Journal List > J Korean Acad Nurs > v.39(1) > 1002510

J Korean Acad Nurs. 2009 Feb;39(1):116-123. Korean.
Published online February 28, 2009.  https://doi.org/10.4040/jkan.2009.39.1.116
Copyright © 2009 Korean Society of Nursing Science
Factors associated with Lower Urinary Tract Symptoms for Patients with Parkinson's Disease
Hyo Jeong Song,1 Ji Hoon Kang,2 Eun Joo Lee,3 Jung-Sik Huh,4 Young-Joo Kim,5 Chul Soo Kim,6 Myung Ja Kim,7 Seung Kyo Chaung,8 Hye Ja Park,9 Hyung Chang Kang,10 and Keun Heau Oh11
1Associate Professor, Department of Nursing, Institute of Medical Science, Jeju National University, Jeju, Korea.
2Associate Professor, Department of Neurology, Jeju National University, Jeju, Korea.
3Associate Professor, Department of Nursing, Jeju National University, Jeju, Korea.
4Associate Professor, Department of Urology, Jeju National University, Jeju, Korea.
5Assistant Professor, Department of Urology, Jeju National University, Jeju, Korea.
6Professor, Department of Computer Science and Statistics, Jeju National University, Jeju, Korea.
7Professor, College of Nursing, The Catholic University of Korea, Seoul, Korea.
8Associate Professor, Department of Nursing, Semyung University, Jecheon, Korea.
9Associate Professor, Department of Nursing, Pochon Cha University, Pocheon, Korea.
10Instructor, Department of Computer Science and Statistics, Jeju National University, Jeju, Korea.
11Master's Course Student, Department of Nursing, Jeju National University, Jeju, Korea.

Address reprint requests to: Song, Hyo Jeong. Department of Nursing, College of Medicine, Jeju National University, 66 Jejudaehak-ro, Jeju 690-756, Korea. Tel: 82-64-754-3885, Fax: 82-64-702-2686, Email: hjsong@jejunu.ac.kr
Received August 25, 2008; Accepted January 21, 2009.

Abstract

Purpose

The study was done to identify lower urinary tract symptoms (LUTS) and to evaluate the factors affecting LUTS for the people with Parkinson's disease.

Methods

The research design was a cross-sectional study with interviews using a structured questionnaire. The participants were 72 patients with Parkinson's disease who were seen in the Neurology clinic of a university hospital from September to November 2005.

Results

Mean score of LUTS for the participants was 10.11. In each symptom score of LUTS (range 0-5), weak stream was the highest 2.06, followed by nocturia 1.71, and urgency 1.61. The severity of LUTS was moderate to severe group for 51%. LUTS were significantly different by regular exercise. Positive correlations were observed between Hoehn and Yahr stage (stage of disease severity) and frequency and between Hoehn and Yahr stage and urgency (r=.280, p=.018; r=.328, p=.005). LUTS were significantly predicted by regular exercise (p=.001) which explained 15.0% of the variance in LUTS.

Conclusion

Regular exercise was found to be a very important factor associated with LUTS for patients with Parkinson's disease.

Keywords: Urinary tract; Symptoms; Parkinson's disease

Tables


Table 1
General Characteristics and Hoehn & Yahr Stage of the Respondents (N=72)
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Table 2
Mean Score for Each Symptom of the Lower Urinary Tract Symptoms (N=72)
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Table 3
Lower Urinary Tract Symptoms by General Characteristics and Hoehn & Yahr Stage (N=72)
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Table 4
Correlation for Lower Urinary Tract Symptoms and Each Individual Symptom with Hoehn & Yahr Stage (N=72)
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Table 5
Factors associated with Lower Urinary Tract Symptoms (N=72)
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Notes

This study was funded by a research grant from the Cheju National University Hospital.

