Gebelikte Üriner İnkontinans ve Yaşam Kalitesine Etkisi

Year 2024, Volume: 7 Issue: 3, 604 - 615, 01.12.2024

Esra Keskin , Ebru Şahin

https://doi.org/10.38108/ouhcd.1366777

Abstract

Amaç: Araştırmanın amacı gebelikte üriner inkontinans görülme durumu, yaşam kalitesi üzerine etkisi ve etkileyen faktörleri belirlemektir.
Yöntem: Tanımlayıcı tipte yapılan çalışma Aralık 2017- Mayıs 2018 tarihleri arasında Ordu ilindeki bir hastanenin gebe polikliniğine başvuran 300 gebe ile gerçekleştirildi. Araştırmanın verileri, Kişisel Bilgi Formu, İnkontinans Yaşam Kalitesi Ölçeği (İYKÖ), İnkontinans Şiddet İndeksi (İŞİ) kullanılarak toplandı.
Bulgular: Gebelerin %91.7’sinin gebelikten önce idrar kaçırma şikayetinin olmadığı, %49.3’ünün gebelik boyunca idrar kaçırma şikayeti olduğu belirlenmiştir. %82.4’ünün öksürme sırasında, %75’inin ise hapşırma sırasında idrar kaçırdığı saptanmıştır. Üriner inkontinans (Üİ)lı gebelerin %35.7’si miks tipi Üriner İnkontinans, %31.6’sı Stres ÜÜİ, %4.1’i ise urge Üİ olduğu tespit edilmiştir. Bu çalışmadaki Üriner inkontinanslı gebelerin İŞİ skorlamasına bakıldığında %54.7’si hafif, %43.2’si orta ve %2’sinin ise şiddetli grupta olduğu belirlenmiştir. Üİ ile eğitim, yaş, sigara kullanımı, kabızlık yaşama durumu arasında istatistiksel olarak anlamlı farklılık bulunmazken (p>0.05), gebelik sayısı, gebelik haftası, BKİ ve doğum şekli ile Üİ arasında anlamlı farklılık bulunmuştur (p<0.05).
Sonuç: Üriner inkontinanslı olan gebelerin olmayan gebelere göre inkontinans yaşam kalitesi düzeyleri daha düşük bulunmuştur.

Keywords

gebelik, üriner inkontinans, yaşam kalitesi, hemşirelik

Ethical Statement

Ordu Üniversitesi Klinik Araştırmalar Etik Kurulu'ndan etik izin alınmıştır.

Urinary Incontinence in Pregnancy and Its Effect on Quality of Life

Abstract

Objective: The aim of the study is to determine the incidence of urinary incontinence during pregnancy, its impact on quality of life, and the affecting factors.
Methods: The descriptive study was conducted on 300 pregnant women who applied to the pregnant outpatient clinic of a hospital in Ordu between December 2017 and May 2018. Data were collected using the Personal Information Form, Incontinence Quality of Life Scale (ASQI), and Incontinence Severity Index (ISI).
Results: It was determined that 91.7% of the pregnant women did not have urinary incontinence before pregnancy and 49.3% of them had urinary incontinence during pregnancy. It was found that 82.4% experienced incontinence during coughing and 75% during sneezing. It was determined that 35.7% of the pregnant women with urinary incontinence had mixed type UI, 31.6% had stress UI and 4.1% had urge UI. When the Incontinence Severity Index score of the pregnant women with urinary incontinence was evaluated, it was found that 54.7% were mild, 43.2% were moderate and 2% were in the severe group. There was a statistically significant difference between UI and the number of years, week, BMI, and type of delivery (p <0.05). There was a statistically significant difference between the gestational weeks of the patients with urinary incontinence in terms of quality of life and limitation of behavior subscale scores (p<0.05).
Conclusions: Incontinence quality of life levels of pregnant women with urinary incontinence were found to be lower than pregnant women without urinary incontinence.

Keywords

pregnancy, urinary incontinence, quality of life, nursing

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