Journal of Korean Academy of Nursing (대한간호학회지)

Korean Society of Nursing Science (한국간호과학회)
권호 표지

Prevalence Rate and Associated Factors of Urinary Incontinence among Nursing Home Residents

노인요양시설 거주노인의 요실금 유병률과 관련요인

  • 김문실 (이화여자대학교 건강과학대학 간호과학부) ;
  • 이승희 (텍사스 주립대학교 간호대학)
  • Published : 2008.02.29
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: The aim of this study was to estimate the prevalence of urinary incontinence among nursing home residents and to identify the factors associated with this condition. Method: The data were collected from 618 subjects (146 males and 472 females; mean age $79.9{\pm}8.4$ yr; range 65-102 yr) of 30 nursing homes in Seoul, Gyeonggi-do and Gangwon-do in this cross-sectional study. The data were analyzed by chi-square test, t-test, and multiple logistic regression by using the SPSS/PC ver 12.0 program. Results: The prevalence of UI was 64.7% (64.6% in women; 65.1% in men). After adjustment for each of the variables considered in this study, six potential factors were strongly associated with UI: activities of daily living, comorbidity, age, cognition, specialty of the facility, and a bladder training program. Conclusion: Our finding suggests that it is necessary to develop a program for promotion of activities of daily living and to provide a bladder training program to prevent urinary incontinence among nursing home residents.

