Factors Related to Quality of Life in the Older Adults: Urinary Incontinence, Comorbidity and Polypharmacy

Abstract

Aim: Urinary incontinence (UI) is a health problem that has a significant impact on the quality of life of older adults, especially in the presence of comorbidity and polypharmacy, which tend to increase with age. This study aims to investigate the influence of UI, comorbidity and polypharmacy on quality of life in older adults. Method: This descriptive and correlational study was conducted with 328 older adults between November and June 2020. The data collection tools consisted of a “Personal Information Form” and Quality of Life Scale in older adults. Descriptive statistics, two-way analysis of variance and binary logistic analysis were used to evaluate the data. The significance level was accepted as p<0.05. Results: The prevalence of urinary incontinence in older adults was 46.6%. Female gender (OR: 0.54) and accepting urinary incontinence as a health problem (OR: 3.11) were found to be risk factors for urinary incontinence in older adults (p<0.05). For quality of life, the main effect of the urinary incontinence variable (p<0.001) and the main effect of the polypharmacy variable (p<0.05) were found to be statistically significant. The comorbidity*polypharmacy variable also has an effect on quality of life (p<0.05). Conclusions: According to the findings of this study, approximately one in two older adults experiences urinary incontinence. This condition is more prevalent among older women and among individuals who perceive urinary incontinence as a significant health issue. Both urinary incontinence and polypharmacy have a negative impact on quality of life, with urinary incontinence exerting a greater detrimental effect. Furthermore, the coexistence of comorbidities and polypharmacy is also associated with a decline in quality of life.

Keywords

• Urinary incontinence
• older adults
• comorbidity
• polypharmacy
• quality of life

Yaşlılarda Yaşam Kalitesi ile İlişkili Faktörler: Üriner İnkontinans, Komorbidite, Polifarmasi

Abstract

Amaç: Üriner inkontinans (UI), özellikle yaşla birlikte artma eğiliminde olan komorbidite ve polifarmasi varlığında yaşlı yetişkinlerin yaşam kalitesi üzerinde önemli bir etkiye sahip olan bir sağlık sorunudur. Bu çalışmada, üriner inkontinans, komorbidite ve polifarmasinin yaşlılarda yaşam kalitesi üzerindeki etkisini araştırmayı amaçlamaktadır. Yöntem: Bu çalışma tanımlayıcı ve ilişki arayıcı araştırma türünde 328 yaşlı ile yapılmıştır. Veri toplama formu olarak, “Kişisel Soru Formu” ve “Yaşlı Yaşam Kalitesi Ölçeği” kullanılmıştır. Verilerin değerlendirilmesinde tanımlayıcı istatistikler, iki yönlü varyans analizi ve binary logistic regresyon analizi kullanılmıştır. Anlamlılık düzeyi p<0,05 olarak kabul edilmiştir. Bulgular: Yaşlılarda üriner inkontinans sıklığı %46,6’dır. Yaşlılarda üriner inkontinans risk faktörü olarak kadın cinsiyeti (OR:0,54) ve üriner inkontinansı sağlık sorunu olarak kabul etme (OR:3,11) bulunmuştur(p<0,05). Yaşam kalitesi üzerine, üriner inkontinans değişkenine ilişkin ana etki (p<0,001) ve polifarmasi değişkenine ait ana etki (p<0,05) istatistiksel olarak anlamlı bulunmuştur. Komorbidite* polifarmasi değişkeni de yaşam kalitesi üzerinde etki oluşturmaktadır (p<0,05). Sonuç: Bu çalışma sonuçlarına göre yaklaşık her iki yaşlıdan biri üriner inkontinans yaşamaktadır. Kadın yaşlılarda ve üriner inkontinansı sağlık sorunu olarak kabul eden yaşlılarda üriner inkoninans daha fazladır. Üriner inkontinans ve polifarmasi yaşam kalitesini olumsuz etkilemektedir. Üriner inkontinansın yaşam kalitesini olumsuz etkileme durumu polifarmsiden daha fazladır. Ayrıca komorbidite ve polifarmasinin bir arada olması da yaşam kalitesini olumsuz etkilemektedir.

Keywords

• Üriner inkontinans
• yaşlı
• komorbidite
• polifarmasi
• yaşam kalitesi

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