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60 Yaş Üstü Kadınlarda Üriner İnkontinans Farkındalık Eğitiminin Konuya İlişkin Bilgi ve Farkındalık Düzeyi Üzerine Etkisi

Yıl 2024, Sayı: 23, 737 - 749, 31.08.2024

Öz

Amaç: Bu çalışma, 60 yaş üstü kadınlarda verilecek olan üriner inkontinans farkındalık eğitiminin konuya ilişkin bilgi ve farkındalık düzeyi üzerine etkisini incelemeyi amaçlamaktadır.
Yöntem: Çalışma, Bandırma Onyedi Eylül Üniversitesi Fizyoterapi ve Rehabilitasyon Kliniğine Ekim-Kasım 2023 tarihleri arasında başvuran, 60 yaş üstü alınma kriterlerine uyan gönüllü olgulardan oluşmuştur. Katılımcılara “Üriner İnkontinans Farkındalık Eğitimi” verilmiştir. Eğitim öncesinde ve sonrasında katılımcılardan Sosyodemografik Bilgi Formunu, Prolaps ve İnkontinans Bilgi Anketi, İnkontinans Kısa Testi ve Pelvik Taban Sağlığı Bilgi Testini doldurmaları istenmiş, anketler eğitim öncesi ve sonrasında tekrarlanmıştır.
Bulgular: Çalışmaya 60 yaş üzerinde 32 kadın katılmıştır. Kadınların yaş ortalaması 68±5,86 yıl idi. Katılımcıların %25’inin çevre ve ailesinde idrar kaçıran birey vardı. %93,8’i idrar kaçırmanın bir sağlık sorunu olduğunu, %84,3’ü idrar kaçırma sorunu yaşarsa doktora başvurmayacağını ifade etti. Eğitim öncesinde ve eğitim sonrasında Prolaps ve İnkontinans Bilgi Anketi, İnkontinans Kısa Testi ve Pelvik Taban Sağlığı Bilgi Testi puanları arasında istatistiksel olarak anlamlı bir fark vardı (p<0,05).
Sonuç: Araştırmanın sonuçları doğrultusunda 60 yaş üstü kadınlara üriner inkontinans farkındalığı ile ilgili verilen eğitimin üriner inkontinans farkındalık ve pelvik taban kası öz etkililiklerini artırmada etkili olduğu görülmüştür. Daha büyük örneklem sayısı ve uzun süreli takiple yapılacak çalışmalara ihtiyaç vardır.

