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Frequency, Intensity and Daily Life Distress of Urinary Dysfunction in Women with Cervical Cancer after Radical Hysterectomy

Journal of Korean Academy of Nursing 2016³â 46±Ç 3È£ p.400 ~ 408
KMID : 0806120160460030400
Àü³ª¹Ì ( Chun Na-Mi ) - ¼º½Å¿©ÀÚ´ëÇб³ °£È£Çаú

³ë±â¿Á ( Noh Gie-Ok ) - ¼º½Å¿©ÀÚ´ëÇб³ °£È£Çаú
¼ÛÇöÁÖ ( Song Hyun-Ju ) - »ï¼º¼­¿ïº´¿ø °£È£ºÎ
±è»óÈñ ( Kim Sang-Hee ) - »ï¼º¼­¿ïº´¿ø °£È£ºÎ

Abstract

Purpose: This study was done to identify frequency, intensity of urinary dysfunction and daily life distress in women after a radical hysterectomyfor cervical cancer.

Methods: One hundred and fifty seven women who had undergone a radical hysterectomy and one hundred andsixty five women as healthy controls completed questionnaires on intensity of urinary dysfunction and daily life distress caused by urinarydysfunction.

Results: Women with cervical cancer showed higher frequency of urinary dysfunction than healthy controls. Major urinary dysfunctionfor women with cervical cancer in order of frequency were night-time incontinence (odds ratio=10.39, p <.001), difficulty in startingurination, weak urine stream and sense of incomplete emptying of bladder. The highest score on intensity was difficulty in starting urination,followed by urgency, weak urine stream, daytime frequency and sense of incomplete emptying. Night-time incontinence was theurinary symptom causing the most daily life distress for cervical cancer women followed by difficulty in starting urination, urgency, sense ofincomplete emptying, and night-time frequency.

Conclusion: Results suggest that nurses should address the potential postoperative urinarycomplications and develop long term interventions to decrease urinary dysfunction and daily life distress for women who have had a radicalhysterectomy for cervical cancer.
KeyWords
ÀÚ±ÃÀýÁ¦¼ú, ÀڱðæºÎ¾Ï, ½Å°æÀμº ¹æ±¤
Hysterectomy, Uterine cervical neoplasms, Neurogenic urinary bladder
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