• 제목/요약/키워드: incontinence urine

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노년 여성의 요실금 및 요실금 제품에 대한 인식유형 (Recognition Types of the Urinary Incontinence and Urinary Incontinence Products for Elderly Women)

  • 차수정
    • 한국의류학회지
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    • 제46권2호
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    • pp.219-231
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    • 2022
  • This study sought to typify incontinence symptoms and how women over sixty perceive incontinence panties and pads. The study uses Q methodology to analyze the perception of these products by type. The research utilized Q methodology and the QUANL pc program for analysis. Type 1 was a type of depression and anxiety due to incontinence. Type 1 was a type of thinking that incontinence was hidden from others. Type 2 was a smell-sensitive reclusion. Type 2 was most concerned about smell, as people sometimes avoid interpersonal relationships because of urinary incontinence. Type 3 was function-oriented toilet frequently. Type 3 was recognizing that the absorption function of incontinence products is important, as the toilet is frequently used. Type 3 mainly wore underwear among incontinence products and thought that incontinence was not hidden from others. In the case of incontinent women, products that prevent others from feeling the smell of urine were considered important. Future studies should expand on this study's work to analyze practical, currently-existing incontinence products.

지역사회 거주 노인의 요실금에 관한 연구 (A Study on Urinary Incontinence of Elderly Communities)

  • 주영희;김정순
    • 지역사회간호학회지
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    • 제11권2호
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    • pp.441-452
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    • 2000
  • The purpose of this study was to identify the prevalence of urinary incontinence and its relating factors elderly communities. Subjects of this survey consisted of 877 elderly women and men in one Kun. Korea, who were over 60 years old. The design for this study was descriptive: the subjects were interviewed by well trained investigators from July 9. 1999 to July 20. 1999. During that survey period, the subjects were interviewed with a structured questionnaire. The data were analyzed by frequency, percentage, $X^2-test$. T-test using an SAS program. The results of the study were the following: 1. The prevalence rate of urinary incontinence was 20.1 %. of the total. The types of urinary incontinence were mixed incontinence 44.3%. stress incontinence 38.1%. and urge type incontinence 17.6%. 2. The relating factors of urinary incontinence were as follows: 1) 33.5% of UI(urinary incontinence) subjects reported urine loss once a month. twice or three times a week 23.3%. one or two times a day 17.0% 2) 38.1% of elderly reported only 1 to 2 drops. 1 t-spoon 36.9%. 1 T-spoon 15.9% 3) The volume of urine loss registered by changing underwear was 63.1 %. no necessity of changing underwear was 22.1 %. or using some type of pads was 13.1%. 4) 62.5% of UI subjects never discussed their UI problem with other people. 73.9% of the total had never experienced any treatment for their UI problem. The reasons for not receiving medical cure were their typical conception about urinary incontinence taking UI as a normal part of aging 76.2% and due to their bad financial situation 9.2%. 3. Women had more prevalence of UI than men (p=0.01), and it was found that the worse the subjective health state. the higher the prevalence of UI (p=0.001). However. there was no statistical difference in daily frequency of UI (p>0.05). The more nocturnal incontinence (p=0.001), the more intermittent stream experience (p = 0.01), the more retention experience (p = 0.01), and the more incomplete the emptying experience (p=0.001), the higher the prevalence of UI. 4. UI groups had lower ADL scores than non UI groups(p=0.01). The level of depression in the group of urinary incontinence was significantly higher than that of non incontinence group (p=0.0001). As shown above, the elderly people suffering from UI haven't been treated properly: their subjective health state and their ADL competence was lower, and their depression level was higher than non UI groups. Therefore, the development of a proper urinary incontinence management program are required so that they can lead more healthy lives. Also continual case studies for the elderly people with UI are necessary.

