• Title/Summary/Keyword: 긴장성 요실금

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A Study on Stress Incontinence in Women in Korea (여성의 긴장성 요실금에 관한 연구)

  • Lee, Young-Sook
    • 모자간호학회지
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    • v.4 no.1
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    • pp.12-23
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    • 1994
  • This study was done to determine the situations of stress incontinence(SI) and the differences in general characteristics, obstetrical history and SI related variables between women with stress incontinence and normal women. The design for study was a descriptive study. The number of subjects consisted of 156 women who were selected by systematic random sampling in Kwangju city. Data collection was done with the modified Hendrickson's Stress Incontinence Scale(1981) which was analyzed using frequency and percentiles. The results were as follows : 1. The stress incontinence (SI) rate of the sample was 64.1% and the majority of the women(40.9%) had experienced SI for a period of five years(the mean period was 2.7 years) without any treatment or care(83.0%). The amount of SI was from one drop(40.0%) to one teaspoon(16.7%) daily. 2. Items on the SI scale had the scores ranging from 4 to 44 with a mean score of 13.7 which showed mild SI. 3. The priority of provocative factors for SI were abdominal tightening(83%), coughing(58%), laughing(52%), sneezing(40%), steeping(18%), sudden standing(17%), nose blowing(13%), heavy exercise(11%), rapid walking up-stairs(10%) and excitment (9%) in that order. 4. There were no significant differences in age, education, spouse, job and income between the women with SI and the normal women. 5. There were no significant differences in the age at the last delivery, age of last baby. number of vaginal, or cesarean deliveries, or abdominal operations between the women with SI and the normal women. It can be concluded that SI in women has a high incidence nth various provocative factors but it is relatively mild SI on a daily basis and generally there has been no treatment. It is suggested that a descriptive study of emotional problems and precipitating variables in SI women will increase the knowledge of SI.

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The Effect of Pelvic Muscle Exercise Program on Women with Stress Urinary Incontinence in the Degree and Amount of Urinary Incontinence and Maximum Vaginal Contraction Pressure (골반저근육 운동 프로그램이 긴장성 요실금 여성의 요실금정도, 요실금량 및 최대 질수축압에 미치는 영향)

  • Kim, So Young;Park, Jeong Sook
    • Korean Journal of Adult Nursing
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    • v.12 no.2
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    • pp.267-277
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    • 2000
  • The purpose of this study was to help the women with stress urinary incontinence lead more comfortable life, by letting them to do pelvic muscle exercise and to learn by direct experience the effect that urinary incontinence is controlled. The research design was a one-group pretest-posttest design. The subjects were 16 middle-aged women(over 38) with stress urinary incontinence. The study was conducted from August 1, to October 11, 1999. Women trained themselves for muscular strength and endurance, every the other day for each exercise for six weeks at home(that means each exercise for more than three days a week) in the pelvic muscle exercise program which was developed by Dougherty et al., and filled out exercise participation card every week. They visited laboratory once a week to get visual feedback, by means of Perineometer, of how the pelvic muscle exercise was going on. Stress Urinary Incontinence Scale that Lee, Young-Sook revised and supplemented Hendrickson's original scale was used for measuring the frequency and situation scores of urinary incontinence, "30 minute pad test" was carried out for measuring the amount of urinary incontinence, and Perineometer was used for measuring maximum vaginal contraction pressure. Percentage, mean, standard deviation and Wilcoxon signed ranks test were used for data analysis by means of SPSS/PC+ WIN 9.0 program. The results were summarized as follows : The hypothesis 1 that after carrying out pelvic muscle exercise program on women with stress urinary incontinence, the weekly degree of urinary incontinence would reduce compared to before the exercise was supported. The hypothesis 1-1 that after carrying out pelvic muscle exercise program on women with stress urinary incontinence, the weekly frequency of urinary incontinence would reduce compared to before the exercise was supported (p=.003). The hypothesis 1-2 that after carrying out pelvic muscle exercise program on women with stress urinary incontinence, the situation scores of urinary incontinence would reduce compared to before the exercise was supported(p=.044). The hypothesis 2 that after carrying out pelvic muscle exercise program on women with stress urinary incontinence, the amount of urinary incontinence would reduce compared to before the exercise was supported(p=.001). The hypothesis 3 that after carrying out pelvic muscle exercise program on women with stress urinary incontinence, the maximum vaginal contraction pressure would increase compared to before the exercise was supported (p=.012). These results suggest that pelvic muscle exercise program has an effect on women with stress urinary incontinence in the degree and amount of urinary incontinence and maximum vaginal contraction pressure. So it is judged that training women with stress urinary incontinence for pelvic muscle exercise is an effective nursing intervention strategy in order to care urinary incontinence.

