Factors Predictor and Self-care Behavior for Urinary Incontinence among the Elderly Females in Khon Kaen Province, Thailand: Cross-sectional Study

Authors

  • Wacharee Amornrojanavaravutti Faculty of Nursing, Northeastern University, Thailand
  • Patchareepon Chompoowisate Faculty of Nursing, Northeastern University, Thailand
  • Pornthip Pukahuta Faculty of Nursing, Northeastern University, Thailand

Keywords:

Self-care behavior, Urinary incontinence, Elderly female, Predictor

Abstract

The purposes of this research were to study the factors predicting Urinary Incontinence (UI) and self-care behavior in caring for UI among elderly females. Explained using Orem’s Self-Care Theory. The sample group consisted of 288 elderly female living in Daeng Yai Sub-district, Mueang District, Khon Kaen Province. Multistage sampling was conducted using a demographic interview form, screening form, factors that cause UI form, and self-care behavior in caring for UI in elderly females’ form. Also, reliability by Kuder-Richardson20 (K-R20) equals 0.89 and Cronbach’s alpha coefficient equal to 0.90 and 0.87 respectively. Data were analyzed using chi-square (Z2), Pearson product-moment correlation coefficient, and stepwise multiple regression.

The results showed that factors predicting UI in elderly females include pelvic muscle exercise, exercise, constipation, environmental barriers, water intake, and activities. The overall self-care behavior of caring for UI among elderly females was at a moderate level. When considering each dimension, UI self-care behavior was moderate for overall prediction, behavioral changes, and self-care performance. This factor predicted the occurrence of UI in elderly females by 56.1% (R2=0.561, F= 4.053, p=0.05). Health policymakers should develop and implement strategic plans for UI in health setting services to screening and establish a more effective and efficient model of care.

References

Chaisri, S., Sarit-apirak, S., Udomsubpayakul, U. & Monomai, J. (2017). Proficiency and

health-related behaviors regarding pelvic organ prolapse and urinary incontinence among personal in a private hospital. Ramathibodi Medical Journal, 40:11-9.

Chompoowisate, P., Laokhompruttajarn, J. & Laokhompruttajarn, T. (2022). The relationship

between physical health and social support affecting the quality of life of the elderly

in Naseow sub-district, Muang district, Chaiyaphum Province. Journal of The Royal

Thai Army Nurses, 23(3): 238-247.

Condon, M., Mannion, E., Molloy, D.W. & O'Caoimh, R. (2019). Urinary and faecal

incontinence: point prevalence and predictors in a university hospital. International

Journal of Environmental Research and Public Health, 194: 1-8.

Daniel, W.W. & Cross, C.L. (2017). Biostatistics: basic concepts and methodology for the

health sciences. (10th). Wiley.

Ekphakorn, W. (2021). Survey of Thai people's health by physical examination 6th year 2019-

Faculty of Medicine Ramathibodi Hospital. Mahidol University.

Eshkoor, S.A., Hamid, T.A., Shahar, S. & Mun, C.M. (2017). Factors related to urinary

incontinence among the Malaysian elderly. Journal of Nutritional Health Aging, 21(2): 220-226.

Fumaneechote, A. and Phakthongsuk, P. (2017). Prevalence of urinary incontinence among

the elderly in the community of Ban Phru Municipality, Hat Yai District, Songkhla Province. Songklanagarind Medical Journal, 35(2), 133–138.

Hachanda, V., Sommart, J., Auiwattanakul, P. & Suwannaphant, K. (2022). Health literacy

about dietary supplements and traditional medicine among the elderly in Non Udom Sub-district, Chum Phae District, Khon Kaen Province, Thailand. Thai Journal of Public Health and Health Sciences, 5(2):131-144.

Kim, K., Shin, J., Choi, J., Park, J., Park, H. & Lee, J. (2018). Association of geriatric

syndromes with urinary incontinence according to sex and urinary incontinence related quality of life in older inpatients a cross sectional study of an acute care hospital. Korean Journal of Family Medicine, 40(4): 235-240.

