골반저 근육운동이 복압성 요실금 여성의 배뇨증상과 삶의 질에 미치는 영향

다국어 초록 (Multilingual Abstract)

Purpose: The purpose of this study was to identify the effects of pelvic floor muscle exercise on reducing the symptoms of stress urinary incontinence and improving attitude toward exercise and quality of life.
Method: The research adopted was a nonequivalent control group pretest posttest design. The subjects were 55 persons who were surveyed using a structured questionnaire, and 23 persons in the experimental group among the total sample were measured for the peak pressure and the duration of PMC and trained correct pelvic floor muscle contraction using peritron in the first week. Then, pelvic floor muscle exercise was implemented for 6 weeks. The data was analyzed by χ2-test and t-test with the SPSS 10.0 program.
Results:
1) The degree of stress urinary incontinence, requency of urination, nocturia, urgency, noctural incontinence, the frequency and quantity of incontinence, outer clothing change and incomplete emptying decreased significantly more in the experimental group than in the control group.
2) Attitude toward pelvic floor muscle exercise and the quality of life were improved significantly more in the experimental group than in the control group.
3) The peak pressure and duration of PMC increased significantly more in the posttest.
Conclusion: Based on the results above, it is judged that pelvic floor muscle exercise is an effective nursing intervention in order to care for stress urinary incontinence.

목차 (Table of Contents)

• Ⅰ. 서론 1
• 1. 연구의 필요성 1
• 2. 연구목적 2
• 3. 연구의 제한점 2
• Ⅱ. 연구 방법 2
• 1. 연구 설계 2
• 2. 연구 대상 및 자료수집 2
• 3. 연구 도구 2
• 1) 실험처치 3
• 2) 주관적 측정도구 3
• 3) 객관적 측정도구 3
• 4. 자료분석 4
• Ⅲ. 연구 결과 4
• 1. 대상자의 동질성 검증 4
• 2. 복압성 요실금 정도 5
• 3. 골반저 근육운동과 배뇨증상 5
• 4. 실험군의 최정점 질수축압과 질수축 지속시간 전후 비교 6
• 5. 골반저 근육운동과 삶의 질 6
• Ⅳ. 논의 6
• Ⅴ. 결론 및 제언 8

참고문헌 (Reference)

1 김증임, "일개지역 고령자의 요실금의 유병률, 지식 및 배뇨특성" 한국간호과학회 32 (32): 28-39, 2002

2 김희진, 이해정, 공경애, 이상화, 심경원, 서희선, 이홍수, "성인여성의 요실금과 삶의 질" 대한가정의학회 24 (24): 5-714, 2003

3 Park, E. Y., "study on the effect of the pelvic muscle exercise for urinary incontinence women" Ewha Womans University, Seoul. 2001

4 Park, S. Y., "study on the effect of information for urinary incontinence patients" Ewha Womans University, Seoul. 1999

5 Roe, H. B., "What choice in care for the incontinent?" 81-83, 1992

6 Vapnek,J.M., "Urinary incontinence screening and treatment of urinary dysfunction" 56 (56): 25-32, 2001

7 Kim, J. S., "The prevalence of urinary incontinence in elderly women at institutionalized facilities in Pusan" 40 (40): 1019-1023, 1999

8 Hong,J.Y., "The efficacy of pelvic floor muscle exercise in patients with genuine stress incontinence" 38 (38): 639-643, 1997

9 Ju, Y. H., "The effect of urinary incontinence management program on female urinary incontinence" Pusan University, Pusan 2001

10 Kim, S. Y., "The effect of pelvic muscle exercise program on women with stress urinary incontinence in the degree and amount of urinary incontinence and maximum vaginal contraction pressure" 12 (12): 267-277, 2000

11 Kang, S. E., "The effect of pelvic floor muscle exercise for stress urinary incontinence of women" Ewha Womans University, Seoul. 2003

12 Kim, M. S., "The effect of biofeedback training for pelvic muscle exercise for urinary incontinence older community- dwelling women" Seoul University, Seoul. 2003

13 Choi, Y. H., "The comparison of the effectiveness of pelvic floor muscle exercise and biofeedback treatment for stress incontinence in Korean women" 29 (29): 34-47, 1999

14 Choi, Y. H., "The Incontinence of urinary incontinence and influences on quality of Life among elderly women" 10 (10): 15-31, 1998

15 Uebersax, J. S., "Short forms to assess life quality and symptom distress for urinary incontinence in women: The incontinence impact questionnaire and the urogenital distress inventory" 14 : 131-139, 1995

16 Wagner, T. H., "Quality of life persons with uinary incontinence: Development of a new measure" 47 : 67-72, 1996

17 Diokno, A. C., "Preference, compliance and initial outcome of therapeutic options chosen by female patients with urinary incontinence" 154 : 1727-1731, 1995

18 Palmer, M. H., "Pelvic muscle rehabili- tation: Where do we go from here?" 24 (24): 98-105, 1997

19 Wells, T. J., "Pelvic muscle exercise for stress urinary incontinence in elderly women" 39 : 785-791, 1991

20 Lee, M. H., "Lived experience of women's urinary incontinence in small island" 30 (30): 799-812, 2000

21 Oh, H. S., "Factors affecting the severity of urinary incontinence and the quality of life of women with urinary incontinence" 35 (35): 469-477, 2005

22 Diokno, A. C., "Epidemiology of lower urinary tract dysfunction" 47 (47): 36-43, 2004

23 Nygaard, I. E., "Efficacy of pelvic floor muscle exercises in women with stress, urge, and mixed urinary incontinence" 174 : 120-126, 1996

24 Alewijnse, D., "Effectiveness of pelvic floor muscle exercise therapy supplemented with a health education program to promote long-term adherence among women with urinary incontinence" 22 : 284-295, 2003

25 Park, H. J., "Development of educational video program on women's urinary incontinence: Pelvic floor muscle exercise" Ewha Womans University 2000

26 Wyman, F. J., "Comparative efficacy of behavioral interventions in the management of female urinary incontinence" 179 : 999-1007, 1998

27 Kim, T. H., "Comparative effects of pelvic floor muscle exercise training for stress urinary incontinence women" Keimyung University, Daegu 2004

28 Shaw, C., "Barriers to help seeking in people with urinary symptoms" 18 (18): 48-52, 2001

29 Lee, Y. H., "A study on self-esteem and urinary symptoms in women with urinary incontinence" 9 (9): 360-369, 2002