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Factors associated with Lower Urinary Tract Symptoms for Patients with Parkinson's Disease

파킨슨병 환자의 하부요로증상에 영향을 미치는 요인

  • Song, Hyo-Jeong (Department of Nursing, Institute of Medical Science, Jeju National University) ;
  • Kang, Ji-Hoon (Department of Neurology, Jeju National University) ;
  • Lee, Eun-Joo (Department of Nursing, Jeju National University) ;
  • Huh, Jung-Sik (Department of Urology, Jeju National University) ;
  • Kim, Young-Joo (Department of Urology, Jeju National University) ;
  • Kim, Chul-Soo (Department of Computer Science and Statistics, Jeju National University) ;
  • Kim, Myung-Ja (College of Nursing, The Catholic University of Korea) ;
  • Chaung, Seung-Kyo (Department of Nursing, Semyung University) ;
  • Park, Hye-Ja (Department of Nursing, Pochon Cha University) ;
  • Kang, Hyung-Chang (Department of Computer Science and Statistics, Jeju National University) ;
  • Oh, Keun-Heau (Department of Nursing, Jeju National University)
  • 송효정 (제주대학교 간호학과, 제주대학교 의과학연구소) ;
  • 강지훈 (제주대학교 의학전문대학원 신경과) ;
  • 이은주 (제주대학교 간호학과) ;
  • 허정식 (제주대학교 의학전문대학원 비뇨기과) ;
  • 김영주 (제주대학교 의학전문대학원 비뇨기과) ;
  • 김철수 (제주대학교 자연과학대학 전산통계학과) ;
  • 김명자 (가톨릭대학교 간호대학) ;
  • 정승교 (세명대학교 간호학과) ;
  • 박혜자 (포천중문의과대학교 간호학부) ;
  • 강형창 (제주대학교 자연과학대학 전산통계학과) ;
  • 오근희 (제주대학교 간호학과)
  • Published : 2009.02.28

Abstract

Purpose: The study was done to identify lower urinary tract symptoms (LUTS) and to evaluate the factors affecting LUTS for the people with Parkinson's disease. Methods: The research design was a cross-sectional study with interviews using a structured questionnaire. The participants were 72 patients with Parkinson's disease who were seen in the Neurology clinic of a university hospital from September to November 2005. Results: Mean score of LUTS for the participants was 10.11. In each symptom score of LUTS (range 0-5), weak stream was the highest 2.06, followed by nocturia 1.71, and urgency 1.61. The severity of LUTS was moderate to severe group for 51%. LUTS were significantly different by regular exercise. Positive correlations were observed between Hoehn and Yahr stage (stage of disease severity) and frequencyand between Hoehn and Yahr stage and urgency (r=.280, p=.018; r=.328, p=.005). LUTS were significantly predicted by regular exercise (p=.001) which explained 15.0% of the variance in LUTS. Conclusion: Regular exercise was found to be a very important factor associated with LUTS for patients with Parkinson's disease.

