EVALUATION OF ANXIETY AND QUALITY OF LIFE IN PATIENTS WHO HAD STRESS INCONTINENCE SURGERY

Year 2025, Volume: 34 Issue: 1, 34 - 39

Gamze Altıner , Yasemin Güçlüel

Abstract

Stress incontinence is currently defined as involuntary urine loss, whether more or less. The aim of this study is to evaluate the preoperative and postoperative anxiety and quality of life levels in patients who underwent stress incontinence surgery. It is a comparative and descriptive study. The universe of the study consisted of female patients who applied to the urology and gynecology departments of the Ministry of Health Hospital for stress incontinence surgery, and 65 female patients were included in the study. The scales used in the study were SEAPI-QMM Incontinence Quality of Life Scoring, State and Trait Anxiety Scale. The scales were filled out by the participants in the department before the surgery and in the outpatient clinic one month after the surgery. It was determined in the findings that 76.9% of the participants were married, 63% were between the ages of 45-59, 38.5% were housewives, 61.5% had high BMI, 55.4% had comorbid diseases, 75.4% had normal births, 52.3% had three or more births, and 52.3% had large babies. It was determined that the mean scores of the State Anxiety Scale, Trait Anxiety Scale, and Incontinence Quality of Life Scale were lower than before the surgery. It was determined that there was a positive and statistically significant moderate relationship between the Incontinence Quality of Life Score and State Anxiety after the surgery. According to the research results, it is recommended that psychological disorders such as anxiety and depression be evaluated together in the diagnosis of stress incontinence and that remedial studies be conducted on stress incontinence quality of life indicators.

Keywords

Anxiety, quality of life, stress incontinence

Ethical Statement

Approval was received for this study from the Haliç University Non-Interventional Ethics Committee (Date: 3.10.2023, Number: 245).

Supporting Institution

This research received no support from any funding agency/industry.

Project Number

yok

Thanks

We thank all participants in this study for their support.

STRES İNKONTİNANS CERRAHİSİ UYGULANAN HASTALARDA ANKSİYETE VE YAŞAM KALİTESİNİN DEĞERLENDİRİLMESİ

Abstract

Stres inkontinans günümüzde istem dışı az ya da çok fark etmeksizin idrar kaçırma olarak tanımlanmaktadır. Bu çalışmanın amacı stres inkontinans cerrahisi geçiren hastalarda ameliyat öncesi ve sonrası kaygı ve yaşam kalitesi düzeylerinin değerlendirilmesidir. Karşılaştırmalı ve tanımlayıcı bir çalışmadır. Araştırmanın evrenini Sağlık Bakanlığı Hastanesi üroloji ve kadın hastalıkları servislerine stres inkontinans cerrahisi için başvuran kadın hastalar oluşturmuş olup, çalışmaya 65 kadın hasta dâhil edilmiştir. Araştırmada kullanılan ölçekler SEAPI-QMM İnkontinans Yaşam Kalitesi Skorlaması, Durumluk ve Sürekli Kaygı Ölçeğidir. Katılımcılara ameliyat öncesi serviste, ameliyat sonrası süreçten bir ay sonra poliklinikte olmak üzere ölçekler doldurtulmuştur. Çalışmaya katılanların %76.9’unun evli, %63’ünün 45-59 yaş aralığında, %38.5’inin ev hanımı, %61.5’inin BKİ’sinin yüksek olduğu, %55.4’ünün komorbid hastalığı olduğu, %75.4’ünün normal doğum yaptığı, %52.3’ünün üç ve üzeri doğum yaptığı ve %52.3’ünün iri bebek doğurduğu bulgularda belirlenmiştir. Durumluk Kaygı Ölçeği, Sürekli Kaygı Ölçeği ve İnkontinans Yaşam Kalitesi Ölçeği puan ortalamalarının ameliyat öncesine göre daha düşük olduğu saptanmıştır. Ameliyat sonrası İnkontinans Yaşam Kalitesi Skoru ile Durumluk Kaygı arasında pozitif yönlü istatistiksel olarak anlamlı orta dereceli ilişki olduğu saptanmıştır. Araştırma sonuçlarına göre stres inkontinans tanısında anksiyete ve depresyon gibi psikolojik bozuklukların bir arada değerlendirilmesi ve stres inkontinans yaşam kalitesi göstergelerine yönelik iyileştirici çalışmaların yapılması önerilmektedir.

