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Evidence-Based Complementary and Alternative Therapies in Urinary Incontinence

Yıl 2020, Cilt: 6 Sayı: 2, 83 - 90, 05.06.2020
https://doi.org/10.30934/kusbed.605439

Öz

Urinary incontinence; is an important and common health problem that causes medical, psychosocial and hygienic problems and may adversely affect the quality of life of individuals. About 200 million people in the world are experiencing urinary incontinence complaints. Health professionals are constantly seeking better interventions in the treatment of urinary incontinence symptoms, which have a significant impact on quality of life. Complementary and Alternative Medicine, such as behavior change, lifestyle changes, bladder training, Pelvic Floor Muscle Exercises, vaginal cones, biofeedback, yoga, acupressure, acupuncture may prevent or reduce bladder dysfunction. Our review was prepared to analyze the evidence-based complementary and alternative medicine interventions used in urinary incontinence. During the preparation process of the review, relevant articles published in Cochrane and PubMed were scanned and their level of evidence was examined according to the evidence level classification accepted by the Joanna Briggs Institute. As a result of the data obtained, there is no reliable, sufficient evidence on whether complementary and alternative medicine methods are useful, and should be a research priority.

Kaynakça

  • Abrams P, Cardozo L, Fall M, et al. The standardisation of terminology of lower urinary tract function: report from the Standardisation Sub‐committee of the International Continence Society. Neurourol Urodyn. 2002;21(2):167-178. doi:10.1002/nau.10052
  • Abrams P, Cardozo L, Khoury S, Wein A. Incontinence 3rd international consultation. Health, Paris. 2005;1:1589-1630.
  • Wu JM, Vaughan CP, Goode PS, et al. Prevalence and trends of symptomatic pelvic floor disorders in US women. Obstet Gynecol. 2014;123(1):141-148. doi:10.1097/AOG.0000000 000000057
  • O'halloran T, Bell RJ, Robinson PJ, Davis SR. Urinary incontinence in young nulligravid women: a cross-sectional analysis. Ann Intern Med. 2012;157(2):87-93. doi:10.7326/ 0003-4819-157-2-201207170-00005
  • Tennstedt SL, Link CL, Steers WD, McKinlay JB. Prevalence of and risk factors for urine leakage in a racially and ethnically diverse population of adults: the Boston Area Community Health (BACH) Survey. Am J Epidemiol. 2008;167(4):390-399. doi:10.1093/aje/kwm356
  • Nygaard I, Barber MD, Burgio KL, et al. Prevalence of symptomatic pelvic floor disorders in US women. Jama. 2008;300(11):1311-1316. doi:10.1001/jama.300.11.1311
  • Lukacz E, Brubaker L, Schmader K. Evaluation of women with urinary incontinence. In: UptoDate, L. Brubaker KS, & K. Eckler, eds. UpToDate, Waltham, MA. (Accessed on May 01, 2019).
  • Anger JT, Saigal CS, Litwin MS, Project UDoA. The prevalence of urinary incontinence among community dwelling adult women: results from the National Health and Nutrition Examination Survey. J Urol. 2006;175(2):601-604. doi:10.1016/S0022-5347(05)00242-9
  • McGrother C, Donaldson M, Shaw C, et al. Storage symptoms of the bladder: prevalence, incidence and need for services in the UK. BJU Int. 2004;93(6):763-769. doi:10.1111/j.1464-410X.2003.04721.x
  • Hannestad YS, Rortveit G, Daltveit AK, Hunskaar S. Are smoking and other lifestyle factors associated with female urinary incontinence? The Norwegian EPINCONT Study. BJOG. 2003;110(3):247-254. doi:10.1046/j.1471-0528.2003.02327.x
  • Kadioğlu M, Beji NK. Üriner İnkontinans tedavisinde önerilen yaşam biçimi uygulamalarına güncel yaklaşım. HSP. 2016;3(3):201-207. doi:10.17681/hsp.52539
  • Lukacz ES, Santiago-Lastra Y, Albo ME, Brubaker L. Urinary incontinence in women: A review urinary incontinence in women urinary incontinence in women. In: JAMA. 2017;318(16):1592-1604. doi:10.1001/jama.2017.121 37
