농촌거주 여성의 변실금과 우울 = A Study on Fecal Incontinence and Depression of Rural Women

다국어 초록 (Multilingual Abstract)

Purpose: The purposes of this study were to identify the prevalence and influencing factors of fecal incontinence,and to analyze the association between fecal incontinence and depression. Methods: The subjects of this studywere 233 women living in rural areas, and data were collected using questionnaires from February 24 to May 30,2012. Fecal incontinence was measured with the Continence Grading Score, and depression with the GeriatricDepression Scale. Collected data were analyzed using SPSS through x2-test, Fisher’s exact test, t-test andANOVA. Results: Of the subjects, 16.7% had fecal incontinence. The prevalence of fecal incontinence was higherin older women (x2=23.55, p<.001), those with vaginal delivery (x2=4.81, p=.049), those with parity of 4 or more(x2=13.47, p=.003), and those with urinary incontinence (x2=26.36, p<.001). The level of depression was significantlyhigher in older women (F=19.27, p<.001), those with low academic qualification (F=18.17, p<.001),those with urinary incontinence (F=4.15, p=.043), and those with fecal incontinence (F=14.90, p<.001).
Conclusion: These results suggest that there should be supports by public health care for fecal incontinence preventionand care programs in order to promote the physical and emotional health of rural women.

참고문헌 (Reference)

1 문영주, "자연 분만력의 횟수가 하부 비뇨생식기의 기능에 미치는 영향" 대한산부인과학회 50 (50): 638-644, 2007

2 박성희, "임신 및 출산 여성의 요실금 및 대변실금 예방을 위한 케겔운동의 효과: 체계적 문헌 고찰" 한국간호과학회 43 (43): 420-430, 2013

3 박수경, "대변실금의 진단과 치료" 대한내과학회 83 (83): 580-584, 2012

4 Hwang JS, "The prevalence of female urinary and fecal incontinence" 41 (41): 1552-1559, 1998

5 Sallis O. Yip, "The association between urinary and fecal incontinence and social isolation in older women" Elsevier BV 208 (208): 146.e1-146.e7, 2013

6 Bharucha AE, "Slow-transit constipation" 4 (4): 309-315, 2001

7 Matthews CA, "Risk factors for urinary, fecal, or dual incontinence in the nurses' health study" 122 (122): 539-545, 2013

8 Bartlett L, "Reasons for non-disclosure of faecal incontinence : A comparison between two survey methods" 11 (11): 251-257, 2007

9 Berger MB, "Racial defferences in fecal incontinence in community-dwelling women from the EPI study" 19 (19): 169-174, 2013

10 Ivo Ditah, "Prevalence, Trends, and Risk Factors for Fecal Incontinence in United States Adults, 2005–2010" Elsevier BV 12 (12): 636-643.e2, 2014

11 Kang HW, "Prevalence and predictive factors of fecal incontinence" Ewha Womens University 2011

12 Goode PS, "Prevalence and correlates of fecal incontinence in community-dwelling older adults" 53 (53): 629-635, 2005

13 Magnus Halland, "Prevalence Correlates and Impact of Fecal Incontinence Among Older Women" Ovid Technologies (Wolters Kluwer Health) 56 (56): 1080-1086, 2013

14 Haadem K, "Long-term ailments due to anal sphincter rupture caused by delivery-a hidden problem" 27 (27): 27-32, 1988

15 Mary Wilson, "Living with faecal incontinence: follow-up to a research project" Mark Allen Group 22 (22): 147-154, 2013

16 Kristi Rohwer, "Incontinence-Associated Dermatitis in Community-Dwelling Individuals With Fecal Incontinence" Ovid Technologies (Wolters Kluwer Health) 40 (40): 181-184, 2013

17 Lynne Bartlett, "Impact of fecal incontinence on quality of life" Baishideng Publishing Group Co., Limited (formerly WJG Press) 15 (15): 3276-, 2009

18 Sheikh JI, "Geriatric depression scale (GDS): Recent evidence and development of a short version" 5 : 165-172, 1986

19 Chung SS, "Functional investigation with use of anorectal physiology in the patients with fecal incontinence" 57 (57): 996-1007, 1999

20 Shiow-Shiun Horng, "Fecal incontinence epidemiology and help seeking among older people in Taiwan" Wiley-Blackwell 33 (33): 1153-1158, 2014

21 Hee-Kyung Joh, "Fecal Incontinence in Elderly Koreans" Wiley-Blackwell 58 (58): 116-121, 2010

22 T. M. Smith, "Factors associated with quality of life among women with fecal incontinence" Springer Science + Business Media 24 (24): 493-499, 2013

23 Ting-Chen Chang, "Factors associated with fecal incontinence in women with lower urinary tract symptoms" Wiley-Blackwell 39 (39): 250-255, 2013

24 S. B. Menees, "Factors Associated with Symptom Severity in Women Presenting with Fecal Incontinence" Ovid Technologies (Wolters Kluwer Health) 56 (56): 97-102, 2013

25 Heidi W. Brown, "Factors Associated With Care Seeking Among Women With Accidental Bowel Leakage" Ovid Technologies (Wolters Kluwer Health) 19 (19): 66-71, 2013

26 Whitehead WE, "Diagnosing and managing fecal incontinence:If you don't ask, they won't tell" 129 (129): 6-, 2005

27 Mandelstam DA, "Coloproctology and the pelvic floor. Pathophysiology and management" Butterworth 217-222, 1984

28 Toglia MR, "Anal incontinence and the obstetrician-gynecologist" 84 (84): 731-740, 1994

29 Yoon HW, "A study female of fecal incontinence:Effects of parity & delivery method" 42 (42): 2749-2753, 1999