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The Effects of Moxibustion on the Stress Urinary Incontinence in Middle-aged Women (구요법(灸療法)이 중년여성(中年女性)의 긴장성(緊張性) 요실금(尿失禁)에 미치는 효과(效果))

  • Kim, Phil-whan;Lee, Chae-woo;Kim, Won-ill;Youn, Hyoun-min
    • Journal of Acupuncture Research
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    • v.21 no.4
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    • pp.93-106
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    • 2004
  • Objective: The purpose of this study is to investigate the effects of moxibustion on the stress urinary incontinence for middle-aged women. The study was performed with the nonequivalent control group non-synchronized design from April 14 thru June 16, 2003. Methods: The subjects are 60 middle-aged women with stress urinary incontinence which are composed of 30 in the experimental group and another 30 in the control group. The moxibustion procedure was applied to the experimental group in a week, and then the level of stress urinary incontinence was measured by using the revised Hendrickson's scale. Results: The results of this study are as follows: 1. Average period of stress urinary incontinence is 4.12 years, and the level of stress urinary incontinence is predominant in the mild state(63.3%), and the frequency of stress urinary incontinence is mostly 2-6 times per week(70%). 2. Hypothesis: Stress urinary incontinence will decrease for the experimental group as compared with for the control group: accepted(t=-5.113, p=0.000). Conclusion: Based on the results described above, it is considered that the moxibustion might be very effective oriental nursing intervention for improving the stress urinary incontinence for the middle-aged women.

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Effects of PNF Exercise on EMG Biofeedback Symptoms of Stress Urinary Incontinence Patients -A Case Study- (근전도 바이오피드백을 통한 PNF운동이 긴장성 요실금 환자의 증상에 미치는 영향 -사례연구-)

  • Choi, Su-hong;Lee, Seuong-Yun;Lee, Tae-kyu;Rhee, Min-Hyung
    • PNF and Movement
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    • v.16 no.1
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    • pp.19-26
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    • 2018
  • Purpose: The purpose of this study was to investigate changes in urinary frequency, residual urine volume, and quality of life following pelvic floor exercises using proprioceptive neuromuscular facilitation (PNF) exercise patterns and EMG biofeedback training in patients with stress urinary incontinence. Methods: The subjects were male patients diagnosed with stress urinary incontinence. This study used a single system design (A-B-C.) At baseline, the patients' symptoms prior to the treatment intervention were recorded (A section). Next, the patients performed the PNF exercise (B section). Thereafter, they performed the PNF exercise, with EMG biofeedback (C section). The subjects performed the exercises in each section for 1 week for a total of 3 weeks. Urinary frequency, residual urine volume, and quality of life of the subjects were measured. Results: The frequency of urination was 9 times in A, 8 times in A 'and B, and 7 times in C. The amount of residual urine decreased from 23.78ml in A to 21.85ml in A ', 14.85ml in B, and 14.63ml in C. The international prostate symptom score was 16 points in A, 14 points in A ', 11 points in B, and 7 points at A. The quality of life score was 4 points in A, 4 points in A ', 3 points in B, and 2 points in A. Conclusion: Both the PNF exercise and EMG biofeedback decreased urination frequency and residual urine volume and improved the quality of life of patients with stress urinary incontinence. EMG biofeedback training using the PNF technique was the most effective.