Research Article
BibTex RIS Cite

Relationship Between Urinary Incontinence Severity and Frailty Levels in Geriatric Women: Correlational Study

Year 2023, Volume: 10 Issue: 1, 9 - 15, 31.03.2023
https://doi.org/10.31125/hunhemsire.1272926

Abstract

Aim: This study was conducted to determine the relationship between urinary incontinence severity and frailty levels in geriatric women.
Material and Methods: This correlational study was conducted with 142 women aged 65 years and older in the geriatric unit of a university hospital between 19 November 2015 and 30 August 2017. Data were collected face-to-face using Introductory Information Form, Edmonton Frail Scale (EFS-TR), and Incontinence Severity Index (ISI). Data were analyzed using descriptive statistics and Spearman correlation.
Results: In the study, it was determined that approximately half (48.6%) of geriatric women were frail, and one-quarter were in the pre-frail stage. It was found that 81% of women had a complaint of urinary incontinence that continued for one year or more. As the body mass index and the number of drugs used increased, urinary incontinence severity increased; as the number of pregnancies and medications they used increased, the level of frailty increased. In addition, there was a significant positive relationship between women's urinary incontinence severity and quantity and frailty levels of women (p = 0.000).
Conclusion: The study's results emphasize the importance of comprehensive evaluation of the urinary incontinence status and frailty levels of geriatric women by the multidisciplinary health team and counseling on this issue.

