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Birinci Basamakta Yetişkin Kadınlarda Üriner İnkontinans Prevalansı ve İlişkili Faktörler

Year 2024, Volume: 2 Issue: 3, 159 - 171
https://doi.org/10.61535/bseusbfd.1430443

Abstract

Araştırma, Eskişehir ili Odunpazarı ilçesine bağlı birinci basamak hizmeti veren bir aile hekimliğine kayıtlı kadınlarda üriner inkontinans prevalansının ve üriner inkontinansa neden olabilecek risk faktörlerinin belirlenmesi amacıyla yapılmıştır. Kesitsel tasarımda gerçekleştirilen araştırma, 18-70 yaş arası 237 kadın ile gerçekleştirilmiştir. Araştırmaya katılan kadınlar arasında Üİ prevalansı %41.8 olarak bulunmuştur. İdrar kaçırma durumunu; Pelvik organ prolapsusu varlığı 33,164 kat, Beden Kitle İndeksinin artması 1,122 kat, idrar kaçırma öyküsü olan yakın varlığı 2,188 kat arttırmaktadır (p<0,05). Sonuç olarak, üriner inkontinansın kadınlar arasında sıklıkla reddedilen ve gizlenen bir sorun olduğunu göz önüne alarak, birinci basamak hizmetlerinde üriner inkontinansın ve risk faktörlerinin belirlenerek durumun daha iyi anlaşılması ve etkili müdahalelerin geliştirilmesi gerekmektedir.

Ethical Statement

Bilecik Şeyh Edebali Üniversitesi Girşimsel Olmayan Klinik Araştırmalar Etik Kurulu 31.10.2022 tarihli 6 sayılı toplantının 10 no.lu kararınca araştırmanın etik yönden uygunluğu kabul edilmiştir.

Supporting Institution

yok

Project Number

yok

Thanks

Çalışma herhangi bir destek almamıştır. Teşekkür edilecek bir kurum bulunmamaktadır. Araştırmaya katılan tüm katılımcılara teşekkür ederiz.

