ABSTRACT
PURPOSE: The aim of this study was to estimate the prevalence of urinary incontinence among nursing home residents and to identify the factors associated with this condition. METHOD: The data were collected from 618 subjects (146 males and 472 females; mean age 79.9+/-8.4 yr; range 65-102 yr) of 30 nursing homes in Seoul, Gyeonggi-do and Gangwon-do in this cross-sectional study. The data were analyzed by chi-square test, t-test, and multiple logistic regression by using the SPSS/PC ver 12.0 program. RESULTS: The prevalence of UI was 64.7% (64.6% in women; 65.1% in men). After adjustment for each of the variables considered in this study, six potential factors were strongly associated with UI: activities of daily living, comorbidity, age, cognition, specialty of the facility, and a bladder training program. CONCLUSION: Our finding suggests that it is necessary to develop a program for promotion of activities of daily living and to provide a bladder training program to prevent urinary incontinence among nursing home residents.
Subject(s)
Aged , Aged, 80 and over , Female , Humans , Male , Activities of Daily Living , Chi-Square Distribution , Cross-Sectional Studies , Geriatric Assessment , Homes for the Aged , Nursing Homes , Prevalence , Surveys and Questionnaires , Risk Factors , Urinary Incontinence/epidemiologyABSTRACT
The purpose of this study was to develop an education program for hospice care and to examine the effect of program. The education program for hospice care was developed based on the philosophy and principle of Hospice and integrated with various professional areas related to the problems with witch terminal patients and their family might be associated. The program was continued for 16 weeks and consisted of lectures and practices. The courses of this program were The Concept and Principle of Hospice, The Role of the Hospice Nurse, The Characteristics of Terminal Disease, Physical Care in Terminal Patients, Death Orientation, Psychological care for Terminal Patients, Spiritual care for Terminal Patients, and Care for the Family. To identify the effect of the education program for hospice care, the difference in death orientation of subjects between the pre and post performance of the education program was examined using the t-test. The finding of this statistic indicated that this education program for hospice care was effective in terms of changing the death orientation of subjects with positive direction. The education program for hospice care was performed several times at Kwangrim Hospice Missionary, Chungbuk University Hospital, and Wooam Church. Case studies were reported for a description after the performance of education. put this at the beginning 8 the sentence. In conclusion, the education program for hospice care was developed effectively. Therefore, this program should be used to educate and activate the subjects in community to be participants in hospice care.
Subject(s)
Humans , Education , Hospice Care , Hospices , Lecture , Religious Missions , PhilosophyABSTRACT
This study has been attempted using the Q methodology to clarify leader type of nurse managers that head nurses and general nurses recognize, and to clarify its relative relation. Sixty-three statements were extracted through interviews with general and professional people interested in the subject of nurse leaders to extract the Q population. Atotal of 314 Q population was formed added with 251 questions extracted from related documents. Final 32 Q samples were selected by reorganization of 314 Q population after reexamining statements through inquiry of 1 professor of the nurse department, 2 students in course of nurse science masters degree and 2 students in course of doctoral degree. The P sample selection standard of this study were 25 nurses and 30 head nurses. Examination subjects themselves filled out 32 statements classified in a measure of 9 points from agreeable items to disagreeable items, Principal component factors were analyzed using the QUANL pc program after grading the contents of the P sample. Nurses recognizing subjective structure for leader behaviors of nurse manager were analyzed to be 3 factors: vision presentation type, self-capability consideration type, relationship consideration type, and head nurses recognizing subjective structure were analyzed to be 2 types ; task pursuit leader type, and concord pursuit type. Nursing manager's leader behavior, expected by staff nurse are more complex and higher level which may combined with task pursuit leader type in concord pursuit leader of head nurse. Also according to Hersey and Blanchard theory(1977), the effectiveness of leadership becomes to be larger as the accordance rate between the behaviors of nurse leaders and followers reaction increase. Two suggestions have been made based on the conclusion. 1. Studies on creating strategies in relation to development, management, selection of nurse leaders should be made based on this study. 2. There is a need for relative study of production and degree of similarity of leadership types based on this study.
Subject(s)
Humans , Leadership , Nurse Administrators , Nursing , Nursing, SupervisoryABSTRACT
The purpose of this study was to identify the incidence of urinary incontinence in adult women and to identify factors related to life style and sexual intercourse that were related to incontinence. The sample consisted of 1,065 women living in Seoul or one of five provinces. Data for this study were collected from January 16 to June 23 using structured questionnaires. The Urinary Symptom Questionnaire developed by Jackson and a demographic questionnaire were used to collect the data. The data were analyzed using frequency, percentage with and SPSS/PC+ program. The major finding are as follows : 1. The distribution of age of subjects was as follows : 20-29(10.1%), 30-39(17.8%), 40-49(27.3%), 50-59(22.3%), 60-69(12.9%), 70-79(6.1%), 80-89(2.8%), more than 90(0.6%). The frequency of normal delivery, 0(15.5%), 1-2(36.0%), 3-4(29.2%), 5-6(13.0%), more than 7(6.3%). The rate of subjects with menopause was 40.8%. 2. It was reported that 50.7% of the subjects experienced urinary incontinence with stress, mixed, and urgency incontinence being 49.8%, 43.4%, 6.8% respectively. 3. The lower urinary symptoms and incidence with urinary incontinence were as follows : Daily frequency, 22.3%, nocturia, 40.8%, urgency, 71.2%, bladder pain, 47.8%, unexplained incontinence, 32.4%, nocturnal incontinence, 16.1%, and frequency of incontinence, 37.7%. In term of quantity of incontinence, drop/pants damp, 29.5%, dribble/pants wet, 20.5%, flood or soaking through to outer clothing, 1.7%, and flood or running down legs or onto floor, 0.2%. 4. The symptoms related to sexual intercourse and incidence of urinary incontinence were as follows : dry vagina, 39.1%, sex life trouble, 10.8%, pain during sexual intercourse, 27.4%, and urine leakage during sexual intercourse, 8.8%. 5. Life style problems related to urinary incontinence were as follows ; fluid intake restriction, 20.0%, affected daily task, 24.5%, avoidance of places and situations, 35.0%, interference in physical activities, 30.6%, interference in relationships with other people, 19.0%, interference in relationship with husband/companion, 8.1%, and time after attack of urinary symptoms, 76.9%. In term of the feeling about the rest of their lives the women reported : perfectly happy, 11.3%, pleased, 16.9%, mostly satisfied, 20.2%, mixed feelings, 21.0%, mostly dissatisfied, 21.0%, very unhappy 8.5%, and desperate, 1.0%. In conclusion, this study was a preliminary study to provide nursing practices guidelines for incontinence in adult women. Nurses working with adult women should develop and provide adequate care for these women.
Subject(s)
Adult , Female , Humans , Clothing , Coitus , Incidence , Leg , Life Style , Menopause , Motor Activity , Nocturia , Nursing , Surveys and Questionnaires , Running , Seoul , Urinary Bladder , Urinary Incontinence , VaginaABSTRACT
No abstract available.