Hasta Demografik ve Klinik Özelliklerinin İnkontinans Üzerindeki Etkisi

Abstract

AMAÇ: Bu çalışma, hastaların demografik ve klinik özelliklerinin idrar kaçırma tedavi sonuçlarına olan etkisini inceleyerek, iyileşme algısını etkileyen temel faktörleri belirlemeyi amaçlamaktadır. GEREÇ VE YÖNTEM: Bir üçüncü basamak sağlık merkezinde stres üriner inkontinans (SÜİ) tedavisi gören 251 hastanın kayıtları retrospektif olarak incelendi. Hastaların yaş, vücut kitle indeksi (VKİ), doğum sayısı ve eğitim düzeyi gibi özellikleri, tedavi sonuçlarıyla ilişkili olarak Hasta Küresel İyileşme İzlenimi (HKİİ) skorları üzerinden analiz edildi. Bu değişkenler ile HKİİ skorları arasındaki olası ilişkiler, Spearman korelasyon yöntemi ile değerlendirildi. BULGULAR: Analiz, yaş ve VKİ gibi demografik faktörlerin HKİİ skorlarıyla anlamlı bir ilişki göstermediğini ortaya koyarak, yaygın olarak kabul edilen bu özelliklerin hasta memnuniyeti üzerindeki etkisini sorgulamaktadır. Yüksek eğitim veya doğum sayısının tedavi sonuçlarıyla doğrudan ilişkili olmadığı gözlenmiştir. SONUÇ: Bu çalışma, idrar kaçırma tedavisinde daha geniş kapsamlı, hasta odaklı bir yaklaşımın önemini vurgulamaktadır. Bulgular, ürojinekolojide hasta bildirimi sonuçlarını etkileyen değişkenlerin daha fazla araştırılması gerektiğini ve bireyselleştirilmiş bakım stratejilerini geliştirme ihtiyacını ortaya koymaktadır.

Keywords

• İdrar Kaçırma
• Hasta Demografik Özellikleri
• Tedavi Sonuçları
• HKİİ
• Hasta Odaklı Bakım

The Impact of Patient Demographics and Clinical Characteristics on Urinary Incontinence

Abstract

OBJECTIVE: This study investigates how patient demographics and clinical characteristics influence treatment outcomes in urinary incontinence, aiming to identify key factors that impact patient perceptions of improvement. MATERIALS AND METHODS: We retrospectively reviewed the records of 251 patients treated for stress urinary incontinence (SUI) at a tertiary care center. Patient characteristics, including age, body mass index (BMI), parity, and education level, were analyzed in relation to treatment outcomes using the Patient Global Impression of Improvement (PGI-I) scores. Statistical methods, specifically Spearman’s correlation, were employed to examine potential associations between these variables and PGI-I scores. RESULTS: Analysis revealed no significant correlations between traditionally emphasized demographic factors, such as age and BMI, and PGI-I scores, suggesting that commonly considered characteristics may not directly influence patient satisfaction with treatment. The findings challenge assumptions that higher education or parity necessarily correlate with better or worse treatment outcomes, pointing to a need for a broader approach to patient assessment. CONCLUSION: This study underscores the importance of a holistic, patient-centered approach to urinary incontinence treatment, considering a wider array of factors beyond demographic profiles. These insights call for further research to explore the complex variables affecting patient-reported outcomes in urogynecology and to enhance individualized care strategies.

Keywords

• Urinary Incontinence
• Patient Demographics
• Treatment Outcomes
• PGI-I
• Patient-Centered Care

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