References

  • Abreu, N. S., Baracho, E. S., Tirado, M. G. A., & Dias, R. C. (2007). Quality of life from the perspective of elderly women with urinary incontinence. Brazilian Journal of Physical Therapy, 11, 429-436. https://doi.org/10.1590/S1413-35552007000600003
  • Akkuş, Y., & Pinar, G. (2016). Evaluation of the prevalence, type, severity, and risk factors of urinary incontinence and its impact on quality of life among women in Turkey. International Urogynecology Journal, 27, 887-893. https://doi.org/10.1007/s00192-015-2904-5
  • Almousa, S., & Van Loon, A. B. (2018). The prevalence of urinary incontinence in nulliparous adolescent and middle-aged women and the associated risk factors: a systematic review. Maturitas, 107, 78-83. https://doi.org/10.1016/j.maturitas.2017.10.003
  • Altman, D., Forsman, M., Falconer, C., & Lichtenstein, P. (2008). Genetic influence on stress urinary incontinence and pelvic organ prolapse. European Urology, 54(4), 918-923. https//doi.org/10.1016/j.eururo.2007.12.004
  • Aoki, Y., Brown, H. W., Brubaker, L., Cornu, J. N., Daly, J. O., & Cartwright, R. (2017). Urinary incontinence in women. Nature Reviews Disease Primers, 3(1). https://doi.org/10.1038/nrdp.2017.42
  • Avery, K., Donovan, J., Peters, T. J., Shaw, C., Gotoh, M., & Abrams, P. (2004). ICIQ: a brief and robust measure for evaluating the symptoms and impact of urinary incontinence. Neurourology and Urodynamics: Official Journal of the International Continence Society, 23(4), 322-330. https://doi.org/10.1002/nau.20041
  • Baykuş, N., & Yenal, K. (2020). Prevalence of urinary incontinence in women aged 18 and over and affecting factors. Journal of Women & Aging, 32(5), 578-590. https://doi.org/10.1080/08952841.2019.1682923
  • Çetinel, B., Özkan, B., & Can, G. (2004). ICIQ-SF Türkçe versiyonu validasyon (geçerlilik) çalışması. Türk Üroloji Dergisi/Turkish Journal of Urology, 30(3), 332-338.
  • Demirci, A., Hızlı, F., Hamurcu, H. D., & Başar, H. (2023). Which type of female urinary incontinence has more impact on pelvic floor and sexual function in addition to anxiety and depression symptoms: A questionnaire‐based study. Neurourology and Urodynamics, 42(4), 814–821. https://doi.org/10.1002/nau.25146
  • Ertem, G. (2019). Pelvik Taban Disfonksiyon, Epidemiyolojisi, risk faktörleri ve yaşam kalitesi üzerine etkisi. Kızılkaya Beji, N., Çayır, G.(Editörs). Pelvik Taban Disfonksiyonu: Tanı, Tedavi ve Bakımda Hemşirelere Yönelik Güncel Yaklaşımlar (içinde, 33-45). İstanbul: Nobel tıp kitapevleri.
  • Esen, C. ve Oskay, Ü. (2022). Doğumdan sonra geçen sürenin üriner inkontinans görülme sıklığı ve yaşam kalitesine etkisi. İnönü Üniversitesi Sağlık Hizmetleri Meslek Yüksekokulu Dergisi, 10(3), 816-832. https://doi.org/10.33715/inonusaglik.1057075
  • Farage, M. A., Miller, K. W., Berardesca, E., & Maibach, H. I. (2008). Psychosocial and societal burden of incontinence in the aged population: a review. Archives of Gynecology and Obstetrics, 277(4), 285-290. https://doi.org/10.1007/s00404-007-0505-3
  • Groutz, A., Gold, R., Pauzner, D., Lessing, J., & Gordon, D. (2004). 346: Twin Pregnancy: Does it Carry an Extra Risk for the Development Postpartum Stress Urinary Incontinence? Journal of Urology, 171(4S), 91–91. https://doi.org/10.1016/s0022-5347(18)37608-0
  • Haylen, B. T., De Ridder, D., Freeman, R. M., Swift, S. E., Berghmans, B., Lee, J. ... & Schaer, G. N.(2010). An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction. Neurourology and Urodynamics: Official Journal of the International Continence Society, 29(1), 4-20. https://doi.org/10.1002/nau.20798
