Prostatektomi sonrası üriner inkontinansı olan bireylerde semptom şiddeti ile fiziksel aktivite düzeyi, cinsel işlev ve yaşam kalitesinin ilişkisi

Year 2023, Volume: 10 Issue: 3, 228 - 234, 29.12.2023

Neyzar Kılınç , Mehmet Yıldızhan , Şeyda Toprak Çelenay

https://doi.org/10.15437/jetr.1277951

Abstract

Amaç: Bu çalışmanın amacı, prostatektomi sonrası üriner inkontinansı (Üİ) olan bireylerde semptom şiddeti ile fiziksel aktivite düzeyi, cinsel işlev ve yaşam kalitesi arasındaki ilişkiyi incelemekti.
Yöntem: Prostatektomi sonrası Üİ tanısı olan 43 birey (yaş: 66,67±5,18 yıl; vücut kütle indeksi: 29,17±3,64 kg/m2) çalışmaya dahil edildi. Hastaların fiziksel, demografik ve klinik özellikleri kaydedildi. Bireylerin Üİ şiddeti Uluslararası İnkontinans Konsultasyon Anketi-Kısa Formu (ICIQ-SF) ile, fiziksel aktivite düzeyi Uluslararası Fiziksel Aktivite Anketi Kısa Formu (IPAQ-7) ile, cinsel işlevi Uluslararası Cinsel İşlev İndeksi-5 Formu (IIEF-5) ile, yaşam kalitesi King Sağlık Anketi (KSA) ile değerlendirildi. Analiz için Spearman korelasyon testi kullanıldı.
Bulgular: ICIQ-SF değeri ile IPAQ-7 değeri arasında orta düzeyde ve negatif yönlü bir ilişki tespit edildi (r=-0,606; p<0,001). ICIQ-SF ile IIEF-5 değerleri arasında ilişki olmadığı bulundu (p>0,05). ICIQ-SF değeri ile KSA arasında sırasıyla; genel sağlık (r=0,441; p=0,002), rol limitasyonu (r=0,485; p=0,001), fiziksel limitasyon (r=0,577; p<0,001), sosyal limitasyon (r=0,679; p<0,001), duygu (r=0,491; p=0,001), uyku enerji düzeyi (r=0,511; p<0,001) ve ciddiyet ölçüm (r=0,615; p<0,001) değerleri arasında orta düzeyde pozitif yönlü bir ilişki tespit edildi.
Sonuç: Bu çalışmada prostatektomi sonrası Üİ olan bireylerin semptom şiddeti arttıkça fiziksel aktivite düzeyinin azaldığı ve yaşam kalitesinin ise kötüleştiği bulundu. Kliniklerde bu bireylerin Üİ şiddeti ile fiziksel aktivite düzeyleri ve yaşam kalitesi arasındaki ilişkilerin değerlendirilmesi, pelvik taban rehabilitasyonuna yönlendirilmesi, uygun fiziksel aktivite ve egzersiz programlarının oluşturulması önemli olabilir.

Keywords

Prostatektomi; Üriner inkontinans, Fiziksel aktivite, Erektil disfonksiyon, Yaşam kalitesi

Relationship between symptom severity and physical activity level, sexual function, and quality of life in individuals with urinary incontinence after prostatectomy

Abstract

Purpose: The aim of this study was to examine the relationship between symptom severity and physical activity level, sexual function, and quality of life in individuals with urinary incontinence (UI) after prostatectomy.
Methods: Forty-three individuals (age: 66.67±5.18 years; body mass index: 29.17±3.64kg/m2) diagnosed with UI after prostatectomy were included in this study. The physical, demographic and clinical characteristics of the patients were recorded. UI severity, physical activity level, sexual function and quality of life of individuals were evaluated with the International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF), International Physical Activity Questionnaire-7(IPAQ-7), International Sexual Function Index-5 (IIEF-5), and King Health Questionnaire (KHQ), respectively. Spearman correlation test was used for analysis.
Results: A moderate and negative correlation was found between the ICIQ-SF value and the IPAQ-7 value (r=-0.606; p<0.001). No correlation was found between ICIQ-SF and IIEF-5 values (p>0.05). Between ICIQ-SF and KHQ domain scores, moderate positive correlations were found (for general health: r=0.441; p=0.002, for role limitation: r=0.485; p=0.001, for physical limitation: r=0.577; p<0.001, for social limitation: r=0.679; p<0.001, for emotion: r=0.491; p=0.001, for sleep energy level: r=0.511; p<0.001, and for severity measurement: r=0.615; p<0.001).
Conclusion: In this study, it was found that as the symptom severity of individuals with UI increased after prostatectomy, the physical activity level decreased and the quality of life worsened. It may be important to evaluate the relationship between the severity of UI, physical activity levels and quality of life of these individuals in clinics, to direct them to pelvic floor rehabilitation and to establish appropriate physical activity and exercise programs.

Keywords

Prostatectomy; Urinary incontinence, Physical activity, Erectile dysfunction, Quality of life

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