Fizik tedavi uygulanan kadın hastalarda idrar kaçırma sıklığı, türü, şiddeti ve risk faktörleri: Tek merkez deneyimi

Öz

Amaç: Üriner inkontinans (Üİ), önemli psikolojik, hijyenik ve sosyo-ekonomik etkileri olan bir sağlık sorunudur. Bu çalışmanın amacı kadınlarda idrar kaçırma sıklığı, ciddiyeti ve risk faktörlerini belirlemektir.
Yöntemler: Bu retrospektif kohort çalışmada, Ağustos 2019 ve Şubat 2020 arasında Fiziksel Tıp ve Rehabilitasyon polikliniğine başvuran 18 yaş üstü 62 kadında Üİ sıklığı ve risk faktörlerini değerlendirdik. Polikliniğe başvuran hastaların verileri, sosyodemografik özellikleri ve Ürogenital Sıkıntı Envanteri-6 (UDI-6) sonuçları geriye dönük olarak incelendi.
Bulgular: Çalışmaya dahil edilen 62 hastanın yaş ortalaması 57,2 (15,4) yıl, ortalama semptom süresi 7,6 (4,82) yıl idi. 28 hastada (%45,2) stres tip Üİ, 13 hastada (%20,9) sıkışma tip Üİ ve 21 hastada (%33,9) karışık tip Üİ vardı. Uİ, 40 yaş üstü hastalarda (%30,6), 18-40 yaş arası (%69,4) hastalara göre daha sık saptandı. Uİ insidansı bir veya daha fazla doğum yapan hastalarda (%80.7) hiç doğum yapmayan hastalara göre (%19,3) daha yüksekti. Uİ, vücut kitle indeksi (VKİ) 25'in üzerinde olan hastalarda VKİ 18,5-25,0 arasında olanlara göre daha yüksekti (sırasıyla; %72,5'e karşılık %22,5).
Sonuç: İdrar kaçırma pek çok kadının yasam kalitesini hafif-orta derecede olumsuz olarak etkileyen önemli bir sağlık problemidir. Çeşitli sosyo-demografik ve tıbbi faktörler üriner inkontinans sıklığını etkilemektedir. Bu nedenle, özellikle yaşlı hasta grubu bu sorunun tedavi edilebilir bir durum olduğu konusunda bilgilendirilmeli ve bir doktora yönlendirilmelidir.

Anahtar Kelimeler

• Üriner inkontinans,Sıklık,Kadın

Urinary incontinence frequency, type, severity, and risk factors in female patients undergoing physical rehabilitation: A single center experience

Abstract

Aim: Urinary incontinence (UI) is a health problem with important psychological, hygienic, and socio-economic consequences. The aim of this study is to determine the frequency, severity, and risk factors of urinary incontinence in women.
Methods: In this retrospective cohort study, we evaluated the frequency and risk factors of UI in 62 women over the age of 18 who were referred to the Physical Medicine and Rehabilitation outpatient clinic between August 2019 and February 2020. The data, socio-demographic characteristics of the patients and the results of the Urogenital Distress Inventory-6 (UDI-6) were analyzed.
Results: The mean age of 62 patients included in the study was 57.2 (15.4) years, with the mean duration of symptoms of 7.6 (4.82) years. Stress UI, urge UI and mixed UI were present in 28 (45.2%), 13 (20.9%), and 21 (33.9%) patients, respectively. UI was detected more frequently in patients over 40 years of age (30.6%) than in patients between the ages of 18 and 40 (69.4%) years, in those who gave birth at least once (80.7%) compared to those who had never given birth (19.3%), and in patients with Body Mass Index (BMI) values over 25 kg/m2 than in patients with BMIs between 18.5-25.0 kg/m2 (72.5% vs. 22.5%, respectively).
Conclusion: UI is an important health problem which negatively affects the quality of life of many women. Various socio-demographic and medical factors affect the frequency of urinary incontinence. Therefore, especially the elderly patient group should be informed of the treatability of this condition and be directed to a physician.

Keywords

• Urinary incontinence
• Frequency
• Female

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