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장기요양서비스 유형별 뇌졸중 환자의 기능수준 비교분석 (Functional Status of Stroke Patients among Different Long-Term Care Settings)

  • 김은영
    • 대한간호학회지
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    • 제34권2호
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    • pp.372-378
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    • 2004
  • Purpose: The purpose of this study was to measure the functional status of stroke patients cared for in different long-term care settings. Method: We assessed all stroke patients in two home health care agencies, four nursing homes and one geriatric hospital in Korea (n=171) using the Resident Assessment Instrument (RAI), which comprises Activity of Daily Living (ADL), urine incontinence, bowel incontinence, a Cognitive Performance Scale (CPS),and being understood and understanding others. Data was collected by face-to-face surveys with patients. Results: The mean ADL score, urine incontinence score, bowel incontinence score, CPS, and being understood score and understanding others score were lowest for the patients receiving home health care, and highest for the patients in nursing homes. Low scores described poor and high scores good functional status. The results showed significant differences in physical and cognitive function scores between the three groups of patients. Conclusion: This study suggests that there may be large differences between the patients in these three types of long-term care settings. These findings can be used to help develop and implement efficient long-term care programs.

계지가부자탕(桂枝加附子湯)을 이용하여 호전된 요실금 치험 1례 (A case report of urinary incontinence improved by Gyejigabuja-tang.)

  • 윤효중;이숭인
    • 대한한의학방제학회지
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    • 제26권4호
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    • pp.381-389
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    • 2018
  • Objective : The purpose of this case report is to offer an unprecedented target for Gyejigabuja-tang by analyzing a case in which the symptoms were improved by the herbal decoction therapy, and to accumulate a fundamental knowledge in herbal medicine therapy for urinary incontinence. Method : We studied a patient's chart with the patient's consent and displayed patient's timeline and adherence in a figure according to the CARE guideline. The progress of urination symptoms were assessed with the frequency of urination and how long the patient can stand urine. The accompanied lower limb pain was estimated with Numerical Rating Scale(NRS) Results : The patient's adherence was good during the medication period and symptoms related with urination and accompanied lower limb pain were improved with no specific side effects. NRS of the lower limb pain decreased from 7 to 2, the frequency of urination also improved from over 10 times to 6~8 times per day, and the patient can stand urine from less than 1 second to 2~3 minutes. Conclusions : Gyejigabuja-tang was effective for an urinary incontinence patient which corresponds to the provision No.20 in Shanghanlun.

뇨실금 환자를 위한 초음파 뇨의 경보 시스템에 관한 연구 (A study on Ultrasound Urine Alarm System for Incontinence Patients)

  • 최흥호;최창근;이응혁
    • 대한의용생체공학회:의공학회지
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    • 제22권1호
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    • pp.101-108
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    • 2001
  • 본 논문에서는 뇨실금 환자들에 대한 지원 기술의 일환으로 인체에 무해하고 비침습적인 초음파를 이용하여 배뇨시기를 알려주기 위한 재택용 뇨의 경보기용 뇨량검출 센서의 개발과 이를 이용한 방광 벽간거리와 뇨량과의 상관관계에 관하여 연구하였다. 개발된 센서는 인체내에 침투력이 가장 좋은 중심 주파수가 2.25 MHz인 초음파를 사용하여 분해능을 높여 오차를 감소시킬 수 있는 구조로 설계하였다. 이 센서를 이용하여 방광전.후벽간의 거리를 검출하여 이로부터 뇨량을 정량적으로 측정하기 위한 기초 실험을 실시하였다. 기초실험은 건강한 성인 남자 3명을 대상으로 초음파 뇨량검출 센서를 이용한 초음파 RF 반사신호 획득장치와 초음파 진단기에 의한 2가지 방법으로 이루어졌고 그 결과 뇨량과 벽간거리와의 사이에는 높은 상관성이 있음을 확인할 수 있었다. 결론적으로, 실험 결과를 토대로 하여 제작된 초음파 뇨의 센서를 부착한 초음파 뇨의 경보 시스템은 뇨실금 환자로 하여금 배뇨시기를 알려주는 경보 시스템으로 보건.복지적인 측면에서 현대사회에 기여할 공헌도가 매우 클 것이라 생각된다.

