J Korean Biol Nurs Sci.  2017 Aug;19(3):170-177. 10.7586/jkbns.2017.19.3.170.

Influence of Lower Urinary Tract Symptoms, Physical Activity, and Depression on the Quality of Sleep in Elderly Women with Urinary Incontinence

• Park J
• Kim N

• KMID: 2391143
• DOI: http://doi.org/10.7586/jkbns.2017.19.3.170

Abstract

PURPOSE
This study was to identify factors influencing the quality of sleep in elderly women with urinary incontinence and examine the relationship among the factors.
METHODS
The study investigated 113 elderly women with urinary incontinence who were subject to the visiting care program at health centers in D-gu, D-si, South Korea. The collected data were analyzed using IBM SPSS version 19.0 along with χ²-test, t-test, ANOVA, Pearson's correlation, and multiple regression.
RESULTS
The total Pittsburgh Sleep Quality Index (PSQI) of the participants was found to be 11.41±4.34. As a result of the correlation analysis, PSQI was found to have significant correlations with Female Lower Urinary Tract Symptoms (BFLUTS) (r=.32, p<.001). The Korean version of Physical Activity Scale for Elderly (K-PASE) was (r=−.34, p<.001) and the Geriatric Depression Scale Short Form (GDS-SF) was (r=.23, p=.012). Multiple regression analysis found sleeping pill use (β=−.35, p<.001) had the strongest influence on PSQI, followed by physical activity (β=−.20, p<.001), depression (β=.20, p<.001), and lower urinary tract symptoms (β=.19, p<.001). The total model explanatory power was 28.3% (F=12.07, p<.001).
CONCLUSION
The study findings are expected to be useful for enhanced understanding of the quality of sleep in elderly women with urinary incontinence.

Keyword

Elderly; Women; Urinary incontinence; Sleep

MeSH Terms

Aged*
Depression*
Female
Humans
Korea
Lower Urinary Tract Symptoms*
Motor Activity*
Urinary Incontinence*