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Journal of the Korean Academy of Rehabilitation Medicine 2005;29(5):450-456.
Lower Urinary Tract Symptoms in Chronic Stroke Survivors: Frequency and Impact on Quality of Life.
Oh, Byung Mo , Kim, Jung Hwan , Kim, Yu Soo , Lim, Jae Young , Paik, Nam Jong , Han, Tai Ryoon
1Department of Rehabilitation Medicine, Seoul National University College of Medicine, Seoul, Korea. tairyoon@snu.ac.kr
2Gangwon-Do Rehabilitation Hospital, Korea.
만성기 뇌졸중 환자에서 하부 요로증상의 빈도 및 삶의 질에 미치는 영향
오병모1, 김정환1, 김유수, 임재영, 백남종, 한태륜
서울대학교 의과대학 재활의학교실, 1강원도재활병원
Abstract
Objective
To assess the prevalence of lower urinary tract symptoms in chronic stroke patients and their impact on the perceived quality of life.
Method
Thirty-eight patients who had suffered unilateral stroke at least 3 months prior to enrollment and showed no severe communication disorder were evaluated. Frequency of lower urinary tract symptoms and their impact on the quality of life were assessed using the Korean version of the International Prostate Symptom Score (IPSS) and an impact question. The correlation between each symptom score and the perceived quality of life was analyzed.
Results
Overall, 89.5% of the participants were sympto-matic, of which 58.9% complained of moderate to severe symptoms. Nocturia, frequency, and straining were the most frequent symptoms and urgency was the least. The 'quality of life' score showed a high correlation with the total IPSS score (p<0.05). Logistic regression analysis showed that obstructive symptom was a significant predictor for dissatisfaction.
Conclusion
The frequencies of lower urinary tract symptoms are high in chronic stroke patients. And they have significant influence on the perceived quality of life in chronic stroke survivors. (J Korean Acad Rehab Med 2005; 29: 450-456)
Key Words: Stroke, Quality of life, Urinary incontinence, Urinary symptoms
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