References

  • Afilalo J, Alexander KP, Mack MJ, Maurer MS, Green P, Allen LA, et al. Frailty assessment in the cardiovascular care of older adults. JACC. 2014;63(8):747-62.
  • Kapucu S, Ünver G. Kırılgan yaşlı ve hemşirelik bakımı. Osmangazi Tıp Dergisi. 2017;39(1):122-9.
  • Aşiret D G, Çetinkaya F. Hastanede yatırılan yaşlı hastaların kırılganlık ile uyku kalitesi arasındaki ilişki. Fırat Tıp Dergisi. 2018;23(4):184-8.
  • Yalınkılıç M, Kılıçaslan K, Uysal H, Bilgin S, Enç N. Kalp yetersizliği olan yaşlı bireylerin kırılganlık durumunun belirlenmesi. Turk J Cardiovasc Nurs. 2020;11(25):51-9.
  • Strandberg TE, Pitkala KH, Tilvis RS. Frailty in older people. Eur Geriatr Med. 2011;2:344-55.
  • Zazzara MB, Vetrano DL, Carfì A, Onder, G. Frailty and chronic disease. Panminerva Medica. 2019;61(4): 486-92.
  • Melo Filho J, Moreira NB, Vojciechowski AS, Biesek S, Bento P, Gomes A. Frailty prevalence and related factors in older adults from southern Brazil: A cross-sectional observational study. Clinics (Sao Paulo, Brazil). 2020;75:e1694.
  • Blanco-Reina E, Aguilar-Cano L, García-Merino MR, Ocaña-Riola R, Valdellós J, Bellido-Estévez I, et al. Assessing Prevalence and factors related to frailty in community-dwelling older adults: A multinomial logistic analysis. JCM. 2021;10(16):3576.
  • Zeng G, Zhu W, Lam W, Bayramgil A. Treatment of urinary tract infections in the old and fragile. World J Urol. 2020;38(11):2709–20.
  • Suskind AM. Frailty and Lower Urinary Tract Symptoms. Curr Urol Rep. 2017;18(9):67.
  • Kostakopoulos NA, Karakousis ND, Moschotzopoulos D. Frailty associated urinary tract infections (FaUTIs). J Frailty Sarcopenia Falls. 2021;6(1):9-13.
  • Amin KA, Lee W, Moskowitz D, Kobashi KC, Lucioni A, Reed MJ, et al. A Rapid Method to Preoperatively Assess Frailty for Older Patients with Pelvic Floor Conditions. J Urol. 2020;203(6):1172-7.
  • Aly WW, Sweed HS, Mossad NA, Tolba MF. Prevalence and Risk Factors of Urinary Incontinence in Frail Elderly Females. J Aging Res. 2020;2425945:1-8.
  • Zeno A, Alvarez P, Yazdany T. A systematic review of frailty assessments in women with pelvic floor disorders: Are we following the american college of surgeons national surgical quality ımprovement program/american geriatric society guidelines?. Female Pelvic Medicine & Reconstructive Surgery. 2018;24(2):135-41.
  • Gibson W, Johnson T, Kirschner-Hermanns R, Kuchel G, Markland A, Orme S, et al. Incontinence in frail elderly persons: Report of the 6th International Consultation on Incontinence. Neurourol Urodyn. 2021;40(1):38-54.
  • Naughton MJ, Donovan J, Badia X, Corcos J, Gotoh, M, Kelleher C, et al. Symptom severity and QOL scales for urinary incontinence. Gastroenterology. 2004;126:114-23.
  • Aslan E. Huzurevinde Yaşayan Üriner Şikayetleri Olan Kadınlarda Mesane Eğitimi ve Kegel Egzersizlerinin Etkinliği [Doktora tezi]. İstanbul: Marmara Üniversitesi; 2005.
  • Dash ME, Foster EB, Smith DM, Phillips SL. Urinary incontinence: The social health maintenance organization‟s approach, continuing education. Geriatr Nurs. 2004;25(2):81-9.
  • Özcan M, Kapucu S. Assessing information on kegel exercises provided to elderly women with urinary incontinence. Journal of The Indian Academy of Geriatrics. 2015; 11:165-70
  • Aygör H. Edmonton Kırılganlık Ölçeği’nin Türk Toplumu İçin Geçerlik ve Güvenirliğinin İncelenmesi [Yükseklisans Tezi]. İzmir: Ege Üniversitesi; 2013.
  • Rolfson DB, Majumdar SR, Tsuyuki RT, Tahir A, Rockwood K. Validity and reliability of the edmonton frail scale. Age Ageing. 2006;35:523-6.
  • Kocaöz S. Gebelik Döneminde Stres Üriner İnkontinansı Önlemeye Yönelik Uygulanan Pelvik Taban Kas Egzersizlerinin Doğum Sonrası Etkinliğinin İncelenmesi [Doktora Tezi]. Ankara: Hacettepe Üniversitesi; 2007.
  • Sandvik H, Hunskaar S, Seim A, Hermstad R, Vanvik A, Bratt H. Validation of a severity index in female urinary incontinence and its implementation in an epidemiological survey. J Epidemiol Community Health. 1993;47:497-9.
  • Hanley J, Capewell A, Hagen S. Validity Study of the Severity Index, A Simple Measure of Urinary Incontinence in Women. British Journal of Medicine. 2001;322:1096-7.
  • Uyar Hazar H, Şirin A. İnkontinans şiddet indeksinin geçerlik ve güvenirliği çalışması. Adnan Menderes Üniversitesi Tıp Fakültesi Dergisi. 2008;9(3):5-8.
  • Kang J, Kim C. Association between urinary incontinence and physical frailty in Korea. Australas J Ageing. 2018;37(3):E104-E109.
  • Wang CJ, Hung CH, Tang TC, Chen LY, Peng LN, Hsiao FY, et al. Urinary incontinence and its association with frailty among men aged 80 years or older in Taiwan: A cross-sectional study. Rejuvenation Res. 2017; 20: 111–17.
  • Chong E, Chan M, Lim WS. Ding YY. Frailty predicts incident urinary incontinence among hospitalized older adults-A 1-year prospective cohort study. J Am Med Dir Assoc. 2018;19:422–27.
  • Nygaard CC, Schreiner L, Morsch TP, Saadi RP, Figueiredo MF, Padoin AV. Urinary incontinence and quality of life in female patients with obesity. Rev Bras Ginecol Obstet. 2018;40(09):534-9.
  • Kaşıkcı M, Kılıç D, Avşar G, Şirin M. Prevalence of urinary incontinence in older Turkish women, risk factors, and effect on activities of daily living. Arch Gerontol Geriatr. 2015;61(2):217-23.
  • Amaral MOP, Coutinho EC, Nelas PAAB, Chaves CMB, Duarte JC. Risk factors associated with urinary incontinence in Portugal and the quality of life of affected women. Int J Gynaecol Obstet. 2015;131(1):82-6.
  • O’Donnell M, Lose G, Sykes D, Voss S, Hunskaar S. Help-seeking behaviour and associated factors among women with urinary incontinence in France, Germany, Spain and The United Kingdom. Eur Urol. 2005;47:385-92.
  • Rose M, Pan H, Levinson MR, Staples M. Can Frailty predict complicated care needs and length of stay?. Intern Med J. 2014;44(8):800-5.
  • Pegoran MS, Tavares DMS. Factors associated with the frailty syndrome in elderly individuals living in the urban area. Rev Lat Am Enfermagem. 2014;22(5):874-82.

