Influencing Factors on the Urinary Incontinence Related Quality of Life in Older Rural Women Aged 60 or Over

Article information

Res Community Public Health Nurs. 2019;30(2):109-118

Publication date (electronic) : 2019 June 28

doi : https://doi.org/10.12799/jkachn.2019.30.2.109

Aeyoung So ¹

, Sunah Park ²

¹Professor, Department of Nursing, Gangneung-Wonju National University, Wonju, Korea.

²Associate Professor, Department of Nursing, Gangneung-Wonju National University, Wonju, Korea.

Corresponding author: Park, Sunah. Department of Nursing, Gangneung-Wonju National University, 150 Namwon-ro, Heungeop-myeon, Wonju 26403, Korea. Tel: +82-33-760-8644, Fax: +82-33-760-8641, suna73@gwnu.ac.kr

Received 2018 September 05; Revised 2019 February 17; Accepted 2019 February 17.

Abstract

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, χ² test, t-test, ANOVA, Pearson’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.

Keywords: Urinary incontinence; Women; Quality of life

Notes

This research has been supported by the AMOREPACIFIC Foundation.

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Article information Continued

Korean Academy of Community Health Nursing

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Funded by : AMOREPACIFIC Foundation

Table 1

Baseline Characteristics of the Subjects (N=475)

Missing value excluded; UI=urinary incontinence; BMI=body mass index; ICIQ-SF=international consultation of incontinence questionnaire- short form; QUID=questionnaire for urinary incontinence diagnosis; TB-WEB=Toileting Behavior: Women's Elimination Behaviors; I-QOL=incontinence quality of life; ^†Lubben Social Network Scale-6, Higher scores indicate more social engagement; ^‡Higher scores indicate more bad health status; ^§Higher scores indicate more UI severity.

Table 2

Toileting Behavior, International Consultation of Incontinence Questionnaire, and Incontinence Quality of Life according to Characteristics of Women with UI (N=180)

Missing value excluded; TB-WEB=Toileting Behavior: Women's Elimination Behaviors; ICIQ-SF=international consultation of incontinence questionnaire-short form; I-QOL=incontinence quality of life; UI=urinary incontinence.

Table 3

Correlations among Socio-demographic Factors, Health-related Factors, UI-related Factors and the Incontinence Quality of Life

UI=urinary incontinence; BMI=body mass index; ICIQ-SF=international consultation of incontinence questionnaire-short form; QUID=questionnaire for urinary incontinence diagnosis; TB-WEB=Toileting Behavior: Women's Elimination Behaviors; I-QOL=incontinence quality of life.

Table 4

Factors Influencing the Urinary Incontinence Quality of Life (N=180)

BMI=body mass index; ICIQ-SF=international consultation of incontinence questionnaire-short form; QUID=questionnaire for urinary incontinence diagnosis; TB-WEB=Toileting Behavior: Women's Elimination Behaviors; ^†Dummy coded (alone=0,≥2=1); ^‡Dummy coded (no=0, yes=1).