Kaynakça

  • 1. Doumouchtsis SK, de Tayrac R, Lee J, et al. An International Continence Society (ICS)/International Urogynecological Association (IUGA) joint report on the terminology for the assessment and management of obstetric pelvic floor disorders. International Urogynecology Journal. 2023;34(1):1-42.
  • 2. Smith LA, Price N, Simonite V, Burns EE. Incidence of and risk factors for perineal trauma: A prospective observational study. BMC Pregnancy and Childbirth. 2013;13:1-9.
  • 3. Brown HW, Hegde A, Huebner M, et al. International urogynecology consultation chapter 1 committee 2: Epidemiology of pelvic organ prolapse: Prevalence, incidence, natural history, and service needs. International Urogynecology Journal. 2022:1-15.
  • 4. Batmani S, Jalali R, Mohammadi M, Bokaee S. Prevalence and factors related to urinary incontinence in older adults women worldwide: A comprehensive systematic review and meta-analysis of observational studies. BMC Geriatrics. 2021;21:1-17.
  • 5. Cheng S, Lin D, Hu T, et al. Association of urinary incontinence and depression or anxiety: A meta-analysis. Journal of International Medical Research. 2020;48(6):0300060520931348.
  • 6. Park SH, Son SM, Choi JY. Effect of posture control training using virtual reality program on sitting balance and trunk stability in children with cerebral palsy. NeuroRehabilitation. 2021;48(3):247-254. doi: 10.3233/nre-201642.
  • 7. Liapis A, Bakas P, Liapi S, Sioutis D, Creatsas G. Epidemiology of female urinary incontinence in the Greek population: EURIG study. Int Urogynecol J. 2010;21(2):217-22. doi: 10.1007/s00192-009-1019-2.
  • 8. Fante JF, Silva TD, Mateus-Vasconcelos ECL, Ferreira CHJ, Brito LGO. Do women have adequate knowledge about pelvic floor dysfunctions? A systematic review. Revista Brasileira de Ginecologia e Obstetrícia. 2019;41:508-519.
  • 9. Öz Yıldırım Ö, Aydın Avci İ, Yıldırım E, Bostancı Y. The effect of the incontinence health belief development program on women’s urinary incontinence awareness and health beliefs: A randomized controlled trial. International Urogynecology Journal. 2023;34(7):1385-1393.
  • 10. Yeşilyurt SY, Yıldız ED, İnal B, et al. Üriner inkontinanslı kadınların inkontinans ve prolapsus bilgi düzeyinin incelenmesi. Abant Sağlık Bilimleri ve Teknolojileri Dergisi. 2021;1(2):63-69.
  • 11. Güvenç G, Kocaöz S, Kök G. Quality of life in climacteric Turkish women with urinary incontinence. Int J Nurs Pract. 2016;22(6):649-659. doi: 10.1111/ijn.12495.
  • 12. Juszczak K, Słomiana-Amjedullah T, Koźlak V, Cebulska V. Women’s awareness of urinary incontinence. Pielegniarstwo XXI wieku/Nursing in the 21st Century. 2021;20(3):168-173.
  • 13. Kara KC, Çıtak Karakaya İ, Tunalı N, Karakaya MG. Reliability and validity of the incontinence quiz–Turkish version. Journal of Obstetrics and Gynaecology Research. 2018;44(1):144-150.
  • 14. Korkut A, Karakaya IC, Yenisehir S, Karakaya MG. Psychometric properties of the Turkish version of prolapse and incontinence knowledge questionnaire. Gynecology Obstetrics & Reproductive Medicine. 2021;27(2):154-162.
  • 15. Wala'a AD, Çelenay ŞT. Development of pelvic floor health knowledge quiz in Turkish people: Validity and reliability. Türk Fizyoterapi ve Rehabilitasyon Dergisi. 2021;32(2):122-131.
  • 16. Chavan P, Musale R, Mahendrakar V, Bhosale N. Effect of knowledge and awareness regarding urinary incontinence and its treatment options in female dancers. Indian Journal of Physiotherapy & Occupational Therapy Print-(ISSN 0973-5666) and Electronic–(ISSN 0973-5674). 2022;16(2):174-181.
  • 17. Van Vuuren AJ, Van Rensburg J, Jacobs L, Hanekom S. Exploring literature on knowledge, attitudes, beliefs and practices towards urinary incontinence management: A scoping review. International Urogynecology Journal. 2021;32:485-499.
  • 18. Brown JS, Grady D, Ouslander JG, Herzog AR, Varner RE, Posner SF. Prevalence of urinary incontinence and associated risk factors in postmenopausal women. Obstetrics & Gynecology. 2022;137(6):936-941.
  • 19. Irwin DE, Kopp, ZS, Agatep B, Milsom I, Abrams P. Worldwide prevalence estimates of lower urinary tract symptoms, overactive bladder, urinary incontinence and bladder outlet obstruction. BJU International. 2021;128(7):1132-1138.
  • 20. Mandimika CL, Murk W, Mühlhäuser McPencow A, et al. Knowledge of pelvic floor disorders in a population of community-dwelling women. Am J Obstet Gynecol. 2014;210(2):165.e1-9. doi: 10.1016/j.ajog.2013.10.011.
  • 21. Chen CCG, Cox JT, Yuan C, Thomaier L, Dutta S. Knowledge of pelvic floor disorders in women seeking primary care: A cross-sectional study. BMC Fam Pract. 2019;20(1):70. doi: 10.1186/s12875-019-0958-z.
  • 22. Parden AM, Griffin RL, Hoover K, et al. Prevalence, awareness, and understanding of pelvic floor disorders in adolescent and young women. Female Pelvic Med Reconstr Surg. 2016;22(5):346-54. doi: 10.1097/spv.0000000000000287.
  • 23. Liu J, Tan SQ, Han HC. Knowledge of pelvic floor disorder in pregnancy. Int Urogynecol J. 2019;30(6):991-1001. doi: 10.1007/s00192-019-03891-3.
  • 24. Lawson S, Sacks A. Pelvic floor physical therapy and women's health promotion. J Midwifery Womens Health. 2018;63(4):410-417. doi: 10.1111/jmwh.12736.
  • 25. Ertem G. Üriner inkontinanslı hastaların hastalığıyla başa çıkma yollarının incelenmesi. Uluslararası İnsan Bilimleri Dergisi. 2009;6(1):177-8.
  • 26. Demir S, Beji NK. Üriner inkontinanslı kadınlarda yaşam kalitesi ve sağlık arama davranışları. FN Hem Derg. 2015;23(1):23-31.
  • 27. Schreiber Pedersen L, Lose G, Høybye MT, Elsner S, Waldmann A, Rudnicki M. Prevalence of urinary incontinence among women and analysis of potential risk factors in Germany and Denmark. Acta Obstet Gynecol Scand. 2017;96(8):939-948. doi: 10.1111/aogs.13149.
  • 28. Johnson K, White A. Practical management of urinary incontinence in the elderly. Geriatrics & Gerontology International. 2023;19(1):21-30.