Geriatrik Kadınlarda Üriner İnkontinans Şiddeti ile Kırılganlık Düzeyi Arasındaki İlişki: Korelasyonel Bir Çalışma

Year 2023, Volume: 10 Issue: 1, 9 - 15, 31.03.2023
https://doi.org/10.31125/hunhemsire.1272926

Abstract

Amaç: Bu araştırma, geriatrik kadınlarda üriner inkontinans şiddeti ile kırılganlık düzeyleri arasındaki ilişkiyi belirlemek amacıyla yapılmıştır.
Gereç ve Yöntem: İlişki arayıcı tipte olan bu araştırma, bir üniversite hastanesinin Geriatri Ünitesinde1 Kasım 2015-30 Ağustos 2017 tarihleri arasında yatarak tedavi alan 65 yaş ve üzeri 142 kadınla yapılmıştır. Araştırmanın verileri, Tanıtıcı Bilgi Formu, Edmonton Kırılganlık Ölçeği (EFS-TR) ve İnkontinans Şiddet İndeksi (İŞİ) kullanılarak yüz yüze toplanmıştır. Veriler, tanımlayıcı istatistikler ve Spearman korelasyonu kullanılarak analiz edilmiştir.
Bulgular: Çalışmada geriatrik kadınların yaklaşık olarak yarısının (%48.6) kırılgan olduğu ve dörtte birinin ise kırılganlık öncesi evrede olduğu belirlenmiştir. Kadınların %81’inin ise bir yıl ve üzeri devam eden üriner inkontinans şikayeti olduğu saptanmıştır. Geriatrik kadınların beden kütle indeksleri ve kullandıkları ilaç sayıları arttıkça üriner inkontinans şiddetinin arttığı; gebelik sayısı ve kullandıkları ilaç sayısı arttıkça ise kırılganlık düzeylerinin arttığı bulunmuştur. Ayrıca kadınların inkontinans şiddeti ve miktarı ile kırılganlık düzeyleri arasında pozitif yönde zayıf bir anlamlı ilişki olduğu tespit edilmiştir (p = 0.000).
Sonuç: Araştırmadan elde edilen sonuçlar, geriatrik kadınların üriner inkontinans durumlarının ve kırılganlık düzeylerinin multidisipliner sağlık ekibi tarafından kapsamlı olarak değerlendirilmesinin ve bu konu ile ilgili danışmanlık verilmesinin önemini vurgulamaktadır.