References
1. Andersen JT. Disturbances of bladder and urethral function in Parkinson's disease. International Urology and Nephrology 1985;17:35–41.
2. Andersen JT, Bradley WE. Cystometric, sphincter and electromyelographic abnormalities in Parkinson's disease. The Journal of Urology 1976;116:75–78.
3. Araki I, Kuno S. Assessment of voiding dysfunction in Parkinson's disease by the international prostate symptom score. Journal of Neurology, Neurosurgery, and Psychiat. y 2000;68:429–433.
4. Berger Y, Blaivas JG, DeLaRocha ER, Salinas JM. Urodynamic findings in Parkinson's disease. The Journal of Urology 1987;138:836–838.
5. Choi HR, Chung WS, Shim BS, Kwon SW, Hong SJ, Chung BH, et al. Prevalence and characteristics of prostatism in Korea: Application of I-PSS. Korean Journal of Urology 1997;38:1067–1074.
6. Defreitas GA, Lemack GE, Zimmern PE, Dewey RB, Roehrborn CG, O'Suilleabhain PE. Distinguishing neurogenic from non-neurogenic detrusor overactivity: A urodynamic assessment of lower urinary tract symptoms in patients with and without Parkinson's disease. Urology 2003;62:651–655.
7. Grimby A, Milsom I, Molander U, Wiklund I, Ekelund P. The influence of urinary incontinence on the quality of life of elderly women. Age and Ageing 1993;22:82–89.
8. Hely MA, Morris JG, Reid WG, Trafficante R. Sydney multicenter study of Parkinson's disease: Non-L-dopa-responsive problems dominate at 15 years. Movement Disorders 2005;20:190–199.
9. Hoehn MM, Yahr MD. Parkinsonism: Onset, progression, and mortality. Neurology 1967;17:427–442.
10. Jirovec MM. The impact of daily exercise on the mobility, balance, and urine control of cognitively impaired nursing home residents. International Journal of Nursing Studies 1991;28:145–151.
11. Johanson JF. In: Gastrointestinal diseases: Risk factors and prevention. Philadelphia, PA: Lippincott-Raven; 1997.
12. Jolleys JV, Donovan JL, Nanchahal K, Peters TJ, Abrahams P. Urinary symptoms in the community: How bothersome are they? British Journal of Urology 1994;74:551–555.
13. Kakizaki H, Matsuura S, Mitsui T, Ameda K, Tanaka H, Koyanagi T. Questionnaire analysis on sex difference in lower urinary tract symptoms. Urology 2002;59:58–62.
14. Kanazawa M, Yoshiike N, Osaka T, Numba Y, Zimmet P, Inoue S. Criteria and classification of obesity in Japan and Asia-Oceania. Asia Pacific Journal of Clinical Nutrition 2002;11:S732–S737.
15. Kegel AH. Progressive resistance exercise in the functional restoration of the perineal muscles. American Journal of Obstetrics and Gynecology 1948;56:238–248.
16. Korean Continence Society. Textbook of voiding dysfunction and female urology. Seoul: Ilchokak; 2004.
17. Lemack GE, Dewey RB Jr, Roehrborn CG, O'Suilleabhain PE, Zimmern PE. Questionnaire-based assessment of bladder dysfunction in patients with mild to moderate Parkinson's disease. Urology 2000;56:250–254.
18. Lim KC, Park KO, Kim BJ. A study on the correlations between social support, dependence of activities of daily living and depression in patients with Parkinson's disease. Journal of Korean Academy of Adult Nursing 1997;9:366–377.
19. Nussbaum RL, Ellis CE. Alzheimer's disease and Parkinson's disease. The New England Journal of Medicine 2003;348:1356–1364.
20. Okamura K, Usami T, Nagahama K, Maruyama S, Mizuta E. "Quality of life" assessment of urination in elderly Japanese men and women with some medical problems using international prostate symptom score and King's health questionnaire. European Urology 2002;41:411–419.
21. Park YR. Process of seeking positive life of patients with Parkinson's disease. Journal of Korean Academy of Nursing 2006;36:710–720.
22. Pavlakis AJ, Siroky MB, Goldstein I, Krane RJ. Neurourologic findings in Parkinson's disease. The Journal of Urology 1983;129:80–83.
23. Scarpero HM, Fiske J, Xue X, Nitti VW. American Urological Association Symptom Index for lower urinary tract symptoms in women: Correlation with degree of bother and impact on quality of life. Urology 2003;61:1118–1122.
24. Smeltzer SC, Bare BG, Hinkle JL, Cheever KH. In: Brunner & Suddarth's textbook of medical-surgical nursing. 11th ed. Philadelphia, PA: Lippincott Williams & Wilkins; 2007.
25. Snyder CH, Adler CH. The patient with Parkinson's disease: Part I-treating the motor symptoms; Part II-treating the nonmotor symptoms. Journal of American Academy of Nurse Practitioners 2007;19:179–197.
26. Sohng KY, Moon JS, Lee KS. Prevalence and associated factors of falls among people with Parkinson's disease. Journal of Korean Academy of Nursing 2004;34:1081–1091.
27. Sohng KY, Moon JS, Lee KS, Choi DW. The development and effects of a self-management program for patients with Parkinson's disease. Journal of Korean Academy of Nursing 2007;37:891–901.
28. Subak LL, Whitcomb E, Shen H, Saxton J, Vittinghoff E, Brown JS. Weight loss: A novel and effective treatment for urinary incontinence. The Journal of Urology 2005;174:190–195.