  • Forem J. Healing with pressure point therapy: Simple, effective techniques for massaging away more than 100 annoying ailments. Penguin; 1999.
  • Su L, Wu K, Lee L, Wang H, Liu C. Effects of far infrared acupoint stimulation on autonomic activity and quality of life in hemodialysis patients. AJCM. 2009;37(02):215-226. doi:10.1142/S0192415X09006783
  • Dumoulin C, Hay‐Smith J, Habée‐Séguin GM, Mercier J. Pelvic floor muscle training versus no treatment, or inactive control treatments, for urinary incontinence in women: a short version Cochrane systematic review with meta‐analysis. Neurourol Urodyn. 2015;34(4):300-308. doi:10.1002/nau.22 700
  • Wallace SA, Roe B, Williams K, Palmer M. Bladder training for urinary incontinence in adults. Cochrane Database Syst Rev. 2004(1). doi:10.1002/14651858.CD001308.pub2
  • Bayraktar E. Exercise. Turk J Integr Med. 2015;3(2):102-103.
  • Olness K. Hypnosis and biofeedback with children and adolescents; clinical, research, and educational aspects. Introduction. Journal of developmental and behavioral pediatrics: JDBP. 1996;17(5):299.
  • Kemper KJ. Complementary and alternative medicine in pediatrics. İçinde: UpToDate, Jan E, Mary M, editörler. UpToDate, Waltham, MA. 2019.
  • World Health Organization. WHO global report on traditional and complementary medicine 2019. https://www.who.i nt/traditional-complementary-integrative-medicine/WhoGlob alReportOnTraditionalAndComplementaryMedicine2019.pdf?ua=1 . 2019'da basıldı. 1 Mayıs 2019'da erişildi.
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  • Kocaman G. Hemşirelikte kanıta dayalı uygulama. HEMAR-G. 2003;2(4):61-69.
  • Diokno AC, Newman DK, Low LK, ve ark. Effect of group-administered behavioral treatment on urinary incontinence in older women: a randomized clinical trial. JAMA Intern Med. 2018;178(10):1333-1341. doi: 10.1001/jamainternmed.2018.3766
  • Demirci N, Coşar F. Üriner inkontinans tedavisinde davranışsal tedavi yöntemleri. SDÜ Tip Fak. Derg. 2009;16(3):35-40.
  • Varlı M, Doğan Aras S, Atlı T. Yaşlıda üriner inkontinans ve tedavisi. Akademik Geriatri Dergisi. 2009;1(1):45-58.
  • Özcan M, Kapucu S. Üriner inkontinansı olan geriatrik hastalara hemşirelik yaklaşımı. Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi. 2014;1(2):101-109.
  • Wyman J, Burgio K, Newman D. Practical aspects of lifestyle modifications and behavioural interventions in the treatment of overactive bladder and urgency urinary incontinence. Int J Clin Pract. 2009;63(8):1177-1191. doi:10.1111/j.1742-1241.2009.02078.x
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Üriner İnkontinansta Kanıt Temelli Tamamlayıcı ve Alternatif Tedaviler

Yıl 2020, Cilt: 6 Sayı: 2, 83 - 90, 05.06.2020
https://doi.org/10.30934/kusbed.605439

Öz

Üriner inkontinans; medikal, psikososyal ve hijyenik sorunlara neden olan, bireylerin yaşam kalitesini olumsuz etkileyebilen, önemli ve yaygın bir sağlık sorunudur. Dünyada ortalama 200 milyon insan üriner inkontinans şikâyeti yaşamaktadır. Yaşam kalitesi üzerinde önemli bir etkiye sahip olan üriner inkontinans semptomlarının tedavisinde sağlık profesyonelleri sürekli olarak daha iyi müdahaleler aramaktadırlar. Tamamlayıcı ve Alternatif Tedavi yöntemlerinden olan davranış değişikliği, yaşam tarzı değişiklikleri, mesane eğitimi, Pelvik Taban Kas Egzersizleri, vajinal konlar, biofeedback, yoga, akupressure, akupunktur gibi uygulamalar mesane fonksiyon bozukluğunu önleyebilir veya azaltabilir. Derlememiz, üriner inkontinansta kullanılan kanıt temelli tamamlayıcı ve alternatif tedavi uygulamalarını incelemek amacıyla hazırlanmıştır. Derlemenin hazırlanma sürecinde, Cochrane ve PubMed’de yayınlanmış konuyla ilgili makaleler taranmış ve elde edilen makalelerin kanıt düzeyi Joanna Briggs Enstitüsünün kabul ettiği kanıt düzeyi sınıflandırmasına göre incelenmiştir. Elde edilen veriler sonucunda, tamamlayıcı ve alternatif tedavi yöntemlerinin yararlı olup olmadığı konusunda güvenilir, yeterli kanıt bulunamamıştır ve araştırma önceliği olması gerekmektedir. 


