TY - JOUR T1 - Kadınların üriner inkontinansa ilişkin farkındalık ve tutumlarının incelenmesi TT - Investigation of women's awareness and attitudes towards urinary incontinence AU - Kılıç, Süreyya AU - Dereli Yılmaz, Sema PY - 2025 DA - April Y2 - 2025 DO - 10.61534/anatoljhr.1524845 JF - Anatolian Journal of Health Research JO - Anatolian J Health Res PB - Tuba UÇAR WT - DergiPark SN - 2757-6051 SP - 8 EP - 14 VL - 6 IS - 1 LA - tr AB - Amaç: Bu çalışma, kadınların üriner inkontinansa ilişkin farkındalık ve tutumlarının incelenmesi amacıyla planlanmıştır. Yöntem: Tanımlayıcı ve ilişki arayıcı türde planlanan çalışmanın örneklemini, Temmuz 2023-Mart 2024 tarihleri arasında İç Anadolu bölgesinde bulunan bir kamu hastanesine başvuran 199 üriner inkontinansı olan kadın oluşturmuştur. Veriler; Kişisel Bilgi Formu, Üriner İnkontinans Farkındalık ve Tutum Ölçeği ve Ürogenital Distres Envanteri kullanılarak toplanmıştır. Verilerin analizinde tanımlayıcı istatistikler, bağımsız gruplarda t testi, One-Way ANOVA testi ve Pearson korelasyon analizi kullanılmıştır. Bulgular: Araştırmaya katılan kadınların yaş ortalaması 44.31±7.83 yıldır. Katılımcıların Üriner İnkontinans Farkındalık ve Tutum Ölçeği sağlık sorunu olarak kabulünü engelleyen faktörler alt boyut ortalama puanı 22.22±6.69, sağlık motivasyonu alt boyut ortalama puanı 10.73±3.96, üriner inkontinans ile başetme alt boyut ortalama puanı 16.55±5.64, kısıtlanma alt boyut ortalama puanı 9.99±3.50 ve idrar kaçırma korkusu alt boyut ortalama puanı 11.32±4.49’dir. Ürogenital Distres Envanteri toplam ortalama puanı 46.26±23.10’dur.Sonuçlar: Öğrenim düzeyi yüksek, kronik kabızlık sorunu olan, epizyotomi uygulanan kadınların üriner inkontinansı sağlık sorunu olarak gördükleri, gelir düzeyi yüksek olanların üriner inkontinans nedeniyle daha hafif düzeyde kısıtlanma yaşadıkları, kronik herhangi bir hastalığı olan, sık idrar yolu enfeksiyonu ve vajinal enfeksiyon geçiren, kronik kabızlığı olan, sık sık öksüren ve menopoza giren kadınların daha fazla ürogenital distres semptomları yaşadığı sonucuna varılmıştır. KW - başetme KW - farkındalık KW - motivasyon KW - tutum KW - üriner inkontinans N2 - Aim: The present study was planned to examine women's awareness and attitudes towards urinary incontinence.Methods: The sample of the descriptive and correlational study consisted of 199 women with urinary incontinence who applied to a public hospital in Central Anatolia between July 2023 and March 2024. Data were collected using Personal Information Form, Urinary Incontinence Awareness and Attitude Scale and Urogenital Distress Inventory. Descriptive statistics, independent samples t-test, One-Way ANOVA test and Pearson correlation analysis were used to analyze the data. All steps of the study were conducted in accordance with the Declaration of Helsinki.Results: The mean age of the women participating in the study was 44.31±7.83 years. The mean scores of the factors that prevent acceptance as a health problem, health motivation, coping with urinary incontinence, restriction, and fear of urination sub-dimensions of the Urinary Incontinence Awareness and Attitude Scale were 22.22±6.69, 10.73±3.96, 16.55±5.64, 9.99±3.50, and 11.32±4.49, respectively. The total mean score of the Urogenital Distress Inventory was 46.26±23.10.Conclusion: It was concluded that women with higher education level, with chronic constipation problem, who underwent episiotomy considered urinary incontinence as a health problem, women with higher income level experienced milder level of restriction due to urinary incontinence, women with