Hyo Jeong Song; Ji Hoon Kang; Eun Joo Lee; Jung-Sik Huh; Young-Joo Kim; Chul Soo Kim; Myung Ja Kim; Seung Kyo Chaung; Hye Ja Park; Hyung Chang Kang; Keun Heau Oh

doi:10.4040/jkan.2009.39.1.116

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Original Article
Factors associated with Lower Urinary Tract Symptoms for Patients with Parkinson's Disease: Hyo Jeong Song, Ji Hoon Kang, Eun Joo Lee, Jung-Sik Huh, Young-Joo Kim, Chul Soo Kim, Myung Ja Kim, Seung Kyo Chaung, Hye Ja Park, Hyung Chang Kang, Keun Heau Oh; Journal of Korean Academy of Nursing 2009;39(1):116-123.
DOI: https://doi.org/10.4040/jkan.2009.39.1.116
Published online: February 28, 2009

¹Associate Professor, Department of Nursing, Institute of Medical Science, Jeju National University, Jeju, Korea.

²Associate Professor, Department of Neurology, Jeju National University, Jeju, Korea.

³Associate Professor, Department of Nursing, Jeju National University, Jeju, Korea.

⁴Associate Professor, Department of Urology, Jeju National University, Jeju, Korea.

⁵Assistant Professor, Department of Urology, Jeju National University, Jeju, Korea.

⁶Professor, Department of Computer Science and Statistics, Jeju National University, Jeju, Korea.

⁷Professor, College of Nursing, The Catholic University of Korea, Seoul, Korea.

⁸Associate Professor, Department of Nursing, Semyung University, Jecheon, Korea.

⁹Associate Professor, Department of Nursing, Pochon Cha University, Pocheon, Korea.

¹⁰Instructor, Department of Computer Science and Statistics, Jeju National University, Jeju, Korea.

¹¹Master's Course Student, Department of Nursing, Jeju National University, Jeju, Korea.

Address reprint requests to: Song, Hyo Jeong. Department of Nursing, College of Medicine, Jeju National University, 66 Jejudaehak-ro, Jeju 690-756, Korea. Tel: 82-64-754-3885, Fax: 82-64-702-2686, hjsong@jejunu.ac.kr

• Received: August 25, 2008 • Accepted: January 21, 2009

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Abstract
NOTES
REFERENCES

Abstract

Purpose
The study was done to identify lower urinary tract symptoms (LUTS) and to evaluate the factors affecting LUTS for the people with Parkinson's disease.
Methods
The research design was a cross-sectional study with interviews using a structured questionnaire. The participants were 72 patients with Parkinson's disease who were seen in the Neurology clinic of a university hospital from September to November 2005.
Results
Mean score of LUTS for the participants was 10.11. In each symptom score of LUTS (range 0-5), weak stream was the highest 2.06, followed by nocturia 1.71, and urgency 1.61. The severity of LUTS was moderate to severe group for 51%. LUTS were significantly different by regular exercise. Positive correlations were observed between Hoehn and Yahr stage (stage of disease severity) and frequency and between Hoehn and Yahr stage and urgency (r=.280, p=.018; r=.328, p=.005). LUTS were significantly predicted by regular exercise (p=.001) which explained 15.0% of the variance in LUTS.
Conclusion
Regular exercise was found to be a very important factor associated with LUTS for patients with Parkinson's disease.
Keywords: Urinary tract; Symptoms; Parkinson's disease

This study was funded by a research grant from the Cheju National University Hospital.

