과민성방광증후군 여성의 증상 심각도, 스트레스 및건강 관련 삶의 질
Symptom Bother, Physical and Mental Stress, and Health-related Quality of Life in Women with Overactive Bladder Syndrome
2
조회
0
다운로드
8
인용
0
참고문헌
키워드
초록
Purpose: The objective of this study was to identify the relationships among symptom bother, physical and mental stress and health-related quality of life (HRQoL) in women with overactive bladder (OAB) syndrome. Methods: The participants were 106 women who were diagnosed with OAB (urgency, urge urinary incontinence, frequency, and/or nocturia) at P university hospital. Data were collected from Dec 23, 2011 to Aug 31, 2012. Results: The mean score for symptom bother was 43.1 points, for physical stress, 12.8 which was slightly higher than mental stress (11.8),and for HRQoL, 63.9. For symptom type, there were statistically significant differences in the symptom bother (F=8.67, p<.001) and HRQL (F=3.32, p= .023). The Symptom bother of OAB was positively correlated with physical stress (r=.23, p = .014) and mental stress (r=.33, p<.001) and negatively correlated with the subscales of HRQoL;coping (r=-.66, p<.001), concern (r=-.71, p<.001), sleep (r=-.59, p<.001), and social interaction (r=-.58, p<.001). Conclusion: From the results, bother symptom was associated with physical, mental stress and HRQoL. These results suggest that nursing intervention programs for OAB should be developed not only to relieve the symptoms but also to reduce stress and improve the quality of life.
Abstract
Purpose: The objective of this study was to identify the relationships among symptom bother, physical and mental stress and health-related quality of life (HRQoL) in women with overactive bladder (OAB) syndrome. Methods: The participants were 106 women who were diagnosed with OAB (urgency, urge urinary incontinence, frequency, and/or nocturia) at P university hospital. Data were collected from Dec 23, 2011 to Aug 31, 2012. Results: The mean score for symptom bother was 43.1 points, for physical stress, 12.8 which was slightly higher than mental stress (11.8),and for HRQoL, 63.9. For symptom type, there were statistically significant differences in the symptom bother (F=8.67, p<.001) and HRQL (F=3.32, p= .023). The Symptom bother of OAB was positively correlated with physical stress (r=.23, p = .014) and mental stress (r=.33, p<.001) and negatively correlated with the subscales of HRQoL;coping (r=-.66, p<.001), concern (r=-.71, p<.001), sleep (r=-.59, p<.001), and social interaction (r=-.58, p<.001). Conclusion: From the results, bother symptom was associated with physical, mental stress and HRQoL. These results suggest that nursing intervention programs for OAB should be developed not only to relieve the symptoms but also to reduce stress and improve the quality of life.
참고문헌 (26)
- Abrams, P., "The standardisation of terminology of lower urinary tract function: Report from the Standardisation Sub-committee of the International Continence Society", Neurourology and Urodynamics, 21, pp.167~178 (2002)
- An, H. E., "Symptom severity and quality of life of elderly women with overactive bladder symptoms in rural area", 석사, pp.2010
- Bartoli, S., "Impact on quality of life of urinary incontinence and overactive bladder: A systematic literature review", Urology, 75, pp.491~500 (2010)
- Brubaker, L., "Patientreported outcomes in overactive bladder: Importance for determining clinical effectiveness of treatment", Urology, 68(Supplement 2A), pp.3~8 (2006)
- Chen, G. D., "Prevalence and correction of urinary incontinence and overactive bladder in Taiwanese women", Neurourology and Urodynamics, 22, pp.109~117 (2003)
- 정호석, "과민성방광 여성에서 나이에 따른 배뇨 형태의 변화", International Neurourology Journal, 13(1), pp.37~44 (2009), 대한배뇨장애요실금학회
- Cohen, J., "Statistical power for the behavioral sciences" (1988), Erlbaum
- Coyne, K. S., "The impact of urinary urgency and frequency on health-related quality of life in overactive bladder: Results from a national community survey", Value in Health, 7, pp.455~463 (2004)
- Coyne, K. S., "The burden of lower urinary tract symptoms: Evaluating the effect of LUTS on health-related quality of life, anxiety and depression; EpiLUTS", British Journal of Urology International, 103(s3), pp.4~11 (2009)
- Coyne, K., "Psychometric validation of an overactive bladder symptom and health-related quality of life questionnaire: The OAB-q", Quality of Life Research, 11, pp.563~574 (2002)
- Faul, F., "G* Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences", Behavior Research Methods, 39, pp.175~191 (2007)
- Irwin, D. E., "Population-based survey of urinary incontinence, overactive bladder, and the other lower urinary tract symptoms in five countries: Results of the EPIC study", European Urology, 50, pp.1306~1314 (2006)
- 장인순, "중년 여성의 하부요로증상에 영향을 미치는 요인", Journal of korean biological nursing science, 11(2), pp.176~182 (2009), 기초간호학회
- 전은미, "여성의 스트레스 증상, 암 예방 행위와 삶의 질과의 관계", 여성건강간호학회지, 11(2), pp.156~162 (2005), 여성건강간호학회
- Kim, S. A., "The relating factors and quality of life of overactive bladder patients in adults", 석사, pp.2010
- 김욱현, "젊은 여성에서 과민성방광과 요실금의 유병률 및 삶의 질", Korean Journal of Urology, 45(6), pp.543~550 (2004), 대한비뇨기과학회
- Milsom, I., "How widespread are the symptoms of an overactive bladder and how are they managed? A population- based prevalence study", British Journal of Urology International, 87, pp.760~766 (2001)
- Milsom, I., "Effect of bothersome overactive bladder symptoms in health-related quality of life, anxiety, depression, and treatment seeking in the United State: Results form EpiLUTs", Urology, 80, pp.90~96 (2012)
- Park, S. Y., "Stress and my health", Gwangju-city Sea-gu Health News, 11(84), pp.7~9 (1999)
- Sand, P. K., "Disruptive effects of overactive bladder and urge urinary incontinence in young women", American Journal of Medicine, 119, pp.16~23 (2006)
- Sexton, C. C., "Prevalence and effect on healthrelated quality of life of overactive bladder in older Americans: Results from the epidemiology of lower urinary tract symptoms study", Journal of the American Geriatrics Society, 59, pp.1465~1470 (2011)
- Stewart, W. F., "Prevalence and burden of overactive bladder in the United States", World Journal of Urology, 20, pp.327~336 (2003)
- Van der Vaart, C. H., "The effect of urinary incontinence and overactive bladder symptoms on quality of life in young women", British Journal of Urology International, 90, pp.544~549 (2002)
- Wennberg, A. L., "A longitudinal population-based survey of urinary incontinence, overactive bladder and other lower urinary tract symptoms in women", European Urology, 55, pp.783~791 (2009)
- 양상국, "감정이 배뇨에 미치는 영향", International Neurourology Journal, 10(1), pp.1~8 (2006), 대한배뇨장애요실금학회
- Yip, S. K., "The impact of urodynamic stress incontinence and detrusor overactivity on marital relationship and sexual function", American Journal of Obstetrics and Gynecology, 188, pp.1244~1248 (2003)