  • Hutton, E. K., Hannah, M. E., Willan, A. R., Ross, S., Allen, A. C., Armson, B. A., ... & Twin Birth Study Collaborative Group. (2018). Urinary stress incontinence and other maternal outcomes 2 years after caesarean or vaginal birth for twin pregnancy: a multicentre randomised trial. BJOG: An International Journal of Obstetrics & Gynaecology, 125(13), 1682-1690. https://doi.org/10.1111/1471-0528.15407
  • Miličić, I., Mikuš, M., Vrbanić, A., & Kalafatić, D. (2023). The Role of Gene Expression in Stress Urinary Incontinence: An Integrative Review of Evidence. Medicina, 59(4), 700. https://doi.org/10.3390/medicina59040700
  • Milsom, I., Altman, D., Cartwright, R., Lapitan, M. C., Nelson, R., Sillén, U., & Tikkinen, K. (2013). Epidemiology of urinary incontinence (UI) and other lower urinary tract symptoms (LUTS), pelvic organ prolapse (POP) and anal incontinence (AI). In Incontinence: 5th International Consultation on Incontinence, Paris, February 2012 (pp. 15-107). ICUD-EAU.
  • Narçiçeği, B. A., Yakar, B., Narçiçeği, H. R., Önalan, E., & Pirinçci, E. (2021). Prevalence and associated factors of urinary incontinence among adult women in primary care. Cukurova Medical Journal, 46(4), 1516-1522. https://doi.org/10.17826/cumj.983518
  • Patel, P. D., Amrute, K. V., & Badlani, G. H. (2007). Pelvic organ prolapse and stress urinary incontinence: a review of etiological factors. Indian Journal of Urology: IJU: Journal of the Urological Society of India, 23(2), 135. https://doi.org//10.4103/0970-1591.32064
  • Pizzol, D., Demurtas, J., Celotto, S., Maggi, S., Smith, L., Angiolelli, G., ... & Veronese, N. (2021). Urinary incontinence and quality of life: a systematic review and meta-analysis. Aging clinical and experimental research, 33(1), 25-35. https://doi.org/10.1007/s40520-020-01712-y
  • Siahkal, S. F., Iravani, M., Mohaghegh, Z., Sharifipour, F., & Zahedian, M. (2020). Maternal, obstetrical and neonatal risk factors’ impact on female urinary incontinence: a systematic review. International urogynecology journal, 31, 2205-2224. https://doi.org/10.1007/s00192-020-04442-x
  • Svare, J. A., Hansen, B. B., & Lose, G. (2016). Prevalence of anal incontinence during pregnancy and 1 year after delivery in a cohort of primiparous women and a control group of nulliparous women. Acta Obstetricia Et Gynecologica Scandinavica, 95(8), 920–925. https://doi.org/10.1111/aogs.12896
  • Thabet, A., Battecha, K., Alayat, M., Ali, M., Mahmoud, H., Ebid, A. A., Abd El-Kafy, E. M., Ibrahim, A. R., El-Sayed, M. S., Alzahrani, A., Aljazaeri, A., & Faqih, A. (2023). Prevalence of urinary incontinence among women in Saudi Arabia: a cross-sectional study. European review for medical and pharmacological sciences, 27(13), 6040–6045. https://doi.org/10.26355/eurrev_202307_32958
  • Wu, J. M., Hundley, A. F., Fulton, R. G., & Myers, E. R. (2009). Forecasting the prevalence of pelvic floor disorders in US Women: 2010 to 2050. Obstetrics & Gynecology, 114(6), 1278-1283. https://doi.org/10.1097/AOG.0b013e3181c2ce96
  • Xue, K., Palmer, M. H., & Zhou, F. (2020). Prevalence and associated factors of urinary incontinence in women living in China: a literature review. BMC urology, 20(1), 1-26. https://doi.org/10.1186/s12894-020-00735-x
  • Zhou, F., Newman, D. K., & Palmer, M. H. (2018). Urinary urgency in working women: What factors are associated with urinary urgency progression? Journal of Women’s Health, 27(5), 575–583. https://doi.org/10.1089/jwh.2017.6555
  • Zhu, L., Lang, J., Wang, H., Han, S., & Huang, J. (2008). The prevalence of and potential risk factors for female urinary incontinence in Beijing, China. Menopause, 15(3), 566-569. https://doi.org/10.1097/gme.0b013e31816054ac

