간호사의 하부요로증상 유병률

Abstract

본 연구는 간호사의 하부요로증상 유병률을 보고한 연구들을 대상으로 체계적 문헌고찰을 통해 간호사의 하부요로증상 유병률에 대한 현황을 상세히 분석하였다. 본 연구에서는 Joanna Briggs Institute(JBI)의 유병률 및 발생률에 대한 체계적 문헌고찰 매뉴얼을 참고하여 체계적 문헌고찰 방법으로 분석하였으며, 6개 국외 데이터베이스에서 수기 검색을 통하여 2000년부터 2021년 12월 31일까지 발표된 학술지 논문 중 10편의 문헌을 선정하였다. 체계적 문헌고찰 대상 문헌의 방법론적 질 평가를 위하여 유병률 질 평가 체크리스트(Critical Appraisal Checklist for Studies Reporting Prevalence Data) 도구를 적용하여 평가하였다. 10편의 문헌 중 8편의 연구는 낮음 비뚤림 위험으로 평가되었으며, 나머지 2편의 연구는 보통 위험으로 평가되었다. 자료 분석은 최종 선정된 10편의 문헌으로 실시되었으며, 분석은 연구 정보(저자명/연도, 국가), 연구 설계, 연구대상(연구대상자, 근무 장소, 연구대상자 수, 연령), 측정도구를 연구결과로 분류하여 분석하였다. 선정된 문헌을 분석한 결과, 간호사의 하부요로증상 유병률은 44.5%~94.2%로 높게 나타났고, 하부요로증상으로 주간 빈뇨, 절박뇨, 야간뇨, 요실금, 복압성 요실금, 절박성 요실금, 복합성 요실금, 과민성 방광증후군, 요주저, 복압배뇨, 간헐뇨, 약뇨, 잔뇨감, 요점적별 등 총 14가지가 보고되었으며, 각 증상의 유병률은 1.5%에서 64.2%까지 다양하게 나타났다. 간호사의 하부요로증상 유형별 유병률은 저장증상 유병률, 배뇨증상 유병률, 배뇨 후 증상 유병률 등 3가지로 구분되었는데, 저장증상이 가장 많이 연구된 것으로 나타났다. 저장증상은 10편의 문헌에서 주간 빈뇨, 절박뇨, 야간뇨, 요실금, 복압성 요실금, 절박성 요실금, 복합성 요실금, 과민성 방광증후군 등 8개가 보고되고, 유병률은 1.5%에서 64.5%까지 다양하였다. 배뇨증상은 5편의 문헌에서 요주저, 복압배뇨, 간헐뇨, 약뇨 4개 유형을 보고하였고, 유병률은 4.2%에서 54.4%로 다양하였다. 배뇨 후 증상은 3편의 문헌에서 잔뇨감과 요점적 2개 유형을 보고하였고, 유병률은11%에서 33.6%으로 나타났다. 이상의 연구 결과를 종합해보면, 간호사의 하부요로증상 유병률이 전반적으로 높은 것으로 나타나 그 심각성을 확인할 수 있었다. 따라서 병원 관리자는 근무 환경이 간호사의 방광 건강에 미칠 수 있는 부정적인 영향에 주의를 기울이고 하부요로증상을 줄이기 위해 간호사의 근무환경을 개선하고, 합리적인 휴식 시간을 보장하는 등의 대책을 마련해야 한다.;The purpose of the study was to analyze previous studies on the prevalence of lower urinary tract symptoms among nurses and conduct a systematic literature review to understand the prevalence of lower urinary tract symptoms among nurses. In this study, the systematic literature review method was referred to as the systematic literature review manual on the prevalence and incidence of the Joanna Briggs Institute (JBI). Among published journal papers, 10 articles were selected. In order to evaluate the methodological quality of the literature subject to a systematic review, the Critical Appraisal Checklist for Studies Reporting Prevalence Data tool was used for evaluation. Eight out of 10 studies were rated as low risk of bias, and the remaining 2 studies were rated as moderate risk. Data analysis was performed on the 10 finally selected documents, and the analysis was based on research information (author name/year, country), research design, research subjects (research subjects, place of work, number of research subjects, age), and measurement tools as the research results. Classified and analyzed. As a result of analyzing the selected literature, the prevalence of lower urinary tract symptoms among nurses was reported with a high prevalence of 44.5% to 94.2%, and a total of 14 lower urinary tract symptoms were identified as daytime frequency, urgency, nocturia, incontinence, stress incontinence, urge incontinence, and Complex urinary incontinence, overactive bladder syndrome, urinary hesitation, abdominal pressure voiding, hepatic colic, weak urination, urgency, and diurnal points were reported. The prevalence varied from 1.5% to 64.2%. Fourth, the prevalence of lower urinary tract symptom types in nurses was divided into three categories: the prevalence of storage symptoms, the prevalence of voiding symptoms, and the prevalence of symptoms after urination. Ten articles studied storage symptoms the most. Eight types of storage symptoms were reported: daytime frequency, urgency, nocturia, urinary incontinence, stress incontinence, urge incontinence, complex incontinence, and overactive bladder syndrome. The prevalence varied from 1.5% to 64.5%. Five types of urination symptoms were studied and reported 4 types of urinary retention, abdominal pressure voiding, intermittent voiding, and weak urination, and the prevalence varied from 4.2% to 54.4%. The symptoms after urination were studied in 3 literature and reported 2 types of residual urination and main points, and the prevalence was 11%~33.6%. Summarizing the results of the above study, the prevalence of lower urinary tract symptoms among nurses was found to be high overall, confirming the severity of the prevalence of lower urinary tract symptoms among nurses. In order to improve the working environment and conditions of nurses who are always exposed to the risk of lower urinary tract symptoms, a study on the effect of lower urinary tract symptoms on nurses' work and results, and the working environment and working conditions of nurses Further studies are needed to determine how it affects urinary tract symptoms. And, all of the measurement tools for the selected study are self-reported questionnaires, and there may be some deviation in the research results. Therefore, in future studies, if bladder diaries are added, the reliability and validity of the prevalence data can be increased. All of the measurement tools for the selected research are self-reported surveys, and there may be some deviations in the research results. Therefore, in future studies, it is suggested that the reliability and validity of the prevalence data can be increased if the record of the bladder diary is added.