Research in Community and Public Health Nursing

Sun Ah Park

3 Articles

Factors Influencing Urinary Incontinence Quality of Life among Elderly Women in Home Visiting Healthcare Services: Ae Young So, Sun Ah Park; J Korean Acad Community Health Nurs. 2021;32(3):243-253. Published online September 30, 2021; DOI: https://doi.org/10.12799/jkachn.2021.32.3.243

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Purpose
The purpose of this study is to identify factors affecting the urinary incontinence (UI) prevalence and the quality of life among elderly adult women who are subject to home visiting healthcare services.
Methods
A cross-sectional study was conducted with 400 women aged 60 or over who were registered for home health care services at one health center in Gangwon-do. Data were collected using a structured questionnaire consisting of UI severity, UI type, and the quality of life. The UI severity was assessed using International Consultation of Incontinence Questionnaire-Short Form (ICIQ-SF), the quality of life using Incontinence Quality of Life (I-QOL), and type of UI using Questionnaire for Urinary Incontinence Diagnosis (QUID). The data were analyzed by using x² test, independent t-test, one-way ANOVA, Pearson’s Correlation, binary logistic, and multiple lineal regression.
Results
The prevalence of UI is 51.7%. The mean score of ICIQ-SF was 9.70±4.04 for women with UI and 0.04±0.51 for women without UI (t=-33.67, c<.001). As the frequency of day time urination (OR=1.34), the subjective health status (OR=1.45), and the educational status (OR=0.90) were higher, the risk of UI prevalence was the higher. The factors affecting I-QOL were ICIQ-SF score, mixed UI, subjective health status, and nighttime urination (adjusted R² =.61).
Conclusion
The results of this study showed that UI severity, mixed UI, subjective health status, and day time urination affected the quality of life. It suggests that the assessment for the severity and type of UI be needed to prevent UI or improve the quality of life of UI vulnerable elderly adult women.

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A Multisite Study on the Effect of a Urinary Incontinence Self-Management Program on Community-Dwelling Older Women in Korea
Sunah Park, Aeyoung So
Journal of Wound, Ostomy & Continence Nursing.2024; 51(1): 61. CrossRef

Influencing Factors on the Urinary Incontinence Related Quality of Life in Older Rural Women Aged 60 or Over: Ae Young So, Sun Ah Park; J Korean Acad Community Health Nurs. 2019;30(2):109-118. Published online June 30, 2019; DOI: https://doi.org/10.12799/jkachn.2019.30.2.109

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Abstract PDF

PURPOSE
The purpose of this study is to identify factors affecting the quality of life among community-dwelling older women with urinary incontinence (UI).
METHODS
A cross-sectional study was conducted with 475 women aged 60 or over who were recruited from 10 primary health care facilities in rural Korea. Data were collected using a structured questionnaire consisting of socio-demographic, health-related, and UI-related characteristics. The quality of life was assessed using Incontinence Quality of Life (I-QOL). SPSS/WIN 23.0 program was used to analyze descriptive statistics, Ï‡2 test, t-test, ANOVA, Pearsonâ€™s Correlation, and hierarchical regression.
RESULTS
Of 475 subjects, 180 (37.9%) had urinary incontinence. The mean scores of I-QOL of women with and without UI were 76.87 and 94.77, respectively. The results of hierarchical regression analysis show that the Questionnaire for Urinary Incontinence Diagnosis total score was the greatest influencing factor, followed by age and the International Consultation on Incontinence Questionnaire-Short Form total score.
CONCLUSION
The study revealed that factors related to UI symptoms are more likely to have impact on the quality of life in women with UI. It suggests that early detection or management of UI is important in improving the quality of life of women with UI.

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Factors Influencing Urinary Incontinence Quality of Life among Elderly Women in Home Visiting Healthcare Services
Aeyoung So, Sunah Park
Journal of Korean Academy of Community Health Nursing.2021; 32(3): 243. CrossRef
Experience of Urinary Incontinence in Elderly Women in Urban Areas
Min Ryu, Haeyun Shin, Miseon Bang, Suhye Kwon
Journal of Korean Gerontological Nursing.2021; 23(3): 213. CrossRef

The Effect of a Workshop on a Urinary Incontinence Self-Management Teaching Program for Community Health Nurses: Ae Young So, Jennie C De Gagne, Sun Ah Park, Young Oak Kim; J Korean Acad Community Health Nurs. 2015;26(3):260-267. Published online September 30, 2015; DOI: https://doi.org/10.12799/jkachn.2015.26.3.260

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Abstract PDF

PURPOSE
This study aimed to examine the effectiveness of the workshop on the nurses' knowledge about urinary incontinence (UI) self-management, attitudes toward UI, and self-efficacy to plan and implement a UI self-help group program for their clients.
METHODS
A one-group pretest and posttest design was used to examine changes in knowledge, attitudes, and self-efficacy following a one-day training workshop. Twenty-seven community health nurses completed a questionnaire before and after the workshop. Before participating in the workshop, the participants were required to take a UI online continuing education program developed by the researchers. During the workshop, the participants took four sessions which consisted of an introduction of a self-help group program, demonstration of a 5-week UI self-management program contents, pelvic floor muscle training and biofeedback practice, and group discussions to plan the implementation in their workplaces.
RESULTS
A significant improvement in knowledge of and attitudes toward UI were found (t=3.53, p=.002; t=2.83, p=.009, respectively) after the workshop. Participants also demonstrated improvement in their self-efficacy to plan and operate a UI self-help group program (Z=-2.64, p=.008).
CONCLUSION
The one-day workshop for community health nurses is a feasible strategy to increase their abilities and confidence in operating a UI self-help group program.

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Community nurses’ attitudes, knowledge and educational needs in relation to urinary continence, continence assessment and management: A systematic review
Margaret McCann, Anne‐Marie Kelly, Jessica Eustace‐Cook, Claire Howlin, Louise Daly
Journal of Clinical Nursing.2022; 31(7-8): 1041. CrossRef

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