Journal List > J Korean Acad Nurs > v.38(1) > 1063763

Kim and Lee: Prevalence Rate and Associated Factors of Urinary Incontinence among Nursing Home Residents

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.

Methods

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.

Figures and Tables

Table 1
General Characteristics of Subjects (N=618)
jkan-38-92-i001
Table 2
Characteristics related to Health of Subjects (N=618)
jkan-38-92-i002

CVA=cerebral vascular accident.

Table 3
Characteristics of Nursing Home (N=30)
jkan-38-92-i003
Table 4
Comparison of Characteristics between Continent and Incontinent Subjects (N=618)
jkan-38-92-i004

CVA=cerebral vascular accident.

Table 5
Associated Factors of Urinary Incontinence (N=618)
jkan-38-92-i005

References

1. Carpenter GI. Accuracy, validity and reliability in assessment and in evaluation of services for older people: the role of the inter RAI MDS assessment system. Age Ageing. 2006. 35:327–329.
2. Coppola L, Caserta F, Grassia A, Mastrolorenzo L, Altrui L, Tondi G, et al. Urinary incontinence in the elderly: Relation to cognitive and motor function. Arch Gerontol Geriatr. 2002. 35(1):27–34.
crossref
3. Durrant J, Snape J. Urinary incontinence in nursing homes for older people. Age Ageing. 2003. 32(1):12–18.
crossref
4. Klein P, Haab F. Influence of the severity of stress urinary incontinence on quality of life, health care seeking, and treatment: A national cross-sectional survey. Eur Urol. 2006. 50:818–825.
5. Hawes C, Morris JN, Phillips CD, Mor V, Fries BE, Nonemaker S. Reliability estimates for the minimum data set for nursing home resident assessment and care screening (MDS). Gerontologist. 1995. 35:172–178.
crossref
6. Holroyd-Leduc JM, Mehta KM, Covinsky KE. Urinary incontinence and its association with death, nursing home admission, and functional decline. J Am Geriatr Soc. 2004. 52:712–718.
crossref
7. Holtedahl K, Hunskaar S. Prevalence, 1-year incidence and factors associated with urinary incontinence: a population based study of women 50-74 years of age in primary care. Maturitas. 1998. 28:205–211.
crossref
8. International Continence Society. First reports on the standardization of terminology of lower urinary tract function. Br J Urol. 1976. 48:39–42.
9. Jennifer TA, Christopher SS, Jennifer P, Larissa VR, Mark SL. True prevalence of urinary incontinence among female nursing home residents. Urology. 2006. 67:281–287.
crossref
10. Joo YH, Kim JS. A study on urinary incontinence of elderly communities. J Korean Comm Nurs. 2000. 11:441–452.
11. Jumadilova Z, Zyczynski T, Paul B, Narayanan S. Urinary incontinence in nursing home: resident characteristics and prevalence of drug treatment. Am J Manag Care. 2005. 11(4 Suppl):S112–S120.
12. Kim JI. Prevalence of urinary incontinence and other urologic symptoms in a community residing elderly people. J Korean Acad Nurs. 2002. 32(1):28–39.
crossref
13. Kim JS. Prevalence of urinary incontinence among aged home residents. 1999. Pusan: Pusan national university;Unpublished master's thesis.
14. Kikuchi A, Niu K, Ikeda Y, Hozawa A, Nakagawa H, Guo H, et al. Association between physical activity and urinary incontinence in a community-based elderly population aged 70 years and over. Eur Urol. 2007. 52:868–875.
crossref
16. Landi F, Cesari M, Russo A, Onder G, Lattanzio F, Bernabei R, et al. Potentially reversible risk factors and urinary incontinence in frail older people living in community. Age Ageing. 2003. 32:194–199.
crossref
17. Miles TP, Palmer RF, Espino DV, Mouton CP, Lichtenstein MJ, Markides KS. New-onset incontinence and makers of frailty: Data from hispanic established populations for epidemiologic studies of the elderly. J Gerontol. 2001. 56A(1):19–24.
18. Park OH, Kwon IS, Kang YS. A study on urinary incontinence of elderly women in a community. Korean J Women Health Nurs. 2001. 7:536–546.
crossref
19. Park SC, Koh MW, Lee TH, Youn HS. The prevalence of urinary incontinence of the women in Daegu. Yeungnam Univ J Med. 2004. 21(1):60–66.
crossref
20. Resnick NM, Brandeis GH, Baumann MM, Morris JN. Evaluating a national assessment strategy for urinary incontinence in nursing home residents: Reliability of the minimum data set and validity of the resident assessment protocol. Neurourol Urodyn. 1996. 15:583–598.
crossref
21. Richard LN, Sylvia EF. Risk factors for the development of fecal and urinary incontinence in Wisconsin nursing home residents. J Maturitas. 2005. 52:26–31.
22. Raudenbush SW, Bryk AS. Hierarchial linear models. 2002. 2nd ed.Thousands oaks: Sage Publications.
23. Ryu SA. Review on urinary incontinence of the cognitively impaired older adults. J Donshin Univ. 2006. 16:547–561.
24. Saxer S, Halfens RJ, Müller M, Dassen T. Risk factors for urinary incontinence in nursing home residents. Swiss Med Wkly. 2005. 135:495–502.
25. Schnelle JF, Alessi CA, Simmons SF, Al-Samarrai NR, Beck JC, Duslander JG. Translating clinical research into practice: a randomized controlled trial of exercise and incontinence care in nursing home residents. J Am Geriatr Soc. 2002. 50:1476–1483.
26. Schnelle JF, Cadogan MP, Yoshii J, Al-Samarrai NR, Osterweil D, Bates-Jensen BM, et al. The minimum data set urinary incontinence quality indicators: do they reflect difference in care processes related to incontinence? Med Care. 2003. 41:909–922.
27. Thom DH, Haan MN, Van Den Eeden SK. Medically recognized urinary incontinence and risks of hospitalization, nursing home admission and mortality. Age Ageing. 1997. 26:367–374.
crossref
28. Valk M, Moons KG, Cools HJ, Schrijvers AJ. Classifying the probability of urinary incontinence in psychogeriatric nursing home patients. Arch Gerontol Geriatr. 2002. 34:79–91.
crossref
29. Wagner TH, Hu TW. Economic costs of urinary incontinence in 1995. Urology. 1998. 51:355–361.
crossref
30. Watson N, Brink C, Zimmer J, Mayer R. Use of the agency for health care policy and research urinary incontinence guideline in nursing homes. J Am Gerictric Soc. 2003. 51:1779–1786.
crossref
TOOLS
Similar articles