Üriner İnkontinans Semptomlarının Multipl Sklerozlu Bireylerde Günlük Yaşam Aktiviteleri ile İlişkisinin Araştırılması

Abstract

Amaç: Üriner inkontinans (Üİ), Multipl Skleroz (MS) hastalarında yaygın görülen ve günlük aktiviteleri olumsuz etkileyen bir semptomdur. Bu çalışmada MS tanılı bireylerde Üİ şikayetleri ile günlük yaşam aktivitelerini gerçekleştirme becerisi arasındaki ilişkinin araştırılması amaçlanmıştır. Araçlar ve Yöntem: Çalışmaya MS tanılı ve Üİ’ye sahip, yaş ortalaması 42.06±1.42 olan 45 katılımcı dahil edildi. Katılımcı verileri çevrimiçi bir platform olan Google Forms aracılığıyla toplandı. Uluslararası İdrar Kaçırma Konsültasyon Sorgulaması-Kısa Form (ICIQ-SF) Üİ şikayetlerini, İnkontinans Etki Sorgulaması (IIQ-7) anketi ise günlük yaşam aktiviteleri üzerindeki etkiyi değerlendirmek için kullanıldı. ICIQ-SF ile IIQ-7 fiziksel aktivite, sosyal aktivite, sosyal ilişkiler ve duygusal sağlık alt skorları ve total skoru arasındaki ilişkiyi değerlendirmek için Spearman korelasyon analizi yapıldı. Bulgular: Katılımcıların %26.7'si günde 8 kereden fazla idrara çıkmaktaydı. Mesane günlüğü hakkında bilgi sahibi olmayan bireylerin oranı %75.6 ve işemeye başlamakta zorluk çekenlerin oranı ise %44.4'tü. ICIQ-SF ile IIQ-7 fiziksel aktivite ve sosyal aktivite alt boyutları ile total skoru arasında güçlü ilişki bulurken (sırasıyla rho=0.64, p<0.001; rho=0.53, p<0.001; rho=0.56, p<0.001), sosyal ilişkiler ve duygusal sağlık alt boyutları arasında orta derecede ilişki bulundu (sırasıyla rho=0.45, p=0.002; rho=0.38, p=0.009). Sonuç: Üİ semptomlarının MS'li bireylerin günlük aktiviteleri üzerindeki olumsuz etkileri göz önüne alındığında, Üİ için kapsamlı bir değerlendirme yapılarak MS’lilerin, Üİ’nin şiddetine, tipine ve sıklığına göre uyarlanmış bir rehabilitasyon programına dahil edilmesi önemlidir.

Keywords

• üriner disfonksiyon
• nörolojik bozukluk
• aktivite

Investigation of the Relationship of Urinary Incontinence Symptoms with Activities of Daily Living in Individuals with Multiple Sclerosis

Abstract

Purpose: Urinary incontinence (UI) is a common symptom for people with Multiple Sclerosis (MS) that negatively impacts daily activities. This study aimed to investigate the relationship between UI symptoms and the ability to perform daily activities in individuals diagnosed with MS. Materials and Methods: The study included 45 participants diagnosed with MS and UI, with a mean age of 42.06±1.42. Participant data were collected through an online platform, Google Forms. The International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF) was used to assess UI symptoms, while the Incontinence Impact Questionnaire (IIQ-7) was used to evaluate the impact on daily life activities. Spearman correlation analysis was performed to assess the relationship between the ICIQ-SF and IIQ-7 subscales (physical activity, social activity, social relationships, and emotional health) and the total score. Results: 26.7% of the participants urinated more than 8 times a day. The proportion of individuals who were unaware of bladder diaries was 75.6%, and 44.4% had difficulty initiating urination. A strong correlation was found between the ICIQ-SF and IIQ-7 physical activity, social activity subscales, and total score (rho=0.64, p<0.001; rho=0.53, p<0.001; rho=0.56, p<0.001). A moderate correlation was found between the social relationships and emotional health subscales (rho=0.45, p=0.002; rho=0.38, p=0.009). Conclusion: Considering the negative impact of UI symptoms on the daily activities of individuals with MS, it is important to conduct a comprehensive assessment of UI and include individuals with MS in a tailored rehabilitation program based on the severity, type, and frequency of UI.

Keywords

• daily tasks
• neurological disorder
• urinary dysfunction

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