Birinci basamakta erişkin kadınlarda üriner inkontinans prevalansı ve ilişkili faktörler

Year 2021, Volume: 46 Issue: 4, 1516 - 1522, 30.12.2021

Bilge Alkurt Narçiçeği Burkay Yakar , Harun Recep Narçiçeği , Erhan Önalan , Edibe Pirinçci

https://doi.org/10.17826/cumj.983518

Cited By: 3

Abstract

Amaç: Bu çalışma, aile hekimliği polikliniğine başvuran erişkin kadınlarda üriner inkontinans (Üİ) prevalansını ve ilişkili faktörleri incelemeyi amaçlamıştır.
Gereç ve Yöntem: Bu kesitsel prospektif çalışma Ekim 2020 ile Mart 2021 tarihleri arasında bir aile sağlığı merkezinde yürütülmüştür. Çalışmaya rastgele seçilmiş 268 yetişkin kadın dahil edilmiştir. Katılımcıların demografik, obstetrik, jinekolojik özellikleri ve tıbbi öyküleri anket ile elde edildi. İdrar kaçırma semptomları Uluslararası İnkontinans Anketi Kısa Formunun (ICIQ-SF) Türkçe Versiyonu kullanılarak değerlendirildi.
Bulgular: Çalışma popülasyonunda genel Üİ prevalansı %17.5 olup, yaş gruplarına göre incelendiğinde; 18-29 yaş aralığında %4.1, 30-39 yaş aralığında %10.3, 40-49 yaş aralığında %12.0, 50-59 yaş aralığında %33.3, 60-69 yaş aralığında %46.7 ve 70 yaş ve üzerinde %81.8 idi. Üriner inkontinanslı katılımcıların ortanca yaşı, BKİ, menopoz süresi ve gravida sayıları Üİ olmayan katılımcılara göre daha yüksekti. Üriner inkontinans, evli olmak, düşük eğitim düzeyi, düşük gelir, kronik hastalık sahibi olmak, kronik ilaç kullanmak, kabızlık, menopoz ve epizyotomi öyküsü ile anlamlı olarak ilişkili bulundu.
Sonuç: Üİ yetişkin kadınlar arasında hala yaygın bir sağlık sorunudur. Özellikle 50 yaş üstü kadınlarda Üİ semptomlarını hekimlerin sorgulanmasını öneriyoruz. Değiştirilebilir risk faktörlerinin tedavisinin yetişkin kadınlarda Üİ insidansı üzerindeki etkisini değerlendirmek için daha ileri çalışmalara ihtiyaç vardır.

Keywords

Üriner inkontinans, kadın, prevalans, aile hekimliği

Prevalence and associated factors of urinary incontinence among adult women in primary care

Abstract

Purpose: The current study aimed to prevalence of urinary incontinence (UI) and related factors in adult women admitted to the family medicine outpatient clinic.
Materials and Methods: This cross-sectional prospective study was conducted in a family health centre between October 2020 and March 2021. Randomly selected 268 adult women were included in the study. The demographic, obstetric, gynecological characteristics and medical history of the participants were obtained with a questionnaire. Urinary incontinence symptoms was assessed using Turkish Version of the International Incontinence Questionnaire Short Form (ICIQ-SF)
Results: The prevalence of UI in study population was 17.5% and according to age grup it was 4.1% at 18-29
years, 10.3% at 30-39 years, 12.0% at 40-49 years, 33.3% at 50-59 years, 46.7% at 60-69 years and 81.8% at ≥70 years old, respectively. Participants with urinary incontinence had higher median age, body mass index (BMI), menopause vintage, and gravida than continent participants. Low education level, drug usage, constipation, menapause (were independently associated with urinary incontinence.
Conclusion: UI is still a common health problem among adult women. We recommend physicians to be questioned about UI symptoms, especially in women over 50 years of age. Further studies are needed to evaluate the effect of the treatment of modifiable risk factors on UI incidence among adult women

Keywords

Urinary Incontinence, female, prevalence, family practice

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