement a UI self-help group program for their clients.
METHODS
A one-group pretest and posttest design was used to examine changes in knowledge, attitudes, and self-efficacy following a one-day training workshop. Twenty-seven community health nurses completed a questionnaire before and after the workshop. Before participating in the workshop, the participants were required to take a UI online continuing education program developed by the researchers. During the workshop, the participants took four sessions which consisted of an introduction of a self-help group program, demonstration of a 5-week UI self-management program contents, pelvic floor muscle training and biofeedback practice, and group discussions to plan the implementation in their workplaces.
RESULTS
A significant improvement in knowledge of and attitudes toward UI were found (t=3.53, p=.002; t=2.83, p=.009, respectively) after the workshop. Participants also demonstrated improvement in their self-efficacy to plan and operate a UI self-help group program (Z=-2.64, p=.008).
CONCLUSION
The one-day workshop for community health nurses is a feasible strategy to increase their abilities and confidence in operating a UI self-help group program.

Citations

Citations to this article as recorded by

Community nurses’ attitudes, knowledge and educational needs in relation to urinary continence, continence assessment and management: A systematic review
Margaret McCann, Anne‐Marie Kelly, Jessica Eustace‐Cook, Claire Howlin, Louise Daly
Journal of Clinical Nursing.2022; 31(7-8): 1041. CrossRef

A Study on Urinary Incontinence Related Health Problems in Women above Middle Age in Rural Areas and Their Coping with the Problems: Chun Mi Kim, Hung Sa Lee, Eun Man Kim; J Korean Acad Community Health Nurs. 2013;24(3):368-376. Published online September 30, 2013; DOI: https://doi.org/10.12799/jkachn.2013.24.3.368

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Abstract PDF

PURPOSE
The purpose of this study was to identify the current urinary incontinence states in women above middle age dwelling in rural areas and their coping with the problems.
METHODS
The participants were 261 women above middle age. Data were collected from February to May, 2012 using a structured questionnaire. The data were analyzed with the SPSS/WIN 20 program.
RESULTS
The frequency of urinary incontinence in women above middle age was 45.4%. There were significant differences in urinary incontinence due to age, education, job status, frequency of delivery, and menstrual status. And, there were significant relations among urinary symptoms, difficulty of ADL, incontinence stress and depression. Frequently used coping-methods with urinary incontinence were washing frequently in order to avoid awful smell, paying attention to perineal cleaning, and going to restroom frequently.
CONCLUSION
Community nurses who are in charge of primary health care ought to assess urinary incontinence and develop a urinary incontinence program that includes psychological and social factors.

Citations

Citations to this article as recorded by

Experience of Urinary Incontinence in Elderly Women in Urban Areas
Min Ryu, Haeyun Shin, Miseon Bang, Suhye Kwon
Journal of Korean Gerontological Nursing.2021; 23(3): 213. CrossRef
Long-Term Effects of a Self-management Program for Older Women With Urinary Incontinence in Rural Korea
Aeyoung So, Jennie C. De Gagne, Sunah Park
Journal of Wound, Ostomy & Continence Nursing.2019; 46(1): 55. CrossRef
Effects of Leg Strength Exercise on Muscle Strength, Flexibility and Symptoms of Urinary Incontinence of Elderly Women
Nam Young Yang, Yong Kwon Yoo, Min Sun Song
Korean Journal of Adult Nursing.2018; 30(4): 417. CrossRef
Urinary incontinence in women in relation to occupational status
Yoonjung Kim, Yeunhee Kwak
Women & Health.2017; 57(1): 1. CrossRef
Self-management Experiences of Older Korean Women With Urinary Incontinence
Sunah Park, SoonGyo Yeoum, Yoonjung Kim, Hye Jin Kwon
Journal of Wound, Ostomy & Continence Nursing.2017; 44(6): 572. CrossRef
The Effect of a Workshop on a Urinary Incontinence Self-Management Teaching Program for Community Health Nurses
Aeyoung So, Jennie C. De Gagne, Sunah Park, Young-Oak Kim
Journal of Korean Academy of Community Health Nursing.2015; 26(3): 260. CrossRef
A Urinary Incontinence Continuing Education Online Course for Community Health Nurses in South Korea
Jennie C. De Gagne, Sunah Park, Aeyoung So, Bei Wu, Mary H. Palmer, Eleanor S. McConnell
The Journal of Continuing Education in Nursing.2015; 46(4): 171. CrossRef
The Development of Neuromuscular Electrical Stimulation Medical Devices for The Treatment of Non-implantable Urinary Incontinence
Jae-Yong Lee, Chang-Doo Lee, Ki-Jin Kwon
The Transactions of the Korean Institute of Electrical Engineers P.2015; 64(3): 175. CrossRef

A Comparative Study on the Effects on Urinary Incontinence between Pelvic Floor Muscle Exercise and Magnetic Stimulation Therapy: Myung Sook Cho, Hae Young Kang; J Korean Acad Community Health Nurs. 2008;19(4):696-703. Published online December 31, 2008

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Abstract PDF: PURPOSE
To Perform a randomized comparative study investigating the effects of Pelvic Floor Muscle Exercise(PME) and Magnetic Stimulation Therapy(MST) and to identified the problems in each of PME & MST.
METHOD
Forty-nine patients with mild stress incontinence were randomly assigned to either of two treatment groups (24 patients in the PME group and 25 in the MST group). The PME group had a video exercising program for 40 times every day during 6 weeks. The MST group was treated with BioCon-2000TM, 2 times/week for six weeks. Pre-test and post-test were performed by Prineometer, 1-hour pad test. and Jackson's BFLUTS questionnaire of Jackson. Collected data were analysed using SAS 9.1 by frequency, Kolmogorov-Smirnov Z. Chi-Square-test, t-test, Fisher Exact probability test, Paired t-test, and Wilcoxon's rank sum test.
RESULTS
In comparison between before and after PME and MST, statistically significant difference was observed in maximal vaginal pressure, duration of vaginal contraction, amount of urine, and symptom of urination. In the comparison of the effectiveness between PME & MST, only the maximal of vaginal pressure (Z=2.58, p=.010) was significantly different.
CONCLUSION
The factor more effective in the MST group than in the PME group was high compliance.

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