The effect of demographic characteristics of patients applying to the urology outpatient clinic on urinary incontinence awareness and attitudes

Yıl 2024, Cilt: 17 Sayı: 1, 143 - 157, 01.01.2024

Mahinur Durmuş İskender Sıla Gül

https://doi.org/10.31362/patd.1406978

Öz

Purpose: This study was conducted to determine the effect of demographic characteristics of patients applying to the urology outpatient clinic on urinary incontinence awareness and attitudes.
Materials and methods: The data of this descriptive and cross-sectional study were collected between 07/09/2023-08/10/2023 with Personal Information Form, Urinary Incontinence Awareness Attitude Scale data collection tools from 180 people who applied to urology outpatient clinic by face-to-face interview method. Data were analyzed with the SPSS 25.0 package program. In all analyses, p<0.05 was considered statistically significant.
Results: In the factors that prevent the scale from being accepted as a health problem sub-dimension, educational status increases the scores; Educational status and frequency of caffeine&tea consumption had a decreasing effect on scores in the health motivation sub-dimension; In the coping with incontinence subdimension, being male lowers the scores, while education level, presence of a chronic disease and having undergone surgery increase the scores; In the restriction sub-dimension, it was found that age, marital status, place of residence, presence of chronic disease and frequency of changing underwear had a decreasing effect on scores. In the sub-dimension of fear of urinary incontinence, it was found that gender, marital status, and frequency of changing underwear had a decreasing effect.
Conclusion: Male are more likely to accept urinary incontinence as a health problem. The factors that prevent adults from accepting it as a health problem and the sub-dimensions of coping with urinary incontinence are good. It was determined that the health motivation sub-dimension and the fear of urination sub-dimension of the patients who applied to the urology outpatient clinic were at a weak level, and the restriction sub-dimension was at a medium level.

Anahtar Kelimeler

Adult, attitudes, awareness, urinary incontinence

Üroloji polikliniğine başvuran hastaların demografik özelliklerinin üriner inkontinans farkındalığı ve tutumlarına etkisi

Öz

Amaç: Bu çalışma üroloji polikliniğine başvuran hastaların demografik özelliklerinin üriner inkontinans farkındalığına ve tutumlarına etkisini belirlemek amacıyla yapılmıştır.
Gereç ve yöntem: Tanımlayıcı ve kesitsel türde olan bu çalışmanın verileri 07/09/2023-08/10/2023 tarihleri arasında Kişisel Bilgi Formu ve Üriner İnkontinansla Farkındalık Tutum Ölçeği veri toplama araçları ile Üroloji polikliniğe başvuran 180 kişiden yüz yüze görüşme metodu ile toplanmıştır. Veriler SPSS 25.0 paket programıyla analiz edilmiştir. Tüm analizlerde p<0.05 istatistiksel olarak anlamlı kabul edilmiştir.
Bulgular: Ölçeğin sağlık sorunu olarak kabulünü engelleyen faktörler alt boyutunda eğitim durumunun puanları yükseltici olduğu; sağlık motivasyonu alt boyutunda eğitim durumu ve kafein-çay tüketimi sıklığının puanları düşürücü etki ettiği; inkontinansla başetme alt boyutunda erkek olmanın puanları düşürücü, eğitim durumu, kronik hastalık varlığı ve ameliyat geçirmiş olma durumunun puanları yükseltici olduğu; kısıtlanma alt boyutunda yaş, medeni durum, yaşanılan yer, kronik hastalık varlığı ve iç çamaşır değiştirme sıklığının puanları düşürücü etki gösterdiği bulunmuştur. İdrar kaçırma korkusu alt boyutunda ise cinsiyetin, medeni durumun ve iç çamaşır
değiştirme sıklığının düşürücü etki ettiği bulunmuştur.
Sonuç: Erkeklerin üriner inkontinansı sağlık sorunu olarak kabullenmeleri daha yüksektir. Araştırma kapsamındaki yetişkin bireylerin, sağlık sorunu olarak kabulünü engelleyen faktörler, üriner inkontinans ile başetme alt boyutları iyi düzeydedir. Üroloji polikliniğine başvuran hastaların, sağlık motivasyonu alt boyutu ve ve idrar korkusu yaşama alt boyutu kötü düzeyde, kısıtlama alt boyutu orta düzeyde olduğu bulunmuştur.

