초록

이 연구의 목적은 골반저근운동프로그램이 긴장성 요실금 여성노인의 하부요로증상과 최대질수축압, 골반저근 활성도에 미치는 효과를 알아보고자 하는 것이다. 선정기준에 부합된 25명의 긴장성 요실금 여성노인을 무작위로 골반저근운동군과 대조군으로 각각 13명과 12명으로 나누어 골반저근운동군에게 주 2회의 골반저근운동프로그램과 주 7회의 개인 운동을 8주 동안 실시하였으며, 대조군에게는 특별한 운동 없이 일반적인 교육만 실시하였다. 골반저근운동프로그램의 효과를 파악하기 위하여 운동 전·후에 하부요로증상에 대한 설문조사, 질압측정기를 이용한 최대질수축압, 근전도를 이용한 골반저근 활성도 검사를 시행하였다. 본 연구의 자료분석은 운동 전․후 효과를 비교하기 위해 대응표본 t 검정을 실시하였고, 집단 간의 차이를 비교하기 위해 독립표본 t 검정과 검정을 실시하였다. 8주 간의 골반저근운동프로그램으로 인해 하부요로증상은 유의하게 감소하였고(p<.05), 최대질수축압과 골반저근 활성도는 유의하게 증가하였지만(p<.05), 대조군에서는 유의한 차이를 나타내지 않았다. 이상의 연구를 통하여 골반저근운동프로그램은 긴장성 요실금 여성노인의 요실금 치료에 효과적인 운동방법으로 요실금을 가진 여성노인에게 삶의 질을 향상시키는데 크게 기여할 것으로 기대된다.

키워드

골반저근운동프로그램, 긴장성 요실금, 여성노인, 근전도

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