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노인여성의 요실금과 우울, 인지기능 및 일상생활수행능력과의 관계

Urinary Incontinence and its Association with Depression, Cognitive Function, and Daily Living Activity in Elderly Women

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Objectives: This study was conducted to find out the prevalence of urinary incontinence, and its association with depression, cognitive function and daily living activity in elderly women. Methods: The data have been obtained through interviews from the 575 elderly women residing in urban, rural and residential facilities on December 1st, 2007 through February 28th, 2008. For data collection, the Questionnaire for Urinary Incontinence Diagnosis (QUID), the Center for Epidemiologic Studies Depression Scale (CES-D), Mini-Mental State Examination-Korea (MMSE-K), activity of daily living (ADL) and instrumental activity of daily living (IADL) were used. Results: The prevalence of urinary incontinence (UI) was 37.4% of the subjects, and it was significantly higher in elderly women in residential facilities than in urban and rural. The type of UI were stress incontinence 17.4%, mixed incontinence 14.8%, and urge type incontinence 5.2%. The distribution of elderly women with UI was significantly higher residing in residential facilities, depressed group, impaired ADL and IADL group than their respective counterparts. However, significant difference was not found in cognitive function. Conclusions: The UI of elderly women is highly associated with depression, ADL and IADL, as well as socio-demographic characteristics.

Abstract

Objectives: This study was conducted to find out the prevalence of urinary incontinence, and its association with depression, cognitive function and daily living activity in elderly women. Methods: The data have been obtained through interviews from the 575 elderly women residing in urban, rural and residential facilities on December 1st, 2007 through February 28th, 2008. For data collection, the Questionnaire for Urinary Incontinence Diagnosis (QUID), the Center for Epidemiologic Studies Depression Scale (CES-D), Mini-Mental State Examination-Korea (MMSE-K), activity of daily living (ADL) and instrumental activity of daily living (IADL) were used. Results: The prevalence of urinary incontinence (UI) was 37.4% of the subjects, and it was significantly higher in elderly women in residential facilities than in urban and rural. The type of UI were stress incontinence 17.4%, mixed incontinence 14.8%, and urge type incontinence 5.2%. The distribution of elderly women with UI was significantly higher residing in residential facilities, depressed group, impaired ADL and IADL group than their respective counterparts. However, significant difference was not found in cognitive function. Conclusions: The UI of elderly women is highly associated with depression, ADL and IADL, as well as socio-demographic characteristics.

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