REFERENCES

1. Andersen JT. Disturbances of bladder and urethral function in Parkinson's disease. International Urology and Nephrology. 1985;17:35–41.Article PubMed PDF
2. Andersen JT, Bradley WE. Cystometric, sphincter and electromyelographic abnormalities in Parkinson's disease. The Journal of Urology. 1976;116:75–78.Article PubMed
3. Araki I, Kuno S. Assessment of voiding dysfunction in Parkinson's disease by the international prostate symptom score. Journal of Neurology, Neurosurgery, and Psychiat. y. 2000;68:429–433.
4. Berger Y, Blaivas JG, DeLaRocha ER, Salinas JM. Urodynamic findings in Parkinson's disease. The Journal of Urology. 1987;138:836–838.Article PubMed
5. Choi HR, Chung WS, Shim BS, Kwon SW, Hong SJ, Chung BH, et al. Prevalence and characteristics of prostatism in Korea: Application of I-PSS. Korean Journal of Urology. 1997;38:1067–1074.
6. Defreitas GA, Lemack GE, Zimmern PE, Dewey RB, Roehrborn CG, O'Suilleabhain PE. Distinguishing neurogenic from non-neurogenic detrusor overactivity: A urodynamic assessment of lower urinary tract symptoms in patients with and without Parkinson's disease. Urology. 2003;62:651–655.Article PubMed
7. Grimby A, Milsom I, Molander U, Wiklund I, Ekelund P. The influence of urinary incontinence on the quality of life of elderly women. Age and Ageing. 1993;22:82–89.Article PubMed
8. Hely MA, Morris JG, Reid WG, Trafficante R. Sydney multicenter study of Parkinson's disease: Non-L-dopa-responsive problems dominate at 15 years. Movement Disorders. 2005;20:190–199.Article PubMed PDF
9. Hoehn MM, Yahr MD. Parkinsonism: Onset, progression, and mortality. Neurology. 1967;17:427–442.Article PubMed
10. Jirovec MM. The impact of daily exercise on the mobility, balance, and urine control of cognitively impaired nursing home residents. International Journal of Nursing Studies. 1991;28:145–151.Article PubMed
11. Johanson JF. Gastrointestinal diseases: Risk factors and prevention. 1997;Philadelphia, PA, Lippincott-Raven.
12. Jolleys JV, Donovan JL, Nanchahal K, Peters TJ, Abrahams P. Urinary symptoms in the community: How bothersome are they? British Journal of Urology. 1994;74:551–555.Article PubMed
13. Kakizaki H, Matsuura S, Mitsui T, Ameda K, Tanaka H, Koyanagi T. Questionnaire analysis on sex difference in lower urinary tract symptoms. Urology. 2002;59:58–62.Article PubMed
14. Kanazawa M, Yoshiike N, Osaka T, Numba Y, Zimmet P, Inoue S. Criteria and classification of obesity in Japan and Asia-Oceania. Asia Pacific Journal of Clinical Nutrition. 2002;11:S732–S737.
15. Kegel AH. Progressive resistance exercise in the functional restoration of the perineal muscles. American Journal of Obstetrics and Gynecology. 1948;56:238–248.Article PubMed
16. Korean Continence Society. Textbook of voiding dysfunction and female urology. 2004;Seoul, Ilchokak.
17. Lemack GE, Dewey RB Jr, Roehrborn CG, O'Suilleabhain PE, Zimmern PE. Questionnaire-based assessment of bladder dysfunction in patients with mild to moderate Parkinson's disease. Urology. 2000;56:250–254.Article PubMed
18. Lim KC, Park KO, Kim BJ. A study on the correlations between social support, dependence of activities of daily living and depression in patients with Parkinson's disease. Journal of Korean Academy of Adult Nursing. 1997;9:366–377.
19. Nussbaum RL, Ellis CE. Alzheimer's disease and Parkinson's disease. The New England Journal of Medicine. 2003;348:1356–1364.Article PubMed
20. Okamura K, Usami T, Nagahama K, Maruyama S, Mizuta E. "Quality of life" assessment of urination in elderly Japanese men and women with some medical problems using international prostate symptom score and King's health questionnaire. European Urology. 2002;41:411–419.Article PubMed
21. Park YR. Process of seeking positive life of patients with Parkinson's disease. Journal of Korean Academy of Nursing. 2006;36:710–720.Article PubMed PDF
22. Pavlakis AJ, Siroky MB, Goldstein I, Krane RJ. Neurourologic findings in Parkinson's disease. The Journal of Urology. 1983;129:80–83.Article PubMed
23. Scarpero HM, Fiske J, Xue X, Nitti VW. American Urological Association Symptom Index for lower urinary tract symptoms in women: Correlation with degree of bother and impact on quality of life. Urology. 2003;61:1118–1122.Article PubMed
24. Smeltzer SC, Bare BG, Hinkle JL, Cheever KH. Brunner & Suddarth's textbook of medical-surgical nursing. 2007;11th ed. Philadelphia, PA, Lippincott Williams & Wilkins.
25. Snyder CH, Adler CH. The patient with Parkinson's disease: Part I-treating the motor symptoms; Part II-treating the nonmotor symptoms. Journal of American Academy of Nurse Practitioners. 2007;19:179–197.Article
26. Sohng KY, Moon JS, Lee KS. Prevalence and associated factors of falls among people with Parkinson's disease. Journal of Korean Academy of Nursing. 2004;34:1081–1091.Article PubMed PDF
27. Sohng KY, Moon JS, Lee KS, Choi DW. The development and effects of a self-management program for patients with Parkinson's disease. Journal of Korean Academy of Nursing. 2007;37:891–901.Article PubMed PDF
28. Subak LL, Whitcomb E, Shen H, Saxton J, Vittinghoff E, Brown JS. Weight loss: A novel and effective treatment for urinary incontinence. The Journal of Urology. 2005;174:190–195.Article PubMed PMC