The Prevalence of Urinary Incontinence and Associated Factors in Adult Women in Primary Care

Year 2024, Volume: 2 Issue: 3, 159 - 171
https://doi.org/10.61535/bseusbfd.1430443

Abstract

The research was conducted to determine the prevalence of urinary incontinence and identify risk factors that may contribute to urinary incontinence in women registered at a primary care family medicine unit in Eskişehir City, Odunpazarı district. The study, which employed a cross-sectional design, involved 237 women aged between 18 and 70. The prevalence of urinary incontinence among the participating women was found to be 41.8%. Factors such as the presence of pelvic organ prolapse (OR: 33.164), increased Body Mass Index (OR: 1.122), and a family history of urinary incontinence (OR: 2.188) were found to significantly increase the likelihood of urinary incontinence (p<0.05). In conclusion, considering that urinary incontinence is often a neglected and concealed issue among women, it is crucial to identify the prevalence and risk factors of urinary incontinence in primary care services. This understanding will contribute to developing effective interventions.

Project Number

yok

References

  • Abreu, N. S., Baracho, E. S., Tirado, M. G. A., & Dias, R. C. (2007). Quality of life from the perspective of elderly women with urinary incontinence. Brazilian Journal of Physical Therapy, 11, 429-436. https://doi.org/10.1590/S1413-35552007000600003
  • Akkuş, Y., & Pinar, G. (2016). Evaluation of the prevalence, type, severity, and risk factors of urinary incontinence and its impact on quality of life among women in Turkey. International Urogynecology Journal, 27, 887-893. https://doi.org/10.1007/s00192-015-2904-5
  • Almousa, S., & Van Loon, A. B. (2018). The prevalence of urinary incontinence in nulliparous adolescent and middle-aged women and the associated risk factors: a systematic review. Maturitas, 107, 78-83. https://doi.org/10.1016/j.maturitas.2017.10.003
  • Altman, D., Forsman, M., Falconer, C., & Lichtenstein, P. (2008). Genetic influence on stress urinary incontinence and pelvic organ prolapse. European Urology, 54(4), 918-923. https//doi.org/10.1016/j.eururo.2007.12.004
  • Aoki, Y., Brown, H. W., Brubaker, L., Cornu, J. N., Daly, J. O., & Cartwright, R. (2017). Urinary incontinence in women. Nature Reviews Disease Primers, 3(1). https://doi.org/10.1038/nrdp.2017.42
  • Avery, K., Donovan, J., Peters, T. J., Shaw, C., Gotoh, M., & Abrams, P. (2004). ICIQ: a brief and robust measure for evaluating the symptoms and impact of urinary incontinence. Neurourology and Urodynamics: Official Journal of the International Continence Society, 23(4), 322-330. https://doi.org/10.1002/nau.20041
  • Baykuş, N., & Yenal, K. (2020). Prevalence of urinary incontinence in women aged 18 and over and affecting factors. Journal of Women & Aging, 32(5), 578-590. https://doi.org/10.1080/08952841.2019.1682923
  • Çetinel, B., Özkan, B., & Can, G. (2004). ICIQ-SF Türkçe versiyonu validasyon (geçerlilik) çalışması. Türk Üroloji Dergisi/Turkish Journal of Urology, 30(3), 332-338.
  • Demirci, A., Hızlı, F., Hamurcu, H. D., & Başar, H. (2023). Which type of female urinary incontinence has more impact on pelvic floor and sexual function in addition to anxiety and depression symptoms: A questionnaire‐based study. Neurourology and Urodynamics, 42(4), 814–821. https://doi.org/10.1002/nau.25146
  • Ertem, G. (2019). Pelvik Taban Disfonksiyon, Epidemiyolojisi, risk faktörleri ve yaşam kalitesi üzerine etkisi. Kızılkaya Beji, N., Çayır, G.(Editörs). Pelvik Taban Disfonksiyonu: Tanı, Tedavi ve Bakımda Hemşirelere Yönelik Güncel Yaklaşımlar (içinde, 33-45). İstanbul: Nobel tıp kitapevleri.
  • Esen, C. ve Oskay, Ü. (2022). Doğumdan sonra geçen sürenin üriner inkontinans görülme sıklığı ve yaşam kalitesine etkisi. İnönü Üniversitesi Sağlık Hizmetleri Meslek Yüksekokulu Dergisi, 10(3), 816-832. https://doi.org/10.33715/inonusaglik.1057075
  • Farage, M. A., Miller, K. W., Berardesca, E., & Maibach, H. I. (2008). Psychosocial and societal burden of incontinence in the aged population: a review. Archives of Gynecology and Obstetrics, 277(4), 285-290. https://doi.org/10.1007/s00404-007-0505-3
  • Groutz, A., Gold, R., Pauzner, D., Lessing, J., & Gordon, D. (2004). 346: Twin Pregnancy: Does it Carry an Extra Risk for the Development Postpartum Stress Urinary Incontinence? Journal of Urology, 171(4S), 91–91. https://doi.org/10.1016/s0022-5347(18)37608-0
  • Haylen, B. T., De Ridder, D., Freeman, R. M., Swift, S. E., Berghmans, B., Lee, J. ... & Schaer, G. N.(2010). An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction. Neurourology and Urodynamics: Official Journal of the International Continence Society, 29(1), 4-20. https://doi.org/10.1002/nau.20798