The Effect of Urinary Incontinence Awareness Training on Knowledge and Awareness of Urinary Incontinence in Women Over 60 Years of Age

Yıl 2024, Sayı: 23, 737 - 749, 31.08.2024

Öz

Aim: This study aims to examine the effect of urinary incontinence awareness training on the level of knowledge and awareness of urinary incontinence in women over 60 years of age.
Method: The study consisted of volunteer subjects over 60 years of age who applied to Bandırma Onyedi Eylül University Physiotherapy and Rehabilitation Clinic between October and November 2023 and met the inclusion criteria. Participants were given "Urinary Incontinence Awareness Training." The participants were asked to complete the Sociodemographic Information Form, Prolapse and Incontinence Information Questionnaire, Incontinence Short Test, and Pelvic Floor Health Information Test before and after the training.
Results: Thirty-two women over 60 years of age participated in the study. The mean age of the women was 68±5.86 years. Of the participants, 25% had a family member with urinary incontinence. 93.8% stated that urinary incontinence was a health problem, and 84.3% stated that they would not consult a doctor if they had urinary incontinence. There was a statistically significant difference between the Prolapse and Incontinence Knowledge Questionnaire, Incontinence Short Test, and Pelvic Floor Health Knowledge Test scores before and after the training (p<0.05).
Conclusion: In line with the study's results, it was observed that the training given to women over 60 about urinary incontinence awareness effectively increased urinary incontinence awareness and pelvic floor muscle self-efficacy. Further studies with larger sample sizes and long-term follow-up are needed.