any chronic disease, frequent urinary tract infection and vaginal infection, chronic constipation, frequent coughing and menopausal women experienced more urogenital distress symptoms. CR - Ahmed, W. R. A., Zeidan, M. A. K., & Kamil, A. M. (2024). An epidemiological study of urinary incontinence among a sample of adults in Baghdad city. Journal of Scientific Research in Medical and Biological Sciences, 5(2), 54–68. https://doi.org/10.47631/JSRMBS.V5I2.778 CR - Aksoy, Y. E., & Yılmaz, S. D. (2022). The effect of urinary incontinence symptoms on sexual functions and quality of life in women. Sexuality and Disability, 40, 195–207. https://doi.org/10.1007/s11195-021-09714-y CR - Avci, İ. A., Öz Yıldırım, Ö., & Eren, D. Ç. (2022). Urinary Incontinence Awareness and Attitude Scale (URINAS). Journal of Wound, Ostomy & Continence Nursing, 49(6), 551–557. https://doi.org/10.1097/WON.0000000000000921 CR - Batmani, S., Jalali, R., Mohammadi, M., & Bokaee, S. (2021). Prevalence and factors related to urinary incontinence in older adults women worldwide: A comprehensive systematic review and meta-analysis of observational studies. BMC Geriatrics, 21(1), 212. https://doi.org/10.1186/S12877-021-02135-8 CR - Bulgak, M., & Avci, İ. A. (2022). Methods of coping with factors affecting urinary incontinence awareness and frequency in elderly patients with urinary incontinence. Journal Nursology, 25(1), 1–6. https://doi.org/10.54614/JANHS.2022.729980 CR - Cam, C., Sakalli, M., Ay, P., Cam, M., & Karateke, A. (2007). Validation of the short forms of the incontinence impact questionnaire (IIQ‐7) and the urogenital distress inventory (UDI‐6) in a Turkish population. Neurourology and Urodynamics, 26(1), 129–133. https://doi.org/10.1002/nau.20292 CR - Çuvadar, A., & Onur, S. (2023). Determining incontinence awareness, attitude, and frequency in female students enrolled in the faculty of health sciences. Journal of Clinical Medicine of Kazakhstan, 20(5), 37–41. https://doi.org/10.23950/JCMK/13758 CR - Demir, S., & Beji, N. K. (2015). Üriner inkontinanslı kadınlarda yaşam kalitesi ve sağlık arama davranışları. Florence Nightingale Hemşirelik Dergisi, 1(23), 23–31. CR - Faul, F., Erdfelder, E., Buchner, A., & Lang, A.-G. (2009). Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses. Behavior Research Methods, 41(4), 1149–1160. https://doi.org/10.3758/BRM.41.4.1149 CR - Faul, F., Erdfelder, E., Lang, A. G., & Buchner, A. (2007). G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods, 39(2), 175–191. https://doi.org/10.3758/BF03193146 CR - Gencer, G. Y. G., Göktaş, İ., & Uz, B. Y. (2024). Menopozlu kadınlarda deprem sonrası genital hijyen, yaşam kalitesi ve üriner inkontinans farkındalığının incelenmesi. Yaşlı Sorunları Araştırma Dergisi, 17(1), 33–42. https://doi.org/10.46414/yasad.1436396 CR - Haylen, B. T., de Ridder, D., Freeman, R. M., Swift, S. E., Berghmans, B., Lee, J., Monga, A., Petri, E., Rizk, D. E., Sand, P. K., & Schaer, G. N. (2010). An international urogynecological association (IUGA)/international continence society (ICS) joint report on the terminology for female pelvic floor dysfunction. Neurourology and Urodynamics, 29(1), 4–20. https://doi.org/10.1002/nau.20798 CR - İskender, M. D., & Gül, S. (2024). The effect of demographic characteristics of patients applying to the urology outpatient clinic on urinary incontinence awareness and attitudes. Pamukkale Medical Journal, 17(1), 143–157. https://doi.org/10.31362/patd.1406978 CR - Kaya, H. D., Yılmaz, T., & Bilgiç, F. Ş. (2024). Symptom severity and its impact on daily life in women with urinary