Kaynakça

  • Abrams P, Cardozo L, Fall M, et al. The standardisation of terminology of lower urinary tract function: report from the Standardisation Sub‐committee of the International Continence Society. Neurourol Urodyn. 2002;21(2):167-178. doi:10.1002/nau.10052
  • Abrams P, Cardozo L, Khoury S, Wein A. Incontinence 3rd international consultation. Health, Paris. 2005;1:1589-1630.
  • Wu JM, Vaughan CP, Goode PS, et al. Prevalence and trends of symptomatic pelvic floor disorders in US women. Obstet Gynecol. 2014;123(1):141-148. doi:10.1097/AOG.0000000 000000057
  • O'halloran T, Bell RJ, Robinson PJ, Davis SR. Urinary incontinence in young nulligravid women: a cross-sectional analysis. Ann Intern Med. 2012;157(2):87-93. doi:10.7326/ 0003-4819-157-2-201207170-00005
  • Tennstedt SL, Link CL, Steers WD, McKinlay JB. Prevalence of and risk factors for urine leakage in a racially and ethnically diverse population of adults: the Boston Area Community Health (BACH) Survey. Am J Epidemiol. 2008;167(4):390-399. doi:10.1093/aje/kwm356
  • Nygaard I, Barber MD, Burgio KL, et al. Prevalence of symptomatic pelvic floor disorders in US women. Jama. 2008;300(11):1311-1316. doi:10.1001/jama.300.11.1311
  • Lukacz E, Brubaker L, Schmader K. Evaluation of women with urinary incontinence. In: UptoDate, L. Brubaker KS, & K. Eckler, eds. UpToDate, Waltham, MA. (Accessed on May 01, 2019).
  • Anger JT, Saigal CS, Litwin MS, Project UDoA. The prevalence of urinary incontinence among community dwelling adult women: results from the National Health and Nutrition Examination Survey. J Urol. 2006;175(2):601-604. doi:10.1016/S0022-5347(05)00242-9
  • McGrother C, Donaldson M, Shaw C, et al. Storage symptoms of the bladder: prevalence, incidence and need for services in the UK. BJU Int. 2004;93(6):763-769. doi:10.1111/j.1464-410X.2003.04721.x
  • Hannestad YS, Rortveit G, Daltveit AK, Hunskaar S. Are smoking and other lifestyle factors associated with female urinary incontinence? The Norwegian EPINCONT Study. BJOG. 2003;110(3):247-254. doi:10.1046/j.1471-0528.2003.02327.x
  • Kadioğlu M, Beji NK. Üriner İnkontinans tedavisinde önerilen yaşam biçimi uygulamalarına güncel yaklaşım. HSP. 2016;3(3):201-207. doi:10.17681/hsp.52539
  • Lukacz ES, Santiago-Lastra Y, Albo ME, Brubaker L. Urinary incontinence in women: A review urinary incontinence in women urinary incontinence in women. In: JAMA. 2017;318(16):1592-1604. doi:10.1001/jama.2017.121 37
  • Forem J. Healing with pressure point therapy: Simple, effective techniques for massaging away more than 100 annoying ailments. Penguin; 1999.
  • Su L, Wu K, Lee L, Wang H, Liu C. Effects of far infrared acupoint stimulation on autonomic activity and quality of life in hemodialysis patients. AJCM. 2009;37(02):215-226. doi:10.1142/S0192415X09006783
  • Dumoulin C, Hay‐Smith J, Habée‐Séguin GM, Mercier J. Pelvic floor muscle training versus no treatment, or inactive control treatments, for urinary incontinence in women: a short version Cochrane systematic review with meta‐analysis. Neurourol Urodyn. 2015;34(4):300-308. doi:10.1002/nau.22 700
  • Wallace SA, Roe B, Williams K, Palmer M. Bladder training for urinary incontinence in adults. Cochrane Database Syst Rev. 2004(1). doi:10.1002/14651858.CD001308.pub2
  • Bayraktar E. Exercise. Turk J Integr Med. 2015;3(2):102-103.
  • Olness K. Hypnosis and biofeedback with children and adolescents; clinical, research, and educational aspects. Introduction. Journal of developmental and behavioral pediatrics: JDBP. 1996;17(5):299.
  • Kemper KJ. Complementary and alternative medicine in pediatrics. İçinde: UpToDate, Jan E, Mary M, editörler. UpToDate, Waltham, MA. 2019.