References

  • Afilalo J, Alexander KP, Mack MJ, Maurer MS, Green P, Allen LA, et al. Frailty assessment in the cardiovascular care of older adults. JACC. 2014;63(8):747-62.
  • Kapucu S, Ünver G. Kırılgan yaşlı ve hemşirelik bakımı. Osmangazi Tıp Dergisi. 2017;39(1):122-9.
  • Aşiret D G, Çetinkaya F. Hastanede yatırılan yaşlı hastaların kırılganlık ile uyku kalitesi arasındaki ilişki. Fırat Tıp Dergisi. 2018;23(4):184-8.
  • Yalınkılıç M, Kılıçaslan K, Uysal H, Bilgin S, Enç N. Kalp yetersizliği olan yaşlı bireylerin kırılganlık durumunun belirlenmesi. Turk J Cardiovasc Nurs. 2020;11(25):51-9.
  • Strandberg TE, Pitkala KH, Tilvis RS. Frailty in older people. Eur Geriatr Med. 2011;2:344-55.
  • Zazzara MB, Vetrano DL, Carfì A, Onder, G. Frailty and chronic disease. Panminerva Medica. 2019;61(4): 486-92.
  • Melo Filho J, Moreira NB, Vojciechowski AS, Biesek S, Bento P, Gomes A. Frailty prevalence and related factors in older adults from southern Brazil: A cross-sectional observational study. Clinics (Sao Paulo, Brazil). 2020;75:e1694.
  • Blanco-Reina E, Aguilar-Cano L, García-Merino MR, Ocaña-Riola R, Valdellós J, Bellido-Estévez I, et al. Assessing Prevalence and factors related to frailty in community-dwelling older adults: A multinomial logistic analysis. JCM. 2021;10(16):3576.
  • Zeng G, Zhu W, Lam W, Bayramgil A. Treatment of urinary tract infections in the old and fragile. World J Urol. 2020;38(11):2709–20.
  • Suskind AM. Frailty and Lower Urinary Tract Symptoms. Curr Urol Rep. 2017;18(9):67.
  • Kostakopoulos NA, Karakousis ND, Moschotzopoulos D. Frailty associated urinary tract infections (FaUTIs). J Frailty Sarcopenia Falls. 2021;6(1):9-13.
  • Amin KA, Lee W, Moskowitz D, Kobashi KC, Lucioni A, Reed MJ, et al. A Rapid Method to Preoperatively Assess Frailty for Older Patients with Pelvic Floor Conditions. J Urol. 2020;203(6):1172-7.
  • Aly WW, Sweed HS, Mossad NA, Tolba MF. Prevalence and Risk Factors of Urinary Incontinence in Frail Elderly Females. J Aging Res. 2020;2425945:1-8.
  • Zeno A, Alvarez P, Yazdany T. A systematic review of frailty assessments in women with pelvic floor disorders: Are we following the american college of surgeons national surgical quality ımprovement program/american geriatric society guidelines?. Female Pelvic Medicine & Reconstructive Surgery. 2018;24(2):135-41.
  • Gibson W, Johnson T, Kirschner-Hermanns R, Kuchel G, Markland A, Orme S, et al. Incontinence in frail elderly persons: Report of the 6th International Consultation on Incontinence. Neurourol Urodyn. 2021;40(1):38-54.
  • Naughton MJ, Donovan J, Badia X, Corcos J, Gotoh, M, Kelleher C, et al. Symptom severity and QOL scales for urinary incontinence. Gastroenterology. 2004;126:114-23.
  • Aslan E. Huzurevinde Yaşayan Üriner Şikayetleri Olan Kadınlarda Mesane Eğitimi ve Kegel Egzersizlerinin Etkinliği [Doktora tezi]. İstanbul: Marmara Üniversitesi; 2005.
  • Dash ME, Foster EB, Smith DM, Phillips SL. Urinary incontinence: The social health maintenance organization‟s approach, continuing education. Geriatr Nurs. 2004;25(2):81-9.
  • Özcan M, Kapucu S. Assessing information on kegel exercises provided to elderly women with urinary incontinence. Journal of The Indian Academy of Geriatrics. 2015; 11:165-70