Keywords

Anksiyete, yaşam kalitesi, stres inkontınansı

Ethical Statement

Bu çalışma için Haliç Üniversitesi Girişimsel Olmayan Etik Kurulundan (Tarih: 3.10.2023, Sayı: 245 ) onay alınmıştır.

Supporting Institution

Bu araştırma herhangi bir finansman kuruluşundan/sektörden destek almamıştır.

Project Number

yok

Thanks

Bu çalışmaya katılan tüm katılımcılara destekleri için teşekkür ederiz.

References

• Vaughan CP, Markland AD. Urinary incontinence in women. Ann Intern Med. 2020;172(3):17-32. doi:10.7326/AITC202002040.
• Erden Ö, Erin R, Şahinler A, et al. Comparison of sexual function and incontinence scores in cases where Burch and transobturator tape were applied due to stress incontinence. Turk J Women Neo.2021;3(4):93-98.doi:10.46969/ezh.1020484.
• Wu JM, Stres incontinence in women. N Engl J Med. 2021;384:2428-2436.doi:10.1056/NEJMcp1914037.
• Klein J, Stoddard M, Rardin C, et al. The role of pessaries in the treatment of women with stress urinary incontinence: A systematic review and meta-analysis. Female Pelvic Med Reconstr Surg.2022:28(6):171-178.doi:10.1097/SPV.0000000000001180.
• Çelik HK, Karakaya BK, Aksakal OS, Evliyaoğlu Ö. Pharmacological treatment of stress urinary incontinence in women. JOGNN.2017;14(3):127-132.
• Şahin ÜK, Candan SA, Çırakoğlu A, Benli E, Akbayrak T.External electricity in stress urinary incontinence examining the effect of stimulation. JETR. 2021:8(1):37-43.
• Öz Ö, Altay B. Urinary incontinence risk factors and nursing approach. Inönü Un. Health. Sci. J.2017:6(1):34-37.
• Tekeş M, Şahin G.On the incidence of urinary incontinence and quality of life in women over 65 years of age effect. SAUHSD.2022:5(3):404-417.doi:10.54803/sauhsd.1198339.
• Özengin N, İnalB, Çankaya H, BakarY. Does the amount of urine lost affect quality of life in women with stress urinary incontinence? A retrospective study. Anatol Clin Med J.2017;22(2):107-113. doi:10.21673/anadoluklin.296619.
• Gülnar E, Çalışkan N. Nursing approach to stress incontinence. Gumushane Univ J Health Sci.2022;11(1):308-318. doi:10.37989/gumussagbil.797192.
• Karataş S, Tekelioğlu M, Çift T, Temür M, Ender Yumru A. The Comparison of adjustable single-incision mini sling and transobturator tape for the treatment of stress urinary ıncontinence. JAREM. 2020;10(1):36-40.doi:10.4274/jarem .galenos.2019.2544
• Kafes AY.An overview of depression and anxiety disorders. Humanistic Perspectives.2021;3(1):186-194.doi: 10.47793/hp.867111.
• National Institute of Mental Health. Anxiety disorders, 2020. https://www.nimh.nih.gov/health/topics/anxiety-disorders . Date of access: 03.02.2024.
• Boylu İ, Dağlar G.Urinary incontinence and stigma in women. Int J Health Sci. 2019;4(2):58-63.
• Enginoğlu HD, Üçgün AB, Yürekli MV, Uskun E.Healthy lifestyle as a predictor of quality of life behaviors. Turk J Public Health. 2021;19(1):55-68. doi:10.20518/tjph.763355.
• Duralde ER, Rowen TS. Urinary incontinence and associated female sexual dysfunction. Sex Med. Rev.2017;5(4):470-485. doi:10.1016/j.sxmr.2017.07.001.
• Zhang RQ, Xia MC, Cui F, et al. Epidemiological survey of adult female stress urinary incontinence. BMC Womens Health.2021;21(1):1-10. doi:10.1186/s12905-021-01319-z.
• Fitri AN, Kurniawati EM, Wiyasihati SI, Wungu DK.Risk factors of stress urinary incontinence in pelvic organ prolapsepatients. AFJU.2023;29(53):1-11.doi:10.1186/s12301-023-00383-1.
• Ulubay M, Fıratgil FB, Öztürk M, Kıncı MF, Fidan U.Woman stress treated with transobturator tapeSurgical results of incontinence treatment.Çukurova Med.2017;42:670-674.doi:10.17826/cutf.325691.
• Tosun BU, Altındağ Ö, Gökmen GY, Kırmızıgil B, Tosun F. Effects of surgical and medical treatments on stress urinary incontinence. ACEM.2022:7(3):66-71. doi:10.25000/acem.1184054