  • World Health Organization. WHO global report on traditional and complementary medicine 2019. https://www.who.i nt/traditional-complementary-integrative-medicine/WhoGlob alReportOnTraditionalAndComplementaryMedicine2019.pdf?ua=1 . 2019'da basıldı. 1 Mayıs 2019'da erişildi.
  • Geleneksel ve Tamamlayıcı Tıp Uygulamaları Yönetmeliği. İçinde: T.C.Resmi Gazete, Sağlık Bakanlığı, editörler. Ankara: Başbakanlık Basımevi; 2014.
  • Kocaman G. Hemşirelikte kanıta dayalı uygulama. HEMAR-G. 2003;2(4):61-69.
  • Diokno AC, Newman DK, Low LK, ve ark. Effect of group-administered behavioral treatment on urinary incontinence in older women: a randomized clinical trial. JAMA Intern Med. 2018;178(10):1333-1341. doi: 10.1001/jamainternmed.2018.3766
  • Demirci N, Coşar F. Üriner inkontinans tedavisinde davranışsal tedavi yöntemleri. SDÜ Tip Fak. Derg. 2009;16(3):35-40.
  • Varlı M, Doğan Aras S, Atlı T. Yaşlıda üriner inkontinans ve tedavisi. Akademik Geriatri Dergisi. 2009;1(1):45-58.
  • Özcan M, Kapucu S. Üriner inkontinansı olan geriatrik hastalara hemşirelik yaklaşımı. Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi. 2014;1(2):101-109.
  • Wyman J, Burgio K, Newman D. Practical aspects of lifestyle modifications and behavioural interventions in the treatment of overactive bladder and urgency urinary incontinence. Int J Clin Pract. 2009;63(8):1177-1191. doi:10.1111/j.1742-1241.2009.02078.x
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  • Zhang W, Song Y, He X, ve ark. Prevalence and risk factors of lower urinary tract symptoms in Fuzhou Chinese women. Eur. Urol. 2005;48(2):309-313. doi: 10.1016/j.eururo.2005.0 3.003
  • Wood LN, Anger JT. Urinary incontinence in women. Bmj. 2014;349: doi: 10.1136/bmj.g4531.
  • Tähtinen RM, Auvinen A, Cartwright R, Johnson TM, Tammela TL, Tikkinen KA. Smoking and bladder symptoms in women. Obstet Gynecol. 2011;118(3):643-648. doi:10.1097/AOG.0b013e318227b7ac
  • Nygaard IE. Does prolonged high-impact activity contribute to later urinary incontinence? A retrospective cohort study of female Olympians. Obstet Gynecol. 1997;90(5):718-722. doi:10.1016/S0029-7844(97)00436-5
  • Eliasson K, Nordlander I, Larson B, Hammarström M, Mattsson E. Influence of physical activity on urinary leakage in primiparous women. Scand J Med Sci Sports. 2005;15(2):87-94. doi: 10.1111/j.1600-0838.2004.407.x
  • Nygaard I, DeLancey J, Arnsdorf L, Murphy E. Exercise and incontinence. Obstet Gynecol. 1990;75(5):848-851. https://europepmc.org/article/med/2325968
  • Bø K, Borgen JS. Prevalence of stress and urge urinary incontinence in elite athletes and controls. Med Sci Sports Exerc. 2001;33(11):1797-1802. https://journals.lww.com /acsm-msse/Fulltext/2001/11000/Prevalence_of_stress_and_u rge_urinary_incontinence.1.aspx
  • Bø K, Maehlum S, Oseid S, Larsen S. Prevalence of stress urinary incontinence among physically active and sedentary female students. Scand J Sports Sci. 1989;11(3):113-116.
  • Shamliyan T, Wyman J, Kane RL. Nonsurgical treatments for urinary incontinence in adult women: diagnosis and comparative effectiveness. Comparative Effectiveness. (Comparative Effectiveness Reviews, No. 36.). Rockville (MD): Agency for Healthcare Research and Quality (US); 2012.
  • Roe B, Ostaszkiewicz J, Milne J, Wallace S. Systematic reviews of bladder training and voiding programmes in adults: A synopsis of findings from data analysis and outcomes using metastudy techniques. J Adv Nurs. 2007;57(1):15-31. doi:10.1111/j.1365-2648.2006.04097.x
  • Ostaszkiewicz J, Chestney T, Roe B. Habit retraining for the management of urinary incontinence in adults. Cochrane Database Syst Rev. 2004;(2): CD002801. doi:10.1002/1465 1858.CD002801.pub2
