I studied the urinary incontinence of elderly women in Korea.
The Purpose of this study was to identify the incidence of urinary incontinence of elderly women in Korea, to identify the sexual matter and the life style for urinary incontinence.
The sample consisted of 237 women of Seoul and 5 Provinces. Data for this study was collected from, January 16 to June 23 by structured questionnaire.
Urinary Symptom Questionnaire developed by Jackson and demographic questionnaire were used to collec the data.
The data was analyzed by frequency, percentage, ChiSquare test, Pearson] Correlation Coefficient, Chronbach´s alpha coefficient with SPSS/PC+ program.
Major finding was follows
1. It was reported that 64.5% of the subjects have experiencied urinary inconti:ience. And stress, urge, and mixed type incontinence was 34.0%, 8.5%, 57.5% respectively.
2. The distribution of age of subjects was as following; 6069(57.8%), 7079(27.4%), 80-89(12. 3%), more than 90(2.5%). The frequency of delivery, 0(4.3%), 12(15.1%), 34(30.1%), 56 (27.6%), more than 7(22.7%). The rate of subjects with menopause was 92.0%.
3. The lower Urinary symptoms and incidence with urinary incontinence were as following. Daily frequency 28.7%, nocturia 71.5%, urgency 74.0%, bladder pain 36.7%, unexplainned incontinence 35.1%, noctural incontinence 23.5%, frequency of incontinence 23.3%. Wearing protection 42.3%, changing outer clothing 31.0%, hesitancy 17.1%, straining 24.7%, intermittent stream 27.2%, abnormal strength of stream 28.4%, retention 13.6%, burning 5.0%, incomplete emptying 13.6%, Inability to stop mid stream 32.5%.
4. The sexual matters and incidence with urinary incontinence were as following. Dry vigina 21.2%, sex life trouble 3.5%, pain during sexual intercourse 5.9%, urine leakage during sexual intercourse 3.5%.
5. The life style and incidence with urinary incontinence were as following. Fluid intake restrition 18.60/o, affected daily task 30.3%, avoidance of places & situation 28.0%, interference in physical activity 22.3%, interference in relationship with other people 16.6%, interference in relationship with husband/companion 4.5%, time after attack of urinary symptoms 81.5%. In term of the feeling about the rest life with urinary symptom, perfectly happy 5.0%, pleased 10.6%, mostly satisfied 18.7 %, mixed feelings 28.6%, mostly dissatisfied 20.1%, very unhappy 16.8%, desperate 0.3%.
6. Significant relationship between three types of urinary incontinence and lower urinary symptom. Significant differences between Daily frequency(X2=17.786, P=0.0001), nocturia(X´=8.775, P=O. 012), urgency (X2=60.157, P=0.000), unexplainned incontinence (XZ=174.536,P=0.000), noctural incontinence (X2=34.472, P=0.000), abnormal strength of stream (XZ=10.839, P=0.004), Wearing protection (X Z=31.373, P=0.000), changing outer clothing (X´=24.244, P=0.000), hesitancy (XZ=26.529, P=O. 000), straining W=9.563, P=0.008), intermittent stream (X2 = 26.969, P=0.000), retention (X2 = 8.502, P=O. 014), burning(V=10.761, P=0.004), incomplete emptying (X´=6.281, P=0.043), Inability to stop mid stream(X1=13.712, P=0.001) of lower urinary symptom and three type of urinary incontinence.
7. Significant relationship between three types of urinary incontinence and life style. Significant differences between Fluid intake restrition(X2=6.193, P=0.045), affected daily task(XI =10.832, P=0.004), avoidance of places & situation (XZ=23.341, P=0.000), interference in physical activity (Xz=21.497, P=0.000), interference in relationship with other people (XZ=24.431, P=0.000), interference in relationship with husband/ companion (XI = 2.998, P=0.223), In term of the feeling about the rest life with urinary symptom(XZ =30.707´, P=0.002) of life style and three type of urinary incontinence.
In conclusion, this study were preliminary study to provide nursing practices guidelines for elderly urinary incontinence. Nurses working with elderly should develop and provide adequate care for the incontinent elderly subjects.
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