Table 1

General Characteristics and Hoehn & Yahr Stage of the Respondents (N=72)

^*Missing data excluded.

Table 2

Mean Score for Each Symptom of the Lower Urinary Tract Symptoms (N=72)

LUTS=lower urinary tract symptoms.

Table 3

Lower Urinary Tract Symptoms by General Characteristics and Hoehn & Yahr Stage (N=72)

Table 4

Correlation for Lower Urinary Tract Symptoms and Each Individual Symptom with Hoehn & Yahr Stage (N=72)

LUTS=lower urinary tract symptoms; M1=incomplete emptying of the bladder; M2=frequency; M3=urgency; M4=intermittency; M5=weak stream; M6=hesitancy; M7=nocturia.

Table 5

Factors associated with Lower Urinary Tract Symptoms (N=72)

Figure & Data

REFERENCES

Citations

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Characteristics and risk factors of lower urinary tract dysfunction in patients with Parkinson's disease: A systematic evaluation and meta-analysis
Hongxia Zhuang, Xueqi Wang, Hao Xu, Xiaolei Jing, Jiajia Yue
Clinical Neurology and Neurosurgery.2021; 209: 106885. CrossRef

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Factors associated with Lower Urinary Tract Symptoms for Patients with Parkinson's Disease

J Korean Acad Nurs. 2009;39(1):116-123. Published online February 28, 2009

DOI: https://doi.org/10.4040/jkan.2009.39.1.116

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Factors associated with Lower Urinary Tract Symptoms for Patients with Parkinson's Disease

Table 1

General Characteristics and Hoehn & Yahr Stage of the Respondents (N=72)

^*Missing data excluded.

Table 2

Mean Score for Each Symptom of the Lower Urinary Tract Symptoms (N=72)

LUTS=lower urinary tract symptoms.

Table 3

Lower Urinary Tract Symptoms by General Characteristics and Hoehn & Yahr Stage (N=72)

Table 4

Correlation for Lower Urinary Tract Symptoms and Each Individual Symptom with Hoehn & Yahr Stage (N=72)

LUTS=lower urinary tract symptoms; M1=incomplete emptying of the bladder; M2=frequency; M3=urgency; M4=intermittency; M5=weak stream; M6=hesitancy; M7=nocturia.

Table 5

Factors associated with Lower Urinary Tract Symptoms (N=72)

Table 1 General Characteristics and Hoehn & Yahr Stage of the Respondents (N=72)

^*Missing data excluded.

Table 2 Mean Score for Each Symptom of the Lower Urinary Tract Symptoms (N=72)

LUTS=lower urinary tract symptoms.

Table 3 Lower Urinary Tract Symptoms by General Characteristics and Hoehn & Yahr Stage (N=72)

Table 4 Correlation for Lower Urinary Tract Symptoms and Each Individual Symptom with Hoehn & Yahr Stage (N=72)

LUTS=lower urinary tract symptoms; M1=incomplete emptying of the bladder; M2=frequency; M3=urgency; M4=intermittency; M5=weak stream; M6=hesitancy; M7=nocturia.