  • Ostaszkiewicz J, Johnston L, Roe B. Timed voiding for the management of urinary incontinence in adults. Cochrane Database Syst Rev. 2004;(1):CD002802. doi:10.100 2/14651858.CD002802.pub2.
  • Nygaard I. Idiopathic urgency urinary incontinence. N Engl J Med . 2010;363(12):1156-1162. doi:10.1056/NEJMcp100384 9
  • Dumoulin C, Cacciari LP, Hay‐Smith EJC. Pelvic floor muscle training versus no treatment, or inactive control treatments, for urinary incontinence in women. Cochrane Database Syst Rev. 2018; 10:CD005654. doi:10.100 2/14651858.CD005654.pub4
  • Obstetricians ACo, Gynecologists. Urinary incontinence in women. Obstet Gynecol. 2005;105(6):1533-1545. doi:10.1097/00006250-200506000-00069
  • Dumoulin C, Hay‐Smith EJC, Mac Habée‐Séguin G. Pelvic floor muscle training versus no treatment, or inactive control treatments, for urinary incontinence in women. Cochrane Database Syst Rev. 2014;(5): CD005654. doi: 10.1002/14651858.CD005654.pub3
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  • Woodley SJ, Boyle R, Cody JD, Mørkved S, Hay‐Smith EJC. Pelvic floor muscle training for prevention and treatment of urinary and faecal incontinence in antenatal and postnatal women. Cochrane Database Syst Rev. 2017;(12): CD007471. doi:10.1002/14651858.CD007471.pub3
  • Hay‐Smith EJC, Herderschee R, Dumoulin C, Herbison GP. Comparisons of approaches to pelvic floor muscle training for urinary incontinence in women. Cochrane Database Syst Rev. 2011;(12): CD009508. doi:10.1002/14651858.CD009508
  • Seo JT, Yoon H, Kim YH. A randomized prospective study comparing new vaginal cone and FES-Biofeedback. Yonsei Med J. 2004;45(5):879-884. doi: 10.3349/ymj.2004.45.5.879
  • Lopez-Liria R, Varverde-Martinez MLA, Padilla-Gongora D, Rocamora-Perez P. Effectiveness of physiotherapy treatment for urinary incontinence in women: A systematic review. J Womens Health (Larchmt). 2019;28(4):490-501. doi:10.1089/jwh.2018.7140
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  • Herderschee R, Hay‐Smith EJ, Herbison GP, Roovers JP, Heineman MJ. Feedback or biofeedback to augment pelvic floor muscle training for urinary incontinence in women: shortened version of a Cochrane systematic review. Neurourol Urodyn. 2013;32(4):325-329. doi:10.1002/nau.22329
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  • Tenfelde S, Tell D, Garfield L, Mathews H, Janusek L. Yoga for women with urgency urinary incontinence: A pilot study. Female Pelvic Med Reconstr Surg. 2019;00:00–00. doi:10. 1097/spv.0000000000000723
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  • Wang Y, Zhishun L, Peng W, Zhao J, Liu B. Acupuncture for stress urinary incontinence in adults. Cochrane Database Syst Rev. 2013(7):CD009408. doi:10.1002/14651858.CD009408.p ub2
  • Langevin HM, Churchill DL, Cipolla MJ. Mechanical signaling through connective tissue: A mechanism for the therapeutic effect of acupuncture. FASEB J. 2001;15(12): 2275-2282. doi:10.1096/fj.01-0015hyp
  • Hino K, Honjo H, Nakao M, Kitakoji H. The effects of sacral acupuncture on acetic acid-induced bladder irritation in conscious rats. Urology. 2010;75(3):730-734. doi:10.1016/j.u rology.2009.04.025
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  • Mucuk S, Ceyhan Ö. Kanıta dayalı rehberleriyle tamamlayıcı ve destekleyici uygulamalar. Ankara: Akademisyen Kitabevi; 2015.
  • Chang KK, Wong TK, Wong TH, Leung AW, Chung JW. Effect of acupressure in treating urodynamic stress incontinence: A randomized controlled trial. AJCM. 2011;39(06):1139-1159. doi:10.1142/S0192415X11009469
Toplam 82 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Klinik Tıp Bilimleri
Bölüm Derleme
Yazarlar