Keywords

References

  1. Andersen, J. T. (1985). Disturbances of bladder and urethral function in Parkinson's disease. International Urology and Nephrology, 17, 35-41 https://doi.org/10.1007/BF02089401
  2. Andersen, J. T., & Bradley, W. E. (1976). Cystometric, sphincter and electromyelographic abnormalities in Parkinson's disease. The Journal of Urology, 116, 75-78
  3. Araki, I., & Kuno, S. (2000). Assessment of voiding dysfunction in Parkinson's disease by the international prostate symptom score. Journal of Neurology, Neurosurgery, and Psychiatry, 68, 429-433 https://doi.org/10.1136/jnnp.68.4.429
  4. Berger, Y., Blaivas, J. G., DeLaRocha, E. R., & Salinas, J. M. (1987). Urodynamic findings in Parkinson's disease. The Journal of Urology, 138, 836-838
  5. Choi, H. R., Chung, W. S., Shim, B. S., Kwon, S. W., Hong, S. J., Chung, B. H., et al. (1997). Prevalence and characteristics of prostatism in Korea: Application of I-PSS. Korean Journal of Urology, 38, 1067-1074
  6. Defreitas, G. A., Lemack, G. E., Zimmern, P. E., Dewey, R. B., Roehrborn, C. G., & O'Suilleabhain, P. E. (2003). Distinguishing neurogenic from non-neurogenic detrusor overactivity: A urodynamic assessment of lower urinary tract symptoms in patients with and without Parkinson's disease. Urology, 62, 651-655 https://doi.org/10.1016/S0090-4295(03)00507-7
  7. Grimby, A., Milsom, I., Molander, U., Wiklund, I., & Ekelund, P. (1993). The influence of urinary incontinence on the quality of life of elderly women. Age and Ageing, 22, 82-89 https://doi.org/10.1093/ageing/22.2.82
  8. Hely, M. A., Morris, J. G., Reid, W. G., & Trafficante, R. (2005). Sydney multicenter study of Parkinson's disease: Non-L-doparesponsive problems dominate at 15 years. Movement Disorders, 20, 190-199 https://doi.org/10.1002/mds.20324
  9. Hoehn, M. M., & Yahr, M. D. (1967). Parkinsonism: Onset, progression, and mortality. Neurology, 17, 427-442 https://doi.org/10.1212/WNL.17.5.427
  10. Jirovec, M. M. (1991). The impact of daily exercise on the mobility, balance, and urine control of cognitively impaired nursing home residents. International Journal of Nursing Studies, 28, 145-151 https://doi.org/10.1016/0020-7489(91)90004-M
  11. Johanson, J. F. (1997). Gastrointestinal diseases: Risk factors and prevention. Philadelphia, PA: Lippincott-Raven
  12. Jolleys, J. V., Donovan, J. L., Nanchahal, K., Peters, T. J., & Abrahams, P. (1994). Urinary symptoms in the community: How bothersome are they? British Journal of Urology, 74, 551-555 https://doi.org/10.1111/j.1464-410X.1994.tb09182.x
  13. Kakizaki, H., Matsuura, S., Mitsui, T., Ameda, K., Tanaka, H., & Koyanagi, T. (2002). Questionnaire analysis on sex difference in lower urinary tract symptoms. Urology, 59, 58-62 https://doi.org/10.1016/S0090-4295(01)01487-X
  14. Kanazawa, M., Yoshiike, N., Osaka, T., Numba, Y., Zimmet, P., & Inoue, S. (2002). Criteria and classification of obesity in Japan and Asia-Oceania. Asia Pacific Journal of Clinical Nutrition, 11, S732-S737 https://doi.org/10.1046/j.1440-6047.11.s8.19.x
  15. Kegel, A. H. (1948). Progressive resistance exercise in the functional restoration of the perineal muscles. American Journal of Obstetrics and Gynecology, 56, 238-248
  16. Korean Continence Society. (2004). Textbook of voiding dysfunction and female urology. Seoul: Ilchokak
  17. Lemack, G. E., Dewey, R. B. Jr., Roehrborn, C. G., O'Suilleabhain, P. E., & Zimmern, P. E. (2000). Questionnaire-based assessment of bladder dysfunction in patients with mild to moderate Parkinson's disease. Urology, 56, 250-254 https://doi.org/10.1016/S0090-4295(00)00641-5
  18. Lim, K. C., Park, K. O., & Kim, B. J. (1997). A study on the correlations between social support, dependence of activities of daily living and depression in patients with Parkinson's disease. Journal of Korean Academy of Adult Nursing, 9, 366-377
  19. Nussbaum, R. L., & Ellis, C. E. (2003). Alzheimer's disease and Parkinson's disease. The New England Journal of Medicine, 348, 1356-1364 https://doi.org/10.1056/NEJM2003ra020003
  20. Okamura, K., Usami, T., Nagahama, K., Maruyama, S., & Mizuta, E. (2002). "Quality of life" assessment of urination in elderly Japanese men and women with some medical problems using international prostate symptom score and King's health questionnaire. European Urology, 41, 411-419 https://doi.org/10.1016/S0302-2838(02)00061-1
  21. Park, Y. R. (2006). Process of seeking positive life of patients with Parkinson's disease. Journal of Korean Academy of Nursing, 36, 710-720
  22. Pavlakis, A. J., Siroky, M. B., Goldstein, I., & Krane, R. J. (1983). Neurourologic findings in Parkinson's disease. The Journal of Urology, 129, 80-83
  23. Scarpero, H. M., Fiske, J., Xue, X., & Nitti, V. W. (2003). American Urological Association Symptom Index for lower urinary tract symptoms in women: Correlation with degree of bother and impact on quality of life. Urology, 61, 1118-1122 https://doi.org/10.1016/S0090-4295(03)00037-2
  24. Smeltzer, S. C., Bare, B. G., Hinkle, J. L., & Cheever, K. H. (2007). Brunner & Suddarth's textbook of medical-surgical nursing (11th ed.). Philadelphia, PA: Lippincott Williams & Wilkins
  25. Snyder, C. H., & Adler, C. H. (2007). The patient with Parkinson's disease: Part I-treating the motor symptoms; Part II-treating the nonmotor symptoms. Journal of American Academy of Nurse Practitioners, 19, 179-197 https://doi.org/10.1111/j.1745-7599.2007.00211.x
  26. Sohng, K. Y., Moon, J. S., & Lee, K. S. (2004). Prevalence and associated factors of falls among people with Parkinson's disease. Journal of Korean Academy of Nursing, 34, 1081-1091
  27. Sohng, K. Y., Moon, J. S., Lee, K. S., & Choi, D. W. (2007). The development and effects of a self-management program for patients with Parkinson's disease. Journal of Korean Academy of Nursing, 37, 891-901
  28. Subak, L. L., Whitcomb, E., Shen, H., Saxton, J., Vittinghoff, E., & Brown, J. S. (2005). Weight loss: A novel and effective treatment for urinary incontinence. The Journal of Urology, 174, 190-195 https://doi.org/10.1097/01.ju.0000162056.30326.83