COMPARISON OF THE EFFECTS OF DIFFERENT PARASACRAL TRANSCUTANEOUS ELECTRICAL NERVE STIMULATION PROTOCOLS IN WOMEN WITH OVERACTIVE BLADDER

Yıl 2025, Cilt: 35 Sayı: 6, 1280 - 1290

Zehra Korkut , Merve Başol Göksülük , Arif Aydın , Şeyda Toprak Çelenay

https://doi.org/10.54005/geneltip.1743348

Öz

Aim: To compare the effects of different parasacral transcutaneous electrical nerve stimulation (TENS) protocols on bladder function, overactive bladder (OAB) symptoms, quality of life and perception of subjective improvement (PSI) in women with OAB.
Methods: Twenty-nine women with OAB were randomly divided into 2 groups: once session TENS per week (group 1, n=13), three sessions TENS per week (group 2, n=16). Bladder function with a 3-day bladder diary, OAB symptoms with Overactive Bladder Questionnaire-Version 8 (OAB-V8) and Patients’ Perception of Intensity of Urgency Scale (PPIUS), quality of life with the King’s Health Questionnaire (KHQ) were evaluated at pre-intervention, mid-term (3th week) and post-intervention. PSI were evaluated with Likert type scale at post-intervention.
Results: Significant decrease was observed in the average number of voids/day and PPIUS scores in both groups (p<0.05). There was a greater decrease in OAB-V8 score in group 2 (p<0.05). No significant decrease was observed in KHQ scores of group 1 (p>0.05), however, improvement was observed scores of group 2 (p<0.05). In intergroup comparisons, a greater decrease was detected in OAB-V8, PPIUS and KHQ scores in group 2 compared to group 1 (p <0.05) (Table 1). A greater increase was found in PSI scores in group 2 compared to group 1 (p<0.05).
Conclusions: Parasacral TENS applied three sessions per week was more effective than once session per week in improving bladder function, OAB symptoms, quality of life, and PSI score. It can be recommended to patients with OAB.

Anahtar Kelimeler

Overactive bladder , transcutaneous electric nerve stimulation , bladder function , quality of life

AŞIRI AKTİF MESANESİ OLAN KADINLARDA FARKLI PARASAKRAL TRANSKUTANÖZ ELEKTRİK SİNİR STİMULASYONU PROTOKOLLERİNİN ETKİLERİNİN KARŞILAŞTIRILMASI

Öz

Amaç: Farklı parasakral transkutanöz elektriksel sinir stimülasyonu (TENS) protokollerinin AAM’li kadınlarda mesane fonksiyonu, aşırı aktif mesane (AAM) semptomları, yaşam kalitesi ve subjektif iyileşme algısı (SİA) üzerindeki etkilerini karşılaştırmak.
Gereç ve Yöntemler: Yirmi dokuz AAM’li kadın rastgele 2 gruba ayrıldı: haftada bir seans TENS (grup 1, n=13), haftada üç seans TENS (grup 2, n=16). Mesane fonksiyonu 3 günlük mesane günlüğü ile, AAM semptomları Aşırı Aktif Mesane Anketi-Versiyon 8 (AAM-V8) ve Hasta Sıkışma Hissi Ciddiyet Algısı Ölçeği (HSHCAÖ) ile, yaşam kalitesi King Sağlık Anketi (KSA) ile müdahale öncesi, orta dönem (3. hafta) ve müdahale sonrası değerlendirildi. Likert tipi ölçek ile SİA müdahale sonrasında değerlendirilmiştir.
Bulgular: Her iki grupta da ortalama işeme sayısı/gün ve HSHCAÖ skorlarında anlamlı azalma gözlendi (p<0.05). Grup 2’de AAM-V8 skorunda azalma saptandı (p<0.05). Grup 1’in KSA skorlarında anlamlı bir düşüş gözlenmezken (p>0.05), grup 2’nin skorlarında iyileşme gözlenmiştir (p<0.05). Gruplar arası karşılaştırmalarda, grup 2’de AAM-V8, HSHCAÖ ve KSA skorlarında grup 1’e kıyasla daha fazla düşüş tespit edilmiştir (p<0.05) (Tablo 1). SİA skorlarında grup 2’de grup 1’e kıyasla daha fazla artış saptanmıştır (p<0.05).
Sonuçlar: Haftada üç seans uygulanan parasakral TENS, mesane fonksiyonlarını, AAM semptomlarını, yaşam kalitesini ve SİA’yı iyileştirmede bir seans uygulamaya göre daha etkilidir. AAM’li hastalara önerilebilir.

Anahtar Kelimeler

Aşırı aktif mesane , transkütanöz elektrik sinir stimülasyonu , mesane fonksiyonu , yaşam kalitesi

Kaynakça

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