• 제목/요약/키워드: incontinence urine

검색결과 58건 처리시간 0.027초

고칼륨혈증으로 이뇨제 중단된 소변빈삭 환자의 한방치험 1례 (A Case Report of Urinary Incontinence with Discontinuance of Diuretics for Hyperkalemia)

  • 최은영;현진오;신원용;강아미;김용형;한이수;김학재;최흥민;임성우
    • 대한한방내과학회지
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    • 제27권3호
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    • pp.745-750
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    • 2006
  • Spironolactone reduces potassium excretion in renal collecting ducts and causes hyperkalemia. A 66-year-old female with urinary incontinence had to discontinue diuretics for hyperkalemia. After treatment with Jesaengsinkihwan-gagambang. she reduced urinary incontinence and her total urine volume was increased. BUN decreased from 32.2 to 16 and creatinine decreased from 1.5 th 0.9. So. we report one case of urinary incontinence with discontinuance of diuretics for hyperkalemia treated with Jesaengsinkihwan-gagambang.

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기침을 동반한 과민성 방광 증후군에 대한 한방 치료 1례 (The Effect of Korean Medical Treatment on the Overactive Bladder Syndrome with Coughing: Case Report)

  • 오주현;이유라;송진영;공건식;박진훈;김소원;강만호;이형철;엄국현;송우섭
    • 대한한방내과학회지
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    • 제41권5호
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    • pp.724-733
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    • 2020
  • Objective: Overactive bladder syndrome refers to the symptom of frequent urination, as the function of the bladder is so sensitive that the bladder muscles contract regardless of the patient's intent and the patient feels the need to urinate quickly. Overactive bladder syndrome is common among the elderly, especially in women, and the prevalence increases with increasing age. Overactive bladder can decrease social activity, increase isolation, and decrease quality of life due to sleep disorders caused by night urination; therefore, active treatment is required. In this study, we report the effects of Korean medical treatment on a Korean hospital patient with overactive bladder symptoms, including urine frequency, urine incontinence, and night urination that began at a similar time to an onset of coughing. Methods: We treated the patient with herbal medicines and acupuncture therapy. The International Prostate Symptom Score (IPSS), Overactive Bladder Symptom Score (OABSS), and a numeric rating scale (NRS) were used to assess symptom changes. Results: The patient with urine frequency, urine incontinence, and nocturia was hospitalized for 8 days, and the overall symptoms of overactive bladder syndrome were improved. Conclusion: The results indicate that Korean medical treatment is effective in patients with overactive bladder syndrome.

Urinary Incontinence: Prevalence and Knowledge Among Community-Dwelling Korean Women Aged 55 and Over

  • Kim, Jin-Sun;Lee, Eun-Hyun;Park, Hyung-Cheol
    • 대한간호학회지
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    • 제34권4호
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    • pp.609-616
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    • 2004
  • Purpose. The prevalence of urinary incontinence (UI) among community-dwelling older women in Korea is not well known. This study examined the prevalence of UI and UI-related knowledge among community-dwelling Korean women aged 55 and over. Method. A cross-sectional descriptive-correlational study was conducted. Data were collected from 276 women aged 55 and over in a metropolitan city using a structured questionnaire. Result. Of 276 respondents, 28.3% (n=78) reported experiencing UI. More than 50% of respondents incorrectly agreed with the statement that UI is the result of normal aging, with only 20.9% realizing that there is an exercise that can control urine leaks when one coughs, sneezes, or laughs. Older women who had sought treatment had higher mean score for UI-related knowledge. Conclusion. This study revealed substantial misconception about UI among community dwelling older women, demonstrating that comprehensive educational programs need to be developed to increase knowledge of UI.

성인여성의 요실금에 관한 기초 연구 (A Study on urinary Incontinence of Adult Women : Preliminary Study)