  • Aygör H. Edmonton Kırılganlık Ölçeği’nin Türk Toplumu İçin Geçerlik ve Güvenirliğinin İncelenmesi [Yükseklisans Tezi]. İzmir: Ege Üniversitesi; 2013.
  • Rolfson DB, Majumdar SR, Tsuyuki RT, Tahir A, Rockwood K. Validity and reliability of the edmonton frail scale. Age Ageing. 2006;35:523-6.
  • Kocaöz S. Gebelik Döneminde Stres Üriner İnkontinansı Önlemeye Yönelik Uygulanan Pelvik Taban Kas Egzersizlerinin Doğum Sonrası Etkinliğinin İncelenmesi [Doktora Tezi]. Ankara: Hacettepe Üniversitesi; 2007.
  • Sandvik H, Hunskaar S, Seim A, Hermstad R, Vanvik A, Bratt H. Validation of a severity index in female urinary incontinence and its implementation in an epidemiological survey. J Epidemiol Community Health. 1993;47:497-9.
  • Hanley J, Capewell A, Hagen S. Validity Study of the Severity Index, A Simple Measure of Urinary Incontinence in Women. British Journal of Medicine. 2001;322:1096-7.
  • Uyar Hazar H, Şirin A. İnkontinans şiddet indeksinin geçerlik ve güvenirliği çalışması. Adnan Menderes Üniversitesi Tıp Fakültesi Dergisi. 2008;9(3):5-8.
  • Kang J, Kim C. Association between urinary incontinence and physical frailty in Korea. Australas J Ageing. 2018;37(3):E104-E109.
  • Wang CJ, Hung CH, Tang TC, Chen LY, Peng LN, Hsiao FY, et al. Urinary incontinence and its association with frailty among men aged 80 years or older in Taiwan: A cross-sectional study. Rejuvenation Res. 2017; 20: 111–17.
  • Chong E, Chan M, Lim WS. Ding YY. Frailty predicts incident urinary incontinence among hospitalized older adults-A 1-year prospective cohort study. J Am Med Dir Assoc. 2018;19:422–27.
  • Nygaard CC, Schreiner L, Morsch TP, Saadi RP, Figueiredo MF, Padoin AV. Urinary incontinence and quality of life in female patients with obesity. Rev Bras Ginecol Obstet. 2018;40(09):534-9.
  • Kaşıkcı M, Kılıç D, Avşar G, Şirin M. Prevalence of urinary incontinence in older Turkish women, risk factors, and effect on activities of daily living. Arch Gerontol Geriatr. 2015;61(2):217-23.
  • Amaral MOP, Coutinho EC, Nelas PAAB, Chaves CMB, Duarte JC. Risk factors associated with urinary incontinence in Portugal and the quality of life of affected women. Int J Gynaecol Obstet. 2015;131(1):82-6.
  • O’Donnell M, Lose G, Sykes D, Voss S, Hunskaar S. Help-seeking behaviour and associated factors among women with urinary incontinence in France, Germany, Spain and The United Kingdom. Eur Urol. 2005;47:385-92.
  • Rose M, Pan H, Levinson MR, Staples M. Can Frailty predict complicated care needs and length of stay?. Intern Med J. 2014;44(8):800-5.
  • Pegoran MS, Tavares DMS. Factors associated with the frailty syndrome in elderly individuals living in the urban area. Rev Lat Am Enfermagem. 2014;22(5):874-82.
There are 34 citations in total.

Details

Primary Language Turkish
Subjects Health Care Administration
Journal Section Research Article
Authors

Gamze Ünver 0000-0003-2033-1926

Pınar Zorba Bahçeli This is me 0000-0002-4150-6580

Münevver Özcan This is me 0000-0001-8593-7115

Sevgisun Kapucu This is me 0000-0003-3908-3846

Publication Date March 31, 2023
Submission Date July 19, 2022
Published in Issue Year 2023 Volume: 10 Issue: 1

Cite

Vancouver Ünver G, Zorba Bahçeli P, Özcan M, Kapucu S. Geriatrik Kadınlarda Üriner İnkontinans Şiddeti ile Kırılganlık Düzeyi Arasındaki İlişki: Korelasyonel Bir Çalışma. JOHUFON. 2023;10(1):9-15.