  • Hutton, E. K., Hannah, M. E., Willan, A. R., Ross, S., Allen, A. C., Armson, B. A., ... & Twin Birth Study Collaborative Group. (2018). Urinary stress incontinence and other maternal outcomes 2 years after caesarean or vaginal birth for twin pregnancy: a multicentre randomised trial. BJOG: An International Journal of Obstetrics & Gynaecology, 125(13), 1682-1690. https://doi.org/10.1111/1471-0528.15407
  • Miličić, I., Mikuš, M., Vrbanić, A., & Kalafatić, D. (2023). The Role of Gene Expression in Stress Urinary Incontinence: An Integrative Review of Evidence. Medicina, 59(4), 700. https://doi.org/10.3390/medicina59040700
  • Milsom, I., Altman, D., Cartwright, R., Lapitan, M. C., Nelson, R., Sillén, U., & Tikkinen, K. (2013). Epidemiology of urinary incontinence (UI) and other lower urinary tract symptoms (LUTS), pelvic organ prolapse (POP) and anal incontinence (AI). In Incontinence: 5th International Consultation on Incontinence, Paris, February 2012 (pp. 15-107). ICUD-EAU.
  • Narçiçeği, B. A., Yakar, B., Narçiçeği, H. R., Önalan, E., & Pirinçci, E. (2021). Prevalence and associated factors of urinary incontinence among adult women in primary care. Cukurova Medical Journal, 46(4), 1516-1522. https://doi.org/10.17826/cumj.983518
  • Patel, P. D., Amrute, K. V., & Badlani, G. H. (2007). Pelvic organ prolapse and stress urinary incontinence: a review of etiological factors. Indian Journal of Urology: IJU: Journal of the Urological Society of India, 23(2), 135. https://doi.org//10.4103/0970-1591.32064
  • Pizzol, D., Demurtas, J., Celotto, S., Maggi, S., Smith, L., Angiolelli, G., ... & Veronese, N. (2021). Urinary incontinence and quality of life: a systematic review and meta-analysis. Aging clinical and experimental research, 33(1), 25-35. https://doi.org/10.1007/s40520-020-01712-y
  • Siahkal, S. F., Iravani, M., Mohaghegh, Z., Sharifipour, F., & Zahedian, M. (2020). Maternal, obstetrical and neonatal risk factors’ impact on female urinary incontinence: a systematic review. International urogynecology journal, 31, 2205-2224. https://doi.org/10.1007/s00192-020-04442-x
  • Svare, J. A., Hansen, B. B., & Lose, G. (2016). Prevalence of anal incontinence during pregnancy and 1 year after delivery in a cohort of primiparous women and a control group of nulliparous women. Acta Obstetricia Et Gynecologica Scandinavica, 95(8), 920–925. https://doi.org/10.1111/aogs.12896
  • Thabet, A., Battecha, K., Alayat, M., Ali, M., Mahmoud, H., Ebid, A. A., Abd El-Kafy, E. M., Ibrahim, A. R., El-Sayed, M. S., Alzahrani, A., Aljazaeri, A., & Faqih, A. (2023). Prevalence of urinary incontinence among women in Saudi Arabia: a cross-sectional study. European review for medical and pharmacological sciences, 27(13), 6040–6045. https://doi.org/10.26355/eurrev_202307_32958
  • Wu, J. M., Hundley, A. F., Fulton, R. G., & Myers, E. R. (2009). Forecasting the prevalence of pelvic floor disorders in US Women: 2010 to 2050. Obstetrics & Gynecology, 114(6), 1278-1283. https://doi.org/10.1097/AOG.0b013e3181c2ce96
  • Xue, K., Palmer, M. H., & Zhou, F. (2020). Prevalence and associated factors of urinary incontinence in women living in China: a literature review. BMC urology, 20(1), 1-26. https://doi.org/10.1186/s12894-020-00735-x
  • Zhou, F., Newman, D. K., & Palmer, M. H. (2018). Urinary urgency in working women: What factors are associated with urinary urgency progression? Journal of Women’s Health, 27(5), 575–583. https://doi.org/10.1089/jwh.2017.6555
  • Zhu, L., Lang, J., Wang, H., Han, S., & Huang, J. (2008). The prevalence of and potential risk factors for female urinary incontinence in Beijing, China. Menopause, 15(3), 566-569. https://doi.org/10.1097/gme.0b013e31816054ac
There are 27 citations in total.

Details

Primary Language Turkish
Subjects Clinical Midwifery
Journal Section Research Articles
Authors

Merve Sezer Yıldız 0000-0001-7061-3302

Ünal Ayrancı 0000-0001-5064-7388

Project Number yok
Publication Date
Submission Date February 2, 2024
Acceptance Date March 7, 2024
Published in Issue Year 2024 Volume: 2 Issue: 3

Cite

APA Sezer Yıldız, M., & Ayrancı, Ü. (n.d.). Birinci Basamakta Yetişkin Kadınlarda Üriner İnkontinans Prevalansı ve İlişkili Faktörler. Bilecik Şeyh Edebali Üniversitesi Sağlık Bilimleri Fakültesi Dergisi, 2(3), 159-171. https://doi.org/10.61535/bseusbfd.1430443

Qualified studies in the following fields can be published in the BSEU-FHSJ;

Health management, nursing, social work, midwifery, child development, occupational therapy, orthotics and prosthesis,
speech and language therapy, audiology, physiotherapy and rehabilitation, nutrition and dietetics, other multidisciplinary studies.

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