• Demir DÖ, Özgür BC, Demirbas A, et al. The effect of transobturator tape (tot) on female sexual and psychological functions: A multi-centered prospective study.Med J Ankara.2023;56(2):60-63. doi:10.20492/aeahtd.1163628
• Tarcan T, Akbal C, Tinay İ, Genç Y, İlker Y. Definition of success with the seapi-qmm quality of life index after tension free vaginal tape procedure: Does validation of score sheet in patient's own language effect the outcome? Turk J Urol.2008;34(2):209-214.
• Öner N, Le Compte A. State/trait anxiety inventory handbook, İstanbul, 1985, Boğaziçi University.
• Aşık Z, DemirelES.Urinary incontinence in adults and its effects on quality of life: A field study with a stratified sample.JCME. 2021;29(6):422-430.doi:10.17942/sted.862559.
• Abrams P, Andersson KE, Apostolidis A,et al. Members of the committees, 6th international consultation on incontinence, recommendations of the international scientific committee: evaluatıon and treatment of urinary incontinence, pelvic organ prolapse and faecal incontinence. Neurourol Urodyn.2018;37(7):2271-2272. doi:10.1002/nau.23551.
• Aşık S, ŞahinS.The effect of urinary incontinence seen in the menopausal period on the quality of life. TJHSR.2021:4(1):90-100.doi:10.51536/tusbad.877566.
• Călinescu BC, Neacșu A, Martiniuc AE, et al. Surgical treatments for women with stress urinary incontinence: A Systematic Review. Life. 2023;13(7):1480. doi:10.3390/life13071480.
• Kalata U, Jarkiewicz M, Pomian A, et al. The influence of successful treatment of stress urinary ıncontinence and pelvic organ prolapse on depression, anxiety, and insomnia-a prospective intervention impact assessment study. J Clin Med. 2024;13(6):1528. doi:10.3390/jcm13061528.
• Demir KN, Yılmaz T. Urinary incontinence in menopausal women. J Womens Health. 2022;8(3):169-178.
• Nygaard C, Schreiner L, MorschT, Saadi R, Figueiredo M, Padoin A. Urinary incontinence and quality of life in female patients with obesity. Rev Bras Ginecol Obstet. 2018;40(9):534-539. doi:10.1055/s-0038-1670626.
• Doğan H, Özengin N, Eroglu S.Comparison of patient characteristics, urinary incontinence behaviors and quality of life in different types of urinary incontinence. JETR. 2022;9(3):189-195.doi:10.15437/jetr.1052568.
• Lim YM, Lee SR, Choi EJ, Jeong K, Chung HW. Urinary incontinence is strongly associated with depression in middle-aged and older Korean women: Data from the Korean longitudinal study of aging. Eur J Obstet Gynecol Reprod Biol.2018;220:69-73. doi:10.1016/j.ejogrb.2017.11.017.
• Özkan SA, Bilgiç D, Beji NK. Examination of postgraduate theses on urinary incontinence in the field of nursing in Turkey. AUHSJ. 2019;10(2):201-210.
• Veronese N, Smith L, Pizzol D, et al. Urinary incontinence and quality of life: A longitudinal analysis from the English longitudinal study of ageing. Maturitas. 2022;160:11-15.doi:10.1016/j.maturitas.2022.01.010.
• Pizzol D, Demurtas J, Celotto S, et al. Urinary incontinence and quality of life: A systematic review and meta-analysis. Aging Clin Exp Res. 2021;33(1):25-35.doi:10.1007/s40520-020-01712-y.
• Steibliene V, Aniuliene R, Aniulis P, Raskauskiene N, Adomaitiene V.Affective symptoms and health-related quality of life among women with stress urinary ıncontinence: Cross-sectional study. NEUROPSYCH DIS TREAT. 2020;16:535-544. doi:10.2147/NDT.S236234.
• Melotti IGR, Juliato CRT, Tanaka M, Riccetto CLZ. Severe depression and anxiety in women with overactive bladder. Neurourol Urodyn.2018:37(1):223-228. doi:10.1002/nau.23277.
• Karaca ŞB, Demir AN. The effect of urinary incontinence on quality of life and mood in female patients and the exercise awareness levels of patients. Ankara Med J.2019:52(2):133-137.