일 지역 중년여성의 요실금 실태 및 교육 요구도 조사
The Prevalence of Urinary Incontinence and Needs for Education among Middle Aged Women
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초록
본 연구결과 대상자의 요실금 경험율은 57.6%로 지역사회에서 과반수이상의 중년여성이 요실금을 경험하고 있었으나 요실금을 경험하고 있는 대상자의 79.2%가 요실금을 치료하기 위해 취한 방법이 전혀 없는 것으로 나타났다. 요실금이 있는 집단에서 교육 요구도는93.28%, 참여도는 88.4%로 교육에 대한 요구도가 높게 확인되어 요실금을 가진 중년여성들이 용이하게 접근할 수 있는 지역사회 중심의 특성화된 교육프로그램개발의 필요성을 시사하고 있다. 대상자의 요실금 경험 관련요인에 대한 조사를 분석한 결과 요실금 유무가 결혼, 출산, 규칙적 운동, 야식,폭식, 주관적 건강 상태, 체질량지수, 허리둘레 비만 여부에 따라 유의한 차이를 나타내었으므로 요실금 교육에 있어서 비만과 관련된 요인들이 고려되어야 하겠다. 본 연구결과를 토대로 요실금과 비만 관련요인 간의 인과관계를 명확하게 밝히기 위해 전향적 코호트 연구나무작위 실험연구가 추후 이루어져야 할 것을 제언한다.
Abstract
Purpose: The aim of this study was to investigate the prevalence of urinary incontinence andneeds for urinary incontinence intervention education among middle-aged women. Methods: A total of 1085 subjects aged between 40 and 64 were selected using convenientsampling among women who lived in Y city at Gyungki province and S Gu at Seoul. The data werecollected using self-reported questionnaire and were analyzed using SPSS 18.0 program withdescriptive statistics and Chi-squire test. Results: Among middle-aged women 57.6% reported that have experienced urinary incontinence. The experience of urinary incontinence was significantly associated with marital status (χ2=9.83,p=.002), parity (χ2=5.22, p=.022), regular exercise (χ2=12.09, p=.002), late-night snack (χ2=10.38, p=.001), binge eating (χ2=17.41, p=.001), objective health status (χ2=16.56, p=.002), BMI(t=-2.89, p=.004), WC (t=-2.51, p=.012). Conclusion: Urinary incontinence in middle-aged women is a major health problem to need amanagement. This study suggest further investigations for association among regular exercise,BMI, WC and urinary incontinence, particularly in prospective studies.
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