  • 최영희;홍재엽;김문실;김애정;김정아;백성희
    • 대한간호학회지
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    • 제28권1호
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    • pp.171-183
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    • 1998
  • The purpose of this study was to identify the incidence of urinary incontinence in adult women and to identify factors related to life style and sexual intercourse that were related to incontinence. The sample consisted of 1,065 women living in Seoul or one of five provinces. Data for this study were collected from January 16 to June 23 using structured questionnaires. The Urinary Symptom Questionnaire developed by Jackson and a demographic questionnaire were used to collect the data. The data were analyzed using frequency, percentage with an SPSS/PC$^{+}$ program. The major finding are as follows : 1. The distribution of age of subjects was as follows : 20-29(10.1%), 20-39(17.8%), 40-49(27.3%). 50-59(22.3%), 60-69(12.9%), 70-79(6.1%). 80-89(2.8%), more than 90(0.6%). The frequency of normal delivery, 0(155%), 1-2(36.0%), 3-4(29.2%), 5-6(13.0%). more than 7(6.3%). The rate of subjects with menopause was 40.8%. 2. It was reported that 50.7% of the subjects experienced urinary incontinence with stress, mixed. and urgency incontinence being 49.8%, 43.4%, 6.8% respectively. 3. The lower urinary symptoms and incidence with urinary incontinence were as follows : Daily frequency. 22.3%, nocturia. 40.8%, urgency, 71.2%, bladder pain 47.8%, unexplainned incontinence, 32.4%, noctural incontinence, 16.1%, and frequency of incontinence, 37.7%. In term of quantity of incontinence, drop/pants damp, 29.5%, dribble/pants wet, 20.5%, flood or soaking through to outer clothing, 1.7%, and flood or running down legs or onto floor, 0.2%. 4. The symptoms related to sexual intercourse and incidence of urinary incontinence were as follows : dry vagina, 39.1%, sex life trouble, 10.8%, pain during sexual intercourse, 27.4%, and urine leakage during sexual intercourse. 8.8%. 5. Life style problems related to urinary incontinence were as follows : fluid intake restriction, 20.0%, affected daily task, 24.5%. avoidance of placess and situations, 35.0%, interference in physical activities, 30.6%, interference in relationships with other people. 19.0%. interference in relationships with husband/companion, 8.1%, and time after attack of urinary symptoms, 76.9%. In term of the feeling about the rest of their lifves the women reported : perfectly happy, 11.3%. pleased, 16.9%. mostly satisfied, 20.2%, mixed feelings, 21.0%, mostly dissatisfied, 21.0%, very unhappy 8.5%, and desperate. 1.0%. In conclusion. this study was a preliminary study to provide nursing practices guidelines for incontinence in adult women. Nurse working with adult women should develop and provide adequate care for these women.n.

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도시지역 여성의 요실금, 하부요로증상과 일상 및 성생활과의 관계 (A Study on the Urinary Incontinence, Lower Urinary Tract Symptoms, Lifestyle and Sexual Matters of Women in an Urban Area)

  • 양승애;박선영;신수진
    • 성인간호학회지
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    • 제16권3호
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    • pp.398-408
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    • 2004
  • Purpose: The purpose of this study was to identify the frequency of urinary incontinence and lower urinary symptoms, to identify lifestyle and sexual matters for UI of adult women in an urban area. Method: The sample consisted of 364 educated women from a women's health education program in a public health center. For data collection, the Bristol Female Lower Urinary Tract Symptoms Questionnaire developed by Jackson, et. al.(1996) and the demographic questionnaire were used. For data analysis, SAS 8.2 program was used. Result: The results were as follows: 1. the prevalence rate of UI was 73.63%. 45.88% of them were stress incontinence and 27.75% of them were urge incontinence. 2. Remarkable differences were found between the type of UI and LUTS in the case of urgency($x^2=42.0585$, P<0.001), unexplained incontinence($x^2=59.0585$, P<0.001), noctural incontinence($x^2=18.8080$, P<0.001) and catetherization($x^2=10.7207$, P= 0.004), burning sense($x^2=27.7400$, P<0.001). 3. Remarkable differences were found between the type of UI and lifestyle matters in the cases as follows fluid intake restriction($x^2=31.0532$, P=0.008), interference in physical activity($x^2=36.7481$, P=0.001), interference in relation with others($x^2=22.2729$, P=0.034). 4. Remarkable differences were found between the type of UI and sexual matters with difficulty of sexual intercourse($x^2=16.1898$, P=0.002), and urine leakage during sexual intercourse($x^2=17.9752$, P=0.001). Conclusion: Based on the results, developing and carrying out an adequate UI care and education program is needed.

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남성 일회용 요실금 제품에 관한 연구 (A Study on Male Disposable Product for Urinary Incontinence)

  • 이정순
    • 한국의상디자인학회지
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    • 제16권3호
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    • pp.61-73
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    • 2014
  • Urinary Incontinence is any leakage of urine against their will. It is not a life threatening illness but it causes negative effects both socially and psychologically. Based on many previous studies, 20-40% of adult female and 30% of men in their sixties have experienced symptoms of urinary incontinence. As the number of active aged people experiencing the symptoms increases, demand for specialized product is growing. The purpose of the study is to research the types and features of male disposable products for urinary incontinence on the market and to provide the basic data for improvement and development of better product. Products from 6 brands (Tena, Depend, Carnation, Keepers, Molimed, Abrimen) with high brand awareness both in online and offline were selected and analyzed. And product evaluation was carried out by male in their sixties with light symptom of urinary incontinence. The results are as follows. There are three types of male products for urinary incontinence: panties, diaper and pad. Among the 6 brands, the subject of analysis, only Depend from Yuhan Kimberly produces male panties while others make ones for unisex. There is no diaper product only for male, and Tena, Molimed, Abrimen have pad type products for male. Male panties from Depend emphasizes their design considering male's physical characteristics. Male pad is differentiated with female one by having different designs like triangular or pocket type which is more comforting to men. As a result of product evaluation, wearable panties similar to normal underwear were highly appreciated and satisfactory. Among various shapes of pads, 25cm long pad with wide width of front and narrow back was valued to be comfortable.