Keywords

References

  1. Carpenter, G. I. (2006). Accuracy, validity and reliability in assessment and in evaluation of services for older people: the role of the inter RAI MDS assessment system. Age Ageing, 35, 327-329 https://doi.org/10.1093/ageing/afl038
  2. Coppola, L., Caserta, F., Grassia, A., Mastrolorenzo, L., Altrui, L., Tondi, G., et al. (2002). Urinary incontinence in the elderly: Relation to cognitive and motor function. Arch Gerontol Geriatr, 35(1), 27-34 https://doi.org/10.1016/S0167-4943(01)00213-8
  3. Durrant, J., & Snape, J. (2003). Urinary incontinence in nursing homes for older people. Age Ageing, 32(1), 12-18 https://doi.org/10.1093/ageing/32.1.12
  4. Gasquet, I., Tcherny-lessenot, S., Gaudebout, P., Bosio Le Goux, B., Klein, P., & Haab, F. (2006). Influence of the severity of stress urinary incontinence on quality of life, health care seeking, and treatment: A national cross-sectional survey. Eur Urol, 50, 818-825 https://doi.org/10.1016/j.eururo.2006.03.052
  5. Hawes, C., Morris, J. N., Phillips, C. D., Mor, V., Fries, B. E., & Nonemaker, S. (1995). Reliability estimates for the minimum data set for nursing home resident assessment and care screening (MDS). Gerontologist, 35, 172-178 https://doi.org/10.1093/geront/35.2.172
  6. Holroyd-Leduc, J. M., Mehta, K. M., & Covinsky, K. E. (2004). Urinary incontinence and its association with death, nursing home admission, and functional decline. J Am Geriatr Soc, 52, 712-718 https://doi.org/10.1111/j.1532-5415.2004.52207.x
  7. Holtedahl, K., & Hunskaar, S. (1998). Prevalence, 1-year incidence and factors associated with urinary incontinence: a population based study of women 50-74 years of age in primary care. Maturitas, 28, 205-211 https://doi.org/10.1016/S0378-5122(97)00085-6
  8. International Continence Society (1976). First reports on the standardization of terminology of lower urinary tract function. Br J Urol, 48, 39-42 https://doi.org/10.1111/j.1464-410X.1976.tb02739.x
  9. Jennifer, T. A., Christopher, S. S., Jennifer, P., Larissa, V. R., & Mark, S. L. (2006). True prevalence of urinary incontinence among female nursing home residents. Urology, 67, 281-287 https://doi.org/10.1016/j.urology.2005.08.062
  10. Joo, Y. H., & Kim, J. S. (2000). A study on urinary incontinence of elderly communities. J Korean Comm Nurs, 11, 441-452
  11. Jumadilova, Z., Zyczynski, T., Paul, B., & Narayanan, S. (2005). Urinary incontinence in nursing home: resident characteristics and prevalence of drug treatment. Am J Manag Care, 11(4 Suppl), S112-120
  12. Kim, J. I. (2002). Prevalence of urinary incontinence and other urologic symptoms in a community residing elderly people. J Korean Acad Nurs, 32(1), 28-39 https://doi.org/10.4040/jkan.2002.32.1.28
  13. Kim, J. S. (1999). Prevalence of urinary incontinence among aged home residents. Unpublished master's thesis, Pusan national university, Pusan
  14. Kikuchi, A., Niu, K., Ikeda, Y., Hozawa, A., Nakagawa, H., Guo, H., et al. (2007). Association between physical activity and urinary incontinence in a community-based elderly population aged 70 years and over. Eur Urol, 52, 868-875 https://doi.org/10.1016/j.eururo.2007.03.041
  15. Korea National Statistical Office(2006, September), Population movement estimation, archived at http://www.nso.go.kr/nso2006/ k01_0000/k01c_0000/k01ca_0000/k01caa0000/k01caa0 000.html?method=view&board_id=4&seq=5&num=5&parent_ num=0&page=1
  16. Landi, F., Cesari, M., Russo, A., Onder, G., Lattanzio, F., Bernabei, R., et al. (2003). Potentially reversible risk factors and urinary incontinence in frail older people living in community. Age Ageing, 32, 194-199 https://doi.org/10.1093/ageing/32.2.194
  17. Miles, T. P., Palmer, R. F., Espino, D. V., Mouton, C. P., Lichtenstein, M. J., & Markides, K. S. (2001), New-onset incontinence and makers of frailty: Data from hispanic established populations for epidemiologic studies of the elderly. J Gerontol, 56A(1), 19-24
  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, 536-546
  19. Park, S. C., Koh, M. W., Lee, T. H., & Youn, H. S. (2004). The prevalence of urinary incontinence of the women in Daegu. Yeungnam Univ J Med, 21(1), 60-66
  20. Resnick, N. M., Brandeis, G. H., Baumann M. M., & Morris J.N. (1996). Evaluating a national assessment strategy for urinary incontinence in nursing home residents: Reliability of the minimum data set and validity of the resident assessment protocol. Neurourol Urodyn, 15, 583-598 https://doi.org/10.1002/(SICI)1520-6777(1996)15:6<583::AID-NAU1>3.0.CO;2-B
  21. Richard, L. N., & Sylvia, E. F. (2005). Risk factors for the development of fecal and urinary incontinence in Wisconsin nursing home residents. J Maturitas, 52, 26-31 https://doi.org/10.1016/j.maturitas.2004.12.001
  22. Raudenbush, S.W., & Bryk, A. S. (2002). Hierarchial linear models (2nd ed.), Thousands oaks: Sage Publications
  23. Ryu, S. A. (2006). Review on urinary incontinence of the cognitively impaired older adults. J Donshin Univ, 16, 547-561
  24. Saxer, S., Halfens, R. J., Muller, M., & Dassen, T. (2005). Risk factors for urinary incontinence in nursing home residents. Swiss Med Wkly, 135, 495-502
  25. Schnelle, J. F., Alessi C. A., Simmons, S. F., Al-Samarrai, N. R., Beck, J. C., & Duslander, J. G. (2002). Translating clinical research into practice: a randomized controlled trial of exercise and incontinence care in nursing home residents. J Am Geriatr Soc, 50, 1476-1483 https://doi.org/10.1046/j.1532-5415.2002.50401.x
  26. Schnelle, J. F., Cadogan M. P., Yoshii, J, Al-Samarrai, N. R., Osterweil, D., Bates-Jensen, B. M., et al. (2003). The minimum data set urinary incontinence quality indicators: do they reflect difference in care processes related to incontinence? Med Care, 41, 909-922 https://doi.org/10.1097/00005650-200308000-00005
  27. Thom, D. H., Haan, M. N., & Van Den Eeden, S. K. (1997). Medically recognized urinary incontinence and risks of hospitalization, nursing home admission and mortality. Age Ageing, 26, 367-374 https://doi.org/10.1093/ageing/26.5.367
  28. Valk, M., Moons, K. G., Cools, H. J., & Schrijvers, A. J. (2002). Classifying the probability of urinary incontinence in psychogeriatric nursing home patients. Arch Gerontol Geriatr, 34, 79-91 https://doi.org/10.1016/S0167-4943(01)00197-2
  29. Wagner, T. H., & Hu, T. W. (1998). Economic costs of urinary incontinence in 1995. Urology, 51, 355-361 https://doi.org/10.1016/S0090-4295(97)00623-7
  30. Watson, N., Brink, C., Zimmer, J., & Mayer, R. (2003). Use of the agency for health care policy and research urinary incontinence guideline in nursing homes. J Am Gerictric Soc, 51, 1779-1786 https://doi.org/10.1046/j.1532-5415.2003.51564.x