Morley, JE. (2017). Rapid geriatric assessment. Journal of the American Medical Directors

Association, 16: 808-812.

Murukesu, R.R., Singh, D.A. & Shahar, S. (2019). Prevalence of urinary incontinence and its

association with declined cognitive and physical function among community dwelling

older adults: A review. Malaysian Journal of Public Health Medicine, 19: 31-40.

Orem, D.E. (2001). Nursing: concepts of practice. (5th ed.). Mosby.

Padungkul, L. & Mantangkul, S. (2017). Urinary incontinence management and perceptive

quality of life of female clients at the gynecological clinic. Songklanagarind Journal of Nursing, 37(1): 75-83.

Radziminska, A., Rajek, MW., Straczynska, A., Podhorecka, M., Kozakiewlcz, M. &

Kormatowska, K. (2018). The impact of pelvic floor muscle training on the

myostatin concentration and severity of urinary incontinence in elderly

women with stress urinary incontinenece–a pilot study. Clinical Interventions

in Aging, 13: 1893–1898.

Rattanawisai, P., Srichaikul, B. and Songkhasri, C. (2017). Results of the training program.

Controlling bladder excretion and exercising the pelvic floor muscles to prevent urinary incontinence in elderly females, Natan Subdistrict, Tha Khan Tho District. Kalasin Province. Journal of the Disease Prevention and Control Office 7 Khon Kaen, 24(1), 47–57.

Saboia, DM., Firmiano, MLV., Bezerra, KC., Vasconcelos, NJA., Oria, MOB. &

Vasconcelos, CTM. (2017). Impact of urinary incontinence types on women’s quality of life. Journal of School of Nursing University of Sao Paulo. Retrieved 3, 2023 from doi.org/10.1590/S1980-220X2016032603266.

Shi, H., Zhao, L., Cui, L., Wang, Z., Wang, D., Liu, P., Si, G., Guo, D. & Lui, W. (2022). A

critical overview of systematic reviews and meta-analyses of acupuncture for female stress urinary incontinence. Pain Research and Management.

Shuo, D.U., Zhao, J.P., Shi-hao, D.U., Wei, G.U.O., Xiao-long. X., Guan-qun, W., Guan-

xiong, H. & Chao, Y. (2023). Systematic review and meta-analysis of moxibustion on

urinary incontinence among women. World Journal of Acupuncture-Moxibustion, 33(4): 314-324.

Sultan, A.H., Monga, A., Lee, J., Emmanuel, A., Norton, C. & Santoro, G. (2017). An

International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female anorectal dysfunction. Neurourology and Urodynamics, 36: 10-34.

Torres-Lacomba, M., Navarro-Brazalez, B., Yuste-Sanchez, M.J., Sanchez-Sanchez, B.,

Prieto-Gomez, V. & Vergara-Perez, F. (2022). Women's experiences with compliance with pelvic floor home exercise therapy and lifestyle changes for pelvic organ prolapse symptoms: A qualitative study. Journal of Personalized Medicine, 12: 498-513.

Watakit, U. (2022). Study of experiences and acceptance of technology that affect intentions

to use social media of the elderly in Khon Kaen province. NEU ACADEMIC AND RESEARCH JOURNAL, 14(1): 133-146.

World Health Organization. (2017). Integrated care for older people guidelines (ICOPE)

about Evidence profile : urinary incontinence. Geneva : Switzerland.

Zangphukieo, N. (2020). Guidelines for conveying local wisdom of the elderly society: A

case study of Sangsuk School–the Elderly, Ban tio Sub-district, Lom Sak District, Phetchabun province. NEU ACADEMIC AND RESEARCH JOURNAL, 10(2): 55-67.

Zhang, D., Wang, S., Gao, L., Jia, Y., Wang, H., Sun, X. & Wang, J. (2022). Analysis of

characteristics and quality of life of elderly women with mild to moderate urinary incontinence in community dwellings. International Journal of Environmental

Downloads

Published

2024-11-30

Issue

Section

Research Articles