Kaynakça

  • 1. Doumouchtsis SK, de Tayrac R, Lee J, et al. An International Continence Society (ICS)/International Urogynecological Association (IUGA) joint report on the terminology for the assessment and management of obstetric pelvic floor disorders. International Urogynecology Journal. 2023;34(1):1-42.
  • 2. Smith LA, Price N, Simonite V, Burns EE. Incidence of and risk factors for perineal trauma: A prospective observational study. BMC Pregnancy and Childbirth. 2013;13:1-9.
  • 3. Brown HW, Hegde A, Huebner M, et al. International urogynecology consultation chapter 1 committee 2: Epidemiology of pelvic organ prolapse: Prevalence, incidence, natural history, and service needs. International Urogynecology Journal. 2022:1-15.
  • 4. Batmani S, Jalali R, Mohammadi M, Bokaee S. Prevalence and factors related to urinary incontinence in older adults women worldwide: A comprehensive systematic review and meta-analysis of observational studies. BMC Geriatrics. 2021;21:1-17.
  • 5. Cheng S, Lin D, Hu T, et al. Association of urinary incontinence and depression or anxiety: A meta-analysis. Journal of International Medical Research. 2020;48(6):0300060520931348.
  • 6. Park SH, Son SM, Choi JY. Effect of posture control training using virtual reality program on sitting balance and trunk stability in children with cerebral palsy. NeuroRehabilitation. 2021;48(3):247-254. doi: 10.3233/nre-201642.
  • 7. Liapis A, Bakas P, Liapi S, Sioutis D, Creatsas G. Epidemiology of female urinary incontinence in the Greek population: EURIG study. Int Urogynecol J. 2010;21(2):217-22. doi: 10.1007/s00192-009-1019-2.
  • 8. Fante JF, Silva TD, Mateus-Vasconcelos ECL, Ferreira CHJ, Brito LGO. Do women have adequate knowledge about pelvic floor dysfunctions? A systematic review. Revista Brasileira de Ginecologia e Obstetrícia. 2019;41:508-519.
  • 9. Öz Yıldırım Ö, Aydın Avci İ, Yıldırım E, Bostancı Y. The effect of the incontinence health belief development program on women’s urinary incontinence awareness and health beliefs: A randomized controlled trial. International Urogynecology Journal. 2023;34(7):1385-1393.
  • 10. Yeşilyurt SY, Yıldız ED, İnal B, et al. Üriner inkontinanslı kadınların inkontinans ve prolapsus bilgi düzeyinin incelenmesi. Abant Sağlık Bilimleri ve Teknolojileri Dergisi. 2021;1(2):63-69.
  • 11. Güvenç G, Kocaöz S, Kök G. Quality of life in climacteric Turkish women with urinary incontinence. Int J Nurs Pract. 2016;22(6):649-659. doi: 10.1111/ijn.12495.
  • 12. Juszczak K, Słomiana-Amjedullah T, Koźlak V, Cebulska V. Women’s awareness of urinary incontinence. Pielegniarstwo XXI wieku/Nursing in the 21st Century. 2021;20(3):168-173.
  • 13. Kara KC, Çıtak Karakaya İ, Tunalı N, Karakaya MG. Reliability and validity of the incontinence quiz–Turkish version. Journal of Obstetrics and Gynaecology Research. 2018;44(1):144-150.
  • 14. Korkut A, Karakaya IC, Yenisehir S, Karakaya MG. Psychometric properties of the Turkish version of prolapse and incontinence knowledge questionnaire. Gynecology Obstetrics & Reproductive Medicine. 2021;27(2):154-162.
  • 15. Wala'a AD, Çelenay ŞT. Development of pelvic floor health knowledge quiz in Turkish people: Validity and reliability. Türk Fizyoterapi ve Rehabilitasyon Dergisi. 2021;32(2):122-131.
  • 16. Chavan P, Musale R, Mahendrakar V, Bhosale N. Effect of knowledge and awareness regarding urinary incontinence and its treatment options in female dancers. Indian Journal of Physiotherapy & Occupational Therapy Print-(ISSN 0973-5666) and Electronic–(ISSN 0973-5674). 2022;16(2):174-181.
  • 17. Van Vuuren AJ, Van Rensburg J, Jacobs L, Hanekom S. Exploring literature on knowledge, attitudes, beliefs and practices towards urinary incontinence management: A scoping review. International Urogynecology Journal. 2021;32:485-499.
  • 18. Brown JS, Grady D, Ouslander JG, Herzog AR, Varner RE, Posner SF. Prevalence of urinary incontinence and associated risk factors in postmenopausal women. Obstetrics & Gynecology. 2022;137(6):936-941.
  • 19. Irwin DE, Kopp, ZS, Agatep B, Milsom I, Abrams P. Worldwide prevalence estimates of lower urinary tract symptoms, overactive bladder, urinary incontinence and bladder outlet obstruction. BJU International. 2021;128(7):1132-1138.
  • 20. Mandimika CL, Murk W, Mühlhäuser McPencow A, et al. Knowledge of pelvic floor disorders in a population of community-dwelling women. Am J Obstet Gynecol. 2014;210(2):165.e1-9. doi: 10.1016/j.ajog.2013.10.011.
  • 21. Chen CCG, Cox JT, Yuan C, Thomaier L, Dutta S. Knowledge of pelvic floor disorders in women seeking primary care: A cross-sectional study. BMC Fam Pract. 2019;20(1):70. doi: 10.1186/s12875-019-0958-z.
  • 22. Parden AM, Griffin RL, Hoover K, et al. Prevalence, awareness, and understanding of pelvic floor disorders in adolescent and young women. Female Pelvic Med Reconstr Surg. 2016;22(5):346-54. doi: 10.1097/spv.0000000000000287.
  • 23. Liu J, Tan SQ, Han HC. Knowledge of pelvic floor disorder in pregnancy. Int Urogynecol J. 2019;30(6):991-1001. doi: 10.1007/s00192-019-03891-3.
  • 24. Lawson S, Sacks A. Pelvic floor physical therapy and women's health promotion. J Midwifery Womens Health. 2018;63(4):410-417. doi: 10.1111/jmwh.12736.
  • 25. Ertem G. Üriner inkontinanslı hastaların hastalığıyla başa çıkma yollarının incelenmesi. Uluslararası İnsan Bilimleri Dergisi. 2009;6(1):177-8.
  • 26. Demir S, Beji NK. Üriner inkontinanslı kadınlarda yaşam kalitesi ve sağlık arama davranışları. FN Hem Derg. 2015;23(1):23-31.
  • 27. Schreiber Pedersen L, Lose G, Høybye MT, Elsner S, Waldmann A, Rudnicki M. Prevalence of urinary incontinence among women and analysis of potential risk factors in Germany and Denmark. Acta Obstet Gynecol Scand. 2017;96(8):939-948. doi: 10.1111/aogs.13149.
  • 28. Johnson K, White A. Practical management of urinary incontinence in the elderly. Geriatrics & Gerontology International. 2023;19(1):21-30.
Toplam 28 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Fizyoterapi
Bölüm Makaleler
Yazarlar

Derya Azim 0000-0002-5011-8723

Esra Keskin 0000-0002-4444-5939

Ebru Kaya Mutlu

Erken Görünüm Tarihi 31 Ağustos 2024
Yayımlanma Tarihi 31 Ağustos 2024
Gönderilme Tarihi 6 Kasım 2023
Kabul Tarihi 26 Haziran 2024
Yayımlandığı Sayı Yıl 2024 Sayı: 23

Kaynak Göster

JAMA Azim D, Keskin E, Kaya Mutlu E. 60 Yaş Üstü Kadınlarda Üriner İnkontinans Farkındalık Eğitiminin Konuya İlişkin Bilgi ve Farkındalık Düzeyi Üzerine Etkisi. IGUSABDER. 2024;:737–749.

 Alıntı-Gayriticari-Türetilemez 4.0 Uluslararası (CC BY-NC-ND 4.0)