Anahtar Kelimeler

Yetişkin, farkındalık, tutumlar, üriner inkontinans

Kaynakça

• 1. Haylen BT, De Ridder D, Freeman RM, et al; Official Journal of the International Continence Society. An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction. Neurourol Urodyn 2010;29:4-20. https:// doi.org/10.1002/nau.20798
• 2. Wyndaele M, Hashim H. Pathophysiology of urinary incontinence. Surgery (Oxford) 2017;35:287-292. https://doi.org/10.1016/j.mpsur.2017.03.002
• 3. Aoki Y, Brown HW, Brubaker L, Cornu JN, Daly JO, Cartwright R. Urinary incontinence in women. Nat Rev Dis Primers 2017;3:17042. https://doi.org/10.1038/ nrdp.2017.42
• 4. Sorour M, King T. Overview on the management of adult urinary incontinence. Surgery (Oxford) 2023;41:283- 289. https://doi.org/10.1016/j.mpsur.2023.03.006
• 5. Farage MA, Miller KW, Berardesca E, Maibach HI. Psychosocial and societal burden of incontinence in the aged population: a review. Arch Ggynecol Obstet 2008;277:285-290. https://doi.org/10.1007/ s00404-007-0505-3
• 6. Mallett VT, Jezari AM, Carrillo T, Sanchez S, Mulla ZD. Barriers to seeking care for urinary incontinence in Mexican American women. Int Urogynecol J 2018;29:235-241. https://doi.org/10.1007/s00192-017- 3420-6
• 7. Siddiqui NY, Ammarell N, Wu JM, Sandoval JS, Bosworth HB. Urinary incontinence and health-seeking behavior among white, black, and Latina women. Female Pelvic Med Reconstr Surg 2016;22:340-345. https://doi. org/10.1097/SPV.0000000000000286
• 8. Southall K, Tuazon JR, Djokhdem AH, van den Heuvel EA, Wittich W, Jutai JW. Assessing the stigma content of urinary incontinence intervention outcome measures. J Rehabil Assist Technol Eng 2017;4:1-13. https://doi.org/10.1177/2055668317738943
• 9. Güngör Uğurlucan F, Comba C, Emegil Ş, Yalçın Ö. Thoughts and attıtudes toward urınary ıncontınence in Turkey. J Ist Faculty Med 2016;79:141-146. https://doi. org/10.18017/iuitfd.308488
• 10. Yıldırım Ö, Çelik Eren D, Korkmaz M, Aydın Avcı İ. The relationship between university students’ urinary incontinence awareness and self-esteem. DEUHFED 2020;13:170-177. https://doi.org/10.46483/ deuhfed.554568
• 11. Avci İA, Öz Yıldırım Ö, Eren DÇ. Urinary Incontinence Awareness and Attitude Scale (URINAS): a reliability and validity study. J Wound Ostomy Continence Nurs 2022;49:551-557. https://doi.org/10.1097/ WON.0000000000000921
• 12. Coyne KS, Kvasz M, İrlanda AM, Milsom I, Kopp ZS, Chapple CR. Urinary incontinence and its relationship to mental health and health-related quality of life in men and women in Sweden, the United Kingdom, and the United States. Euro Urol 2012;61:88-95. https://doi. org/10.1016/j.eururo.2011.07.049
• 13. Rashidi Fakari F, Hajian S, Darvish S, Alavi Majd H. Predictors of help-seeking behaviors in women with urinary incontinence: Based on Iranian women’s lens. PLoS One 2023;18:e0289785. https://doi.org/10.1371/ journal.pone.0289785
• 14. Ünlü M, Üstüner I, Güven ESG, Şentürk Ş, Şahin FK. Urinary incontinence in premenopausal women: prevalence, risk factors and impact on quality of life. Lower Urinary Tract Symptoms 2014;6:157- 161. https://doi.org/10.1111/luts.12038
• 15. Treister Goltzman Y, Peleg R. Urinary incontinence among Muslim women in Israel: risk factors and helpseeking behavior. Int Urogynecol J 2018;29:539-546. https://doi.org/10.1007/s00192-017-3438-9
• 16. Wu JM, Matthews CA, Conover MM, Pate V, Jonsson Funk M. Lifetime risk of stress urinary incontinence or pelvic organ prolapse surgery. Obstet Gynecol 2014;123:1201-1206. https://doi.org/10.1097/ AOG.0000000000000286
• 17. Yılmaz E, Muslu A, Özcan E. Qualıty of lıfe at women wıth urınary ıncontınence. ERÜ Faculty of Health Sci J 2014;2:1-14.
• 18. Glanz K, Rimer KR, Viswanath K. Health behavior and health education; theory, research and practice. 4th edition. San Francisco, USA: JosseyBass 2008;45-62.
• 19. Bulgak M, Aydın Avcı İ. Methods of coping with factors affecting urinary incontinence awareness and frequency in elderly patients with urinary incontinence. J Nursology 2022;25:1-6. https://doi. org/10.54614/JANHS.2022.729980
• 20. Mavili Aktaş A. Socio-economic factors and poverty affecting women’s health in Turkey. J Social Policy Studies 2007;12:65-72.
• 21. Demirgöz Bal M. Evaluation of women having pap smear test by health belief model scale. MÜSBED 2014;4:133-138. https://doi.org/10.5455/ musbed.20140711031132
• 22. Şantaş G, Şantaş F, Kaya S. The relationship between health literacy and health seeking behavior: a field research. Hacettepe J Health Administration 2023;26:781-796.
• 23. Özkan SA, Bilgiç D, Kızılkaya Beji N. Examination of postgraduate theses on urinary ıncontinence in the field of nursing in Turkey. Acıbadem University J Health Sci 2019;2:201-210. https://doi.org/10.31067/0.2019.142
• 24. Baykuş N, Yenal K. Prevalence of urinary incontinence in women aged 18 and over and affecting factors. J Women Aging 2020;32:578-590. https://doi.org/ 10.1080/08952841.2019.1682923
• 25. Seshan V. Coping strategies & self measures adopted by the women with urinary incontinence & its effects on QOL. Obstet Gynecol Int J 2016;5:00187. https://doi. org/10.15406/ogij.2016.05.00187
• 26.Bilgiç D, Kizilkaya Beji N, Ozbas A, Çavdar İ, Aslan E, Yalcin O. Coping and help seeking behaviors for management of urinary ıncontinence. Low Urin Tract Symptoms 2017;9:134-141. https://doi.org/10.1111/ luts.12120
• 27. Bascur Castillo C, Araneda Gatica V, Castro Arias H, Carrasco Portiño M, Ruiz Cantero MT. Determinants in the process of seeking help for urinary incontinence in the Chilean health system. Int J Gynaecol Obstet 2019;144:103-111. https://doi.org/10.1002/ ijgo.12685
• 28. Çiloğlu D, Zaybak A. The coping behaviors and quality of life in ındividuals with urinary incontinence. Turkiye Klinikleri J Nurs Sci 2020;12:64-71. https://doi. org/10.5336/nurses.2019-70330