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요실금 여성의 성기능에 영향을 미치는 요인

Factors Influencing the Sexual Function of Women with Urinary Incontinence

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Purpose: Sexual function involves a complex interaction of emotions, body image, and intact physical responses. The purpose of this study was to determine the sexual functioning of women who are incontinent and to identify associated factors. Methods: For this descriptive correlation study, data were collected from 147 women with urinary incontinence. Data were analyzed using t-test, ANOVA, and stepwise multiple regression. Results: Mean scores were 22.39 (sexual dysfunction ≤26.55) for sexual function, 13.38 (of 63) for depression, and 55.47 (range of score 17~85) for body image. Urinary symptoms and daily life symptoms averaged 36.04 (range of score 20~100) and 16.03 (range of score 8~40). Sexual function had a positive correlation with body image and negative correlation with daily life symptoms. Sexual satisfaction, daily life symptoms, marital satisfaction, and frequency of sexual intercourse were factors affecting sexual function. Conclusion: Study results indicate that urinary incontinence has a negative impact on various aspects of sexual function. Nurses should be aware of the wider consideration that needs to be made in relation to general and sexual quality of life when caring for clients suffering from urological diseases.

Abstract

Purpose: Sexual function involves a complex interaction of emotions, body image, and intact physical responses. The purpose of this study was to determine the sexual functioning of women who are incontinent and to identify associated factors. Methods: For this descriptive correlation study, data were collected from 147 women with urinary incontinence. Data were analyzed using t-test, ANOVA, and stepwise multiple regression. Results: Mean scores were 22.39 (sexual dysfunction ≤26.55) for sexual function, 13.38 (of 63) for depression, and 55.47 (range of score 17~85) for body image. Urinary symptoms and daily life symptoms averaged 36.04 (range of score 20~100) and 16.03 (range of score 8~40). Sexual function had a positive correlation with body image and negative correlation with daily life symptoms. Sexual satisfaction, daily life symptoms, marital satisfaction, and frequency of sexual intercourse were factors affecting sexual function. Conclusion: Study results indicate that urinary incontinence has a negative impact on various aspects of sexual function. Nurses should be aware of the wider consideration that needs to be made in relation to general and sexual quality of life when caring for clients suffering from urological diseases.

참고문헌 (30)

  1. Abdo, C. H., "Prevalence of sexual dysfunctions and correlated conditions in a sample of Brazilian women-results of the Brazilian study on sexual behavior (BSSB)", International Journal of Impotence Research, 16, pp.160~166 (2004)
  2. Aslan, G., "Sexual function in women with urinary incontinence", International Journal of Impotence Research, 17, pp.248~251 (2005)
  3. Beck, A. T., "Depression: Causes and treatment" (1961), University of Pennsylvania Press
  4. Bekker, M. D., "How do continence nurses address sexual function and a history of sexual abuse in daily pratice? results of a pilot study", Journal of Sexual Medicine, 8, pp.367~375 (2010)
  5. Brown, W. J., "Too wet to exercise? leaking urine as a barrier to physical activity in women", Journal of Science and Medicine in Sport, 4, pp.373~378 (2001)
  6. Chang, S. B., "The sexual satisfaction in married women", Journal of Korean Academy of Nursing, 28, pp.201~209 (1998)
  7. DeLamater, J., "Sexual satisfaction in the seventh decade of life", Journal of Sex & Marital Therapy, 34, pp.439~454 (2008)
  8. DuBeau, C. E., "The impact of urge urinary incontinence on quality of life: Importance of patients' perspective and explanatory style", Journal of the American Geriatrics Society, 46, pp.683~692 (1998)
  9. Fitts, W. H., "Tennessee self-concept scale" (1964), Western Psychological Services
  10. Hong, J. Y., "The efficacy of pelvic floor muscle exercise in patients with genuine stress incontinence", Korean Journal of Urology, 38, pp.639~643 (1997)
  11. Jackson, S., "The bristol female lower urinary tract symptoms questionnaire: development and psychometric testing", British Journal of Urology, 77, pp.805~812 (1996)
  12. Jeong, G. H., "Body image and depression in post-hysterectomy patients", 석사, pp.1988
  13. Jha, S., "The impact of TVT on sexual function", International Urogynecology Journal and Pelvic Floor Dysfunction, 20, pp.165~169 (2009)
  14. Kim, A. K., "Body image and depression in women with urinary incontinence", The Journal of Korean Academy of Adult Nursing, 10, pp.469~479 (1998)
  15. 김지현, "현성 요실금이 한국 중 · 노년 여성의 성기능에 미치는 영향", Obstetrics & Gynecology Science, 54(12), pp.778~783 (2011), 대한산부인과학회
  16. 김정희, "폐경 후기 중년여성의 신체상, 우울 및 성기능과의 관계", 성인간호학회지, 17(2), pp.239~247 (2005), 성인간호학회
  17. Korda, J. B., "Sexual dysfunction at urinary incontinence", Der Urologe, 46, pp.1058~1065 (2007)
  18. 이우숙, "요실금 관리 프로그램이 혼합성 요실금 환자의 신체적 증상, 일상생활 문제 및 성생활 문제에 미치는 효과", 임상간호연구, 15(2), pp.91~102 (2009), 병원간호사회
  19. Lee, Y. H., "A study of the reliability and the validity of the BDI, SDS, and MMPI-D scales", Korean Journal of Clinical Psychology, 10, pp.98~113 (1991)
  20. Norton, P., "Urinary incontinence in women", Lancet, 367, pp.57~67 (2006)
  21. Nygaard, I., "Urinary incontinence and depression in middleaged United States women", Obstetrics and Gynecology, 101, pp.149~156 (2003)
  22. Oh, S. J., "Prevalence of urinary incontinence and incontinence- related quality of life in korean women: A population- based study", Journal of the Korean Continence Society, 7, pp.73~80 (2003)
  23. Osgood, C. E, "The measurement of meaning" (1957), University of Illinois Press
  24. Paick, J. S., "Influence of self-perceived incontinence severity on quality of life and sexual function in women with urinary incontinence", Neurourology and Urodynamics, 26, pp.828~835 (2007)
  25. 박영숙, "중년여성의 성 기능과 성 디스트레스 양상: 서울시거주 여성을 대상으로", 여성건강간호학회지, 13(4), pp.254~261 (2007), 여성건강간호학회
  26. Reese, P. R., "Multinational study of reliability and validity of the King's Health Questionnaire in parents with overactive bladder", Quality of Life Research, 12, pp.427~442 (2003)
  27. Rhodes, P., "The role of the continence adviser: Critique of an emergent nursing specialism", Health and Social Care in the Community, 1, pp.35~44 (1993)
  28. Rosen, R., "The female sexual function index (FSFI): A multidimensional self-report instrument for the assessment of female sexual function", Journal of Sex and Marital Therapy, 26, pp.191~208 (2000)
  29. Trantafylidis, S. C. A., "Impact of urinary incontinence on quality of life", Pelviperineology, 28, pp.51~53 (2009)
  30. 양동옥, "폐경 전 여성의 성기능장애의 유병률과 관련 요인: 지역사회 연구", The World Journal of Men's Health, 30(1), pp.57~63 (2012), 대한남성과학회

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