Tuğba Andaç 0000-0002-5230-4300

Özlem Can Gürkan 0000-0002-5608-6208

Nurdan Demirci 0000-0003-0489-186X

Yayımlanma Tarihi 5 Haziran 2020
Gönderilme Tarihi 15 Ağustos 2019
Kabul Tarihi 4 Mart 2020
Yayımlandığı Sayı Yıl 2020 Cilt: 6 Sayı: 2

Kaynak Göster

APA Andaç, T., Can Gürkan, Ö., & Demirci, N. (2020). Üriner İnkontinansta Kanıt Temelli Tamamlayıcı ve Alternatif Tedaviler. Kocaeli Üniversitesi Sağlık Bilimleri Dergisi, 6(2), 83-90. https://doi.org/10.30934/kusbed.605439
AMA Andaç T, Can Gürkan Ö, Demirci N. Üriner İnkontinansta Kanıt Temelli Tamamlayıcı ve Alternatif Tedaviler. KOU Sag Bil Derg. Haziran 2020;6(2):83-90. doi:10.30934/kusbed.605439
Chicago Andaç, Tuğba, Özlem Can Gürkan, ve Nurdan Demirci. “Üriner İnkontinansta Kanıt Temelli Tamamlayıcı Ve Alternatif Tedaviler”. Kocaeli Üniversitesi Sağlık Bilimleri Dergisi 6, sy. 2 (Haziran 2020): 83-90. https://doi.org/10.30934/kusbed.605439.
EndNote Andaç T, Can Gürkan Ö, Demirci N (01 Haziran 2020) Üriner İnkontinansta Kanıt Temelli Tamamlayıcı ve Alternatif Tedaviler. Kocaeli Üniversitesi Sağlık Bilimleri Dergisi 6 2 83–90.
IEEE T. Andaç, Ö. Can Gürkan, ve N. Demirci, “Üriner İnkontinansta Kanıt Temelli Tamamlayıcı ve Alternatif Tedaviler”, KOU Sag Bil Derg, c. 6, sy. 2, ss. 83–90, 2020, doi: 10.30934/kusbed.605439.
ISNAD Andaç, Tuğba vd. “Üriner İnkontinansta Kanıt Temelli Tamamlayıcı Ve Alternatif Tedaviler”. Kocaeli Üniversitesi Sağlık Bilimleri Dergisi 6/2 (Haziran 2020), 83-90. https://doi.org/10.30934/kusbed.605439.
JAMA Andaç T, Can Gürkan Ö, Demirci N. Üriner İnkontinansta Kanıt Temelli Tamamlayıcı ve Alternatif Tedaviler. KOU Sag Bil Derg. 2020;6:83–90.
MLA Andaç, Tuğba vd. “Üriner İnkontinansta