Evidence-Based Complementary and Alternative Therapies in Urinary Incontinence

Year 2020, Volume: 6 Issue: 2, 83 - 90, 05.06.2020

Tuğba Andaç , Özlem Can Gürkan , Nurdan Demirci

https://doi.org/10.30934/kusbed.605439

Cited By: 2

Abstract

Urinary incontinence; is an important and common health problem that causes medical, psychosocial and hygienic problems and may adversely affect the quality of life of individuals. About 200 million people in the world are experiencing urinary incontinence complaints. Health professionals are constantly seeking better interventions in the treatment of urinary incontinence symptoms, which have a significant impact on quality of life. Complementary and Alternative Medicine, such as behavior change, lifestyle changes, bladder training, Pelvic Floor Muscle Exercises, vaginal cones, biofeedback, yoga, acupressure, acupuncture may prevent or reduce bladder dysfunction. Our review was prepared to analyze the evidence-based complementary and alternative medicine interventions used in urinary incontinence. During the preparation process of the review, relevant articles published in Cochrane and PubMed were scanned and their level of evidence was examined according to the evidence level classification accepted by the Joanna Briggs Institute. As a result of the data obtained, there is no reliable, sufficient evidence on whether complementary and alternative medicine methods are useful, and should be a research priority.

Keywords

urinary incontinence, evidence-based practices, complementary and alternative therapies, nursing

Üriner İnkontinansta Kanıt Temelli Tamamlayıcı ve Alternatif Tedaviler

Abstract

Üriner inkontinans; medikal, psikososyal ve hijyenik sorunlara neden olan, bireylerin yaşam kalitesini olumsuz etkileyebilen, önemli ve yaygın bir sağlık sorunudur. Dünyada ortalama 200 milyon insan üriner inkontinans şikâyeti yaşamaktadır. Yaşam kalitesi üzerinde önemli bir etkiye sahip olan üriner inkontinans semptomlarının tedavisinde sağlık profesyonelleri sürekli olarak daha iyi müdahaleler aramaktadırlar. Tamamlayıcı ve Alternatif Tedavi yöntemlerinden olan davranış değişikliği, yaşam tarzı değişiklikleri, mesane eğitimi, Pelvik Taban Kas Egzersizleri, vajinal konlar, biofeedback, yoga, akupressure, akupunktur gibi uygulamalar mesane fonksiyon bozukluğunu önleyebilir veya azaltabilir. Derlememiz, üriner inkontinansta kullanılan kanıt temelli tamamlayıcı ve alternatif tedavi uygulamalarını incelemek amacıyla hazırlanmıştır. Derlemenin hazırlanma sürecinde, Cochrane ve PubMed’de yayınlanmış konuyla ilgili makaleler taranmış ve elde edilen makalelerin kanıt düzeyi Joanna Briggs Enstitüsünün kabul ettiği kanıt düzeyi sınıflandırmasına göre incelenmiştir. Elde edilen veriler sonucunda, tamamlayıcı ve alternatif tedavi yöntemlerinin yararlı olup olmadığı konusunda güvenilir, yeterli kanıt bulunamamıştır ve araştırma önceliği olması gerekmektedir. 

Keywords

üriner inkontinans, kanıta dayalı uygulamalar, tanımlayıcı ve alternatif tedaviler, hemşirelik

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