incontinence: A cross-sectional study. Journal Modern Nursing Practice and Research, 4(1), 4. https://doi.org/10.53964/jmnpr.2024004 CR - Li, M., Wang, H., Ko, W. K., & Kwong, S. K. (2024). Factors associated with health-seeking for urinary incontinence in Hong Kong Chinese women: A cross-sectional study. International Urogynecology Journal, 35(1), 95–101. https://doi.org/10.1007/S00192-023-05656-5 CR - Liang, S., Li, J., Chen, Z., Li, Y., Hao, F., & Cai, W. (2023). Prevalence and influencing factors of help-seeking behavior among women with urinary incontinence: A systematic review and meta-analysis. Journal of Women’s Health, 32(12), 1363–1379. https://doi.org/10.1089/JWH.2022.0482 CR - Mainu, T. C. R., George, S., Raj, A., & Rajiv, M. (2023). Prevalence and risk factors of urinary incontinence among elderly women residing in Kochi corporation: A community-based cross-sectional study. Journal of Mid-Life Health, 14(1), 15–20. https://doi.org/10.4103/jmh.jmh_184_22 CR - Manso, M., Botelho, F., Bulhões, C., Cruz, F., & Pacheco-Figueiredo, L. (2023). Self-reported urinary incontinence in women is higher with increased age, lower educational level, lower income, number of comorbidities, and impairment of mental health. Results of a large, population-based, national survey in Portugal. World Journal of Urology, 41(12), 3657–3662. https://doi.org/10.1007/S00345-023-04677-5 CR - Özgül, S., Gürşen, C., Toprak Çelenay, Ş., Baran, E., Üzelpasacı, E., Nakip, G., Nalan Çinar, G., Sinan Beksaç, M., & Akbayrak, T. (2022). Contributory effects of individual characteristics on pelvic floor distress in women with pelvic floor dysfunctions. Physiotherapy Theory and Practice, 40(3), 625–636. https://doi.org/10.1080/09593985.2022.2127137 CR - Rashidi Fakari, F., Hajian, S., Darvish, S., & Alavi Majd, H. (2021). Explaining factors affecting help-seeking behaviors in women with urinary incontinence: A qualitative study. BMC Health Services Research, 21(1). https://doi.org/10.1186/S12913-020-06047-Y CR - Shumaker, S. A., Wyman, J. F., Uebersax, J. S., McClish, D., & Fantl, J. A. (1994). Health-related quality of life measures for women with urinary incontinence: The Incontinence Impact Questionnaire and the Urogenital Distress Inventory. Quality of Life Research, 3(5), 291–306. https://doi.org/10.1007/BF00451721 CR - Srisanam, M., Buppasiri, P., Chongsomchai, C., & Temtanakitpaisan, T. (2022). Urinary incontinence: Women attending the gynecology outpatient clinic unaware of symptoms. Thai Journal of Obstetrics and Gynaecology, 30(2), 136–144. CR - Tabachnick, B. G., Fidell, L. S., & Ullman, J. B. (2013). Using multivariate statistics (6. Baskı). Pearson New International Edition. CR - Wang, Q., Que, Y., Yang, Y., Wan, X., & Lin, C. (2023). A population-based cross-sectional survey on the prevalence, severity, risk factors, and self-perception of female urinary incontinence in rural Fujian, China. International Urogynecology Journal, 34(9), 2089–2097. https://doi.org/10.1007/S00192-023-05518-0 CR - Xue, K., Palmer, M. H., & Zhou, F. (2020). Prevalence and associated factors of urinary incontinence in women living in China: A literature review. BMC Urology, 20(1). https://doi.org/10.1186/S12894-020-00735-X CR - Yaǧmur, Y., & Gül, S. (2021). Urinary incontinence in women aged 40 and older: Its prevalence, risk factors, and effect on quality of life. Nigerian Journal of Clinical Practice, 24(2), 186–192. https://doi.org/10.4103/NJCP.NJCP_626_18 UR - https://doi.org/10.61534/anatoljhr.1524845 L1 - https://dergipark.org.tr/tr/download/article-file/4108513 ER -