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Comparison on Absorption of Commercially Available Urinary Incontinence Panty

  • Cha, Su-Joung
    • 한국컴퓨터정보학회논문지
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    • 제27권11호
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    • pp.209-218
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    • 2022
  • 본 연구는 국제 규격으로 성인용 기저귀의 최대 식염수 양을 측정하는 방법을 적용하여 시판되고 있는 요실금 팬티의 흡수량을 측정해보고자 하였다. 연구대상은 시판 3개 브랜드 15개 제품이며, 분석에는 SPSS 27.0 프로그램을 사용하였다. 시판 요실금 팬티의 최대흡수량을 측정한 결과, B제품의 최대흡수량이 가장 많고 C제품의 최대흡수량이 가장 적은 것으로 나타났다. 같은 흡수량으로 표기된 제품임에도 같은 브랜드의 같은 제품에서도 차이를 나타냈고, 브랜드에 따라서도 차이를 나타냈다. 주입된 생리식염수의 양과 요실금 팬티의 역류량은 정(+)의 상관관계를 나타내 주입되는 생리식염수의 양이 증가할수록 요실금 팬티의 역류량은 증가하는 것으로 나타났다. 누출이 시작되는 시점과 누출량은 부(-)의 상관관계를 가지고 있는 것으로 분석되었다. 향후 연구에서는 흡수량을 증가시키고 역류와 누출을 줄일 수 있는 기능성 패드 개발이 이루어져야 할 것으로 생각된다.

요실금의 매선 치료에 대한 무작위 대조군 연구의 문헌고찰 (A Review of Randomized Controlled Trials of Catgut Embedding Therapy for Urinary Incontinence)

  • 이현주;이희윤;박장경;윤영진
    • 대한한방부인과학회지
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    • 제37권2호
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    • pp.58-74
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    • 2024
  • Objectives: This study aims to evaluate the efficacy of urinary incontinence treatment using catgut embedding therapy. Methods: Using electronic databases including Pubmed, EMBASE, and CAJ, we looked for randomized controlled trials that treated urinary incontinence with catgut embedding that were published between January 2000 and December 2023. The chosen clinical studies' interventions and outcomes were examined. Results: Ultimately, eight randomized controlled trials met the inclusion and exclusion criteria. Treatment group was treated with catgut embedding alone in 3 studies, and with Biofeedback Electrical Stimulation Therapy (Biofeedback EST), Kegel exercises, Herbal Medicine and Acupuncture Injection in 5 studies. Control group was treated with Biofeedback EST, Kegel exercises, Herbal Medicine, Vitamin B, Electroacupuncture (EA), Denitine Tolterodine Tartrat with Bladder Drill, Tension-free Vaginal Tape Obturator (TVT-O) and Acupoint Injection Therapy. Outcome measures are total efficacy rate, Urine pad test, Urinary frequency, Maximum bladder capacity, VRP, POP-Q, etc. 關元 (CV4) was the most frequently used acupoint in catgut embedding therapy. In all of 8 studies, treatment group was more effective for urinary incontinence than the control group. Conclusions: According to this study, catgut embedding may be useful in enhancing the therapeutic outcome for urine incontinence, either by itself or in conjunction with standard medical treatment.

일지역 갱년기 여성의 요실금 실태와 삶의 질 (The Relationship between Urinary Incontinence and Quality of Life in Climacteric Women)

  • 송애리
    • 한국간호교육학회지
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    • 제9권1호
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    • pp.51-63
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    • 2003
  • The purpose of this study was to identify the prevalence of urinary incontinence of community residing climacteric women, and to identify the relationship between urinary incontinence and quality of life. The subjects of this study were 156 women(45 to 59 years old). Data was collected from Sep. 1 to Dec. 1 2002 by an interview or self-reporting by a structured questionnaire. The questionnaire was composed of items of general characteristics, urinary characteristics, and conditions of urinary incontinence, using the modified Henderickson's stress incontinence scale(1981), and the quality of life scale developed by RO, You Ja(1988). The data was analyzed by the SPSS/WIN program using descriptive statistics, Pearson correlation coefficients, t-test and AVOVA. The results of the study were as follows : 1. The prevalence of urinary incontinence was 76.3%. Of the incontinent women, 42.0% had experienced urinary incontinence for a period of one to three years. Frequency of urinary incontinence was once or twice per day for 42.9% of the urinary incontinent women. Most of the participation with urinary incontinence(91.6%) had mild leakage of urine. In the whole urinary incontinent women, 70.6% had never treated or managed their urinary incontinence. Most of the subjects(79.8%) were mildly incontinent, and the prevalence of moderate and severe urinary incontinence was 20.2%. The mean scores among the items of urinary incontinence, in descending order, were increase of abdominal pressure($1.45{\pm}1.05$), coughing($1.16{\pm}0.93$), and sneezing($1.03{\pm}0.92$). 2. The average score in the level in the quality of life variables was 3.12. The urinary incontinence and quality of life were correlated negatively(r=-0.103, p<0.001). 3. There were statistically significant differences in the score of climacteric woman's self reported quality of life according to : amount of urinary incontinence(F=12.68, P=0.001), duration of urinary incontinence(F=6.97, P=0.009), number of urinary incontinence(F=4.77, P=0.03), existence of urinary incontinence(t=148, P=0.05). In conclusion, this study was a preliminary study to provide nursing practice guidelines for climacteric woman with urinary incontinence. Nurses working with climacteric woman should develop and provide adequate care for the incontinent climacteric subjects. In future research, it is recommended to identify comprehensive factors related to urinary incontinence, including the effective management of urinary incontinence.

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요실금의 한의학적 치료에 대한 문헌고찰 (Literature Study about Oriental Medical Treatment on the Urinary Incontinence)

  • 서은비;조한백;김송백;서윤정;최창민;이지현
    • 동의생리병리학회지
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    • 제27권4호
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    • pp.374-382
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    • 2013
  • In Oriental medicine, urinary incontinence is defined involuntary voiding of urine. This study was performed to investigate the treatment on urinary incontinence through the literature of oriental medicine. This study reviews the therapy method of urinary incontinence based on 63 books of oriental medicine and 20 papers about the treatment of urinary incontinence. Herbal medicine has been used as urinary incontinence treatment. One of herbal remedy is selected according to the symptoms, and then herbal products are supplemented such as warm-hot, convergence medicines. Acupuncture and moxibustion therapy has been performed with herbal medicine, electroacupuncture, pharmacopuncture, conservation therapy such as Kegel exercise, timed voiding and extracorporeal magnetic innervation for incontinence treatment. The treatment of urinary incontinence by oriental medicine includes auricular acupuncture, external medical treatment and taoist methods. There is a lack of related study about these therapy.

여성 복압성 요실금에 대한 뜸 치료의 효과 : 체계적 문헌 고찰 (The Efficacy of Moxibustion for Female Stress Urinary Incontinence: a Systematic Review)

  • 박혜린;조희근
    • 대한한방부인과학회지
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    • 제33권4호
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    • pp.1-22
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    • 2020
  • Objectives: The purpose of this review is to evaluate the efficacy of moxibustion for stress urinary incontinence (SUI) in women. Methods: For relevant randomized controlled trials (RCTs), we searched the following databases from their inception to September 1, 2020: The Cochrane Library, PubMed, EMBASE, Chinese National Knowledge Infrastructure Database (CNKI), Koreanstudies Information Service System (KISS), Research Information Sharing Service (RISS), and National Digital Science Library (NDSL). The key search terms were 'stress urinary incontinence' and 'moxibustion'. Data extraction and assessment of risk of bias were conducted by two authors independently. Results: A total of 11 RCTs were finally included in this systematic review. In all studies, moxibustion treatment was applied as an adjuvant therapy to the conventional treatment, and the most common conventional treatment was pelvic floor muscle training (PFMT). The treatment group (conventional treatment plus moxibustion) showed statistically more significant effect than the control group (conventional treatment only) in various evaluation indicators including urinary incontinence frequency, 1 hour urine pad test, quality of life, the clinical efficacy rate, and pelvic muscle strength. Conclusions: In this study, we investigated the efficacy of moxibustion as an adjuvant therapy for female SUI patients. Further studies are needed to supplement the safety of moxibustion and the evaluation of moxibustion dose.