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자동배설처리기 기술 및 상품화 현황 (Technical and Commercialization Status of Urine and Feces Disposal Systems)

  • 고은주;박상수
    • 재활복지공학회논문지
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    • 제9권2호
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    • pp.169-175
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    • 2015
  • 자동배설처리기는 현재 배뇨 혹은 배변 장애가 있는 노인들에게 사용되고 있는 기저귀를 대치할 수 있을 것으로 기대되고 있다. 이 장치들은 소변이나 대변을 감지하고, 본체에서 운반된 세정수로 배설기관들을 씻어주고, 이 배설물을 본체의 오물 저장용기에 흡입하여 보관하였다가 버릴 수 있도록 하며, 배설기관 주위를 본체에서 공급하는 온풍으로 건조할 수 있다. 따라서 이 장치들은 간병인의 수고를 경감시키고 환자의 위생을 향상시킬 수 있다. 본 논문에서는 소변과 대변을 감지하는 장치와 자동배설처리기의 주요 구조를 살펴보고 현재 사용되고 있는 자동배설처리 장치들을 기기별 특징에 따라 분류하고자 하였다.

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"동의보감(東醫寶鑑)" "소변문(小便門)"의 침구법(鍼灸法)에 관한 소고(小考) (A literature study of acupuncture and moxibustion therapy in the "the Urine" section (in the Naegyeong Chapter) of "Dong-Ui-Bo-Gam")

  • 김경민
    • 혜화의학회지
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    • 제19권1호
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    • pp.129-142
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    • 2010
  • Objectives : The aim of this study was to show the rationale of point-selection for acupuncture and moxibustion in "the Urine"section(in the Naegyeong Chapter) of "the Dong-Ui-BO-Gam". Methods : First, We reviewed the causes of each disease in "the Urine" section of the "Dong-Ui-BO-Gam". Then, We explained the rationale of acupoint-selection for the treatment of those diseases referring to etiology and physiology of Oriental medicine, other applications of each acupoints in the "Dong-Ui-BO-Gam", characteristic of each acupoints, flow of Gi (Qi) through meridian pathways and specific acupoints etc. Results : There are comments on acupuncture and moxibustion for dysuria, urinary frequency, incontinence of urine, urethral pain, turbid urine, erythroid urine, cystitis of women, urethral pain of women in the Urine section of the "Dong-Ui-BO-Gam". Conclusions : Conception vessel and Kidney meridian are preferably used for acupuncture and moxibustion in "the Urine" section of the "Dong-Ui-BO-Gam". CV4(Kwanwon) is most frequently used and Sp9($\bar{U}$mn$\bar{u}$ngch'$\breve{o}$n), SP6(Sameumgyo), Liv1(Taedon) are also used often.

개에 발생한 요막관 잔존 (Urachal remnant in a Dog)

  • 김상기
    • 한국임상수의학회지
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    • 제21권2호
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    • pp.197-199
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    • 2004
  • A 2-month-old intact female English Cocker Spaniel weighting 2.8 kg was presented with pollakiuria and urinary incontinence. On the inspection, moisture around the perineum and hindlegs was observed with a mild urine odor. No other abnormalities were detected on physical examination. Retrograde vaginourethrography revealed the urachal remnant. The vesicourachal diverticulum was surgically removed without complications.

복압성 요실금에 대한 보중익기탕의 효과 : 체계적 문헌고찰과 메타분석 (The Effect of Bojungikgi-tang on Stress Urinary Incontinence: A Systematic Review and Meta-Analysis)

  • 남현서;백태현
    • 대한한방내과학회지
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    • 제42권3호
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    • pp.293-307
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    • 2021
  • Objectives: This study investigates the effects and safety of Bojungikgi-tang for stress urinary incontinence by systemic review and meta-analysis of randomized controlled trials (RCTs). Methods: RCTs were selected from articles published until December 2019 in seven domestic and foreign databases. The quality of the literature was evaluated using Cochrane's risk of bias (RoB) tool, and RevMan 5.3 was used to synthesize the results. Results: A total of 694 patients with stress urinary incontinence participated in eight RCTs. Meta-analysis showed that the total effective rate of treatment that combines pelvic floor muscle training (PFMT) and Bojungikgi-tang was significantly higher than that of PFMT alone. The volume of urine leakage per hour after the combined treatment was significantly lower than that of PFMT alone. The International Consultation on Insurance Questionnaire-Short Form (ICIQ-SF) scores from combining PFMT and Bojungikgi-tang were significantly lower than those for PFMT alone. Conclusion: This study suggests that Western medical treatment combined with Bojungikgi-tang for urinary incontinence from stress might be more effective in improving symptoms than conventional Western medical treatment alone. However, the number of studies included in the meta-analysis was insufficient, and the quality of the selected literature was generally low. Therefore, high-quality clinical studies on herbal medicine treatment for urinary incontinence would be required in the future.