하부요로증상은 소변이 방광에 저장되고 배설되는 모든 과 정과 관련된 증상을 의미한다(Kim, 2002). Chaikin과 Blaivas (2001)나 Abrams (1997) 등은 하부요로증상을 소변 저 장과 배뇨 증상으로 나누었고 Jackson (1996) 등은 하부요로 증상을 소변저장, 배뇨, 요실금으로 나누었다. 소변저장 관련 증상은 방광 내 소변 저장이 안 되어 빈뇨, 절박뇨가 발생하 고 심할 경우 절박성 요실금으로 나타나는 것이며, 배뇨는 방 광수축력이 감소하거나 방광출구폐색이나 요도이완이 잘 안 되어 나타나는 증상으로 배뇨 시 긴장, 시작의 어려움, 약해진 소변줄기, 불완전한 방광 비움, 요정체를 포함한다. 요실금은 남성에 비해 요도가 짧은 여성에게서 문제가 되므로 여성들에 게는 요실금 증상이 하부요로증상을 대표할 만큼 중요한 증상 으로 인식되어 국내의 하부요로증상에 대한 연구들은 요실금 을 주로 다룬 것들이 많다(Kim, 2002; Shin & Park, 2001).
This study was performed to investigate demographic and disease-related characteristics that influence lower urinary tract symptoms in middle-aged women. Methods: The participants in this study were 301 middle-aged women and they completed structured questionnaire between May to June, 2008. Lower urinary tract symptoms (LUTS) were measured with Bristol Female Lower Urinary Tract Symptoms-short form (BFLUTS-SF) and categorized as voiding, filling and incontinence symptoms. The data were analyzed by using descriptive statistics, t-test, ANOVA, Pearson Correlation Coefficient, and multiple regression with SPSS PC 15.0 version. Results: The participants who have higher economic status and drink alcohol were more likely to have LUTS score than other woman who have lower economic status and don’t drink alcohol at all. Also, frequent childbirth experiences and chronic diseases conditions such as diabetes and heart disease are positively associated with LUTS score. The symptoms of filling and incontinence were affected by number of childbirth, alcohol drinking habit and chronic disease conditions while voiding symptom was influenced only by alcohol drinking habit. In multiple regression analysis, LUTS were significantly predicted by parity, drinking carbonated beverage and alcohol. Conclusion: For proper nursing care related to lower urinary tract symptoms, nursing intervention should focus on improving alcohol drinking habit and carbonated beverage comsumption.
서 론 연구 방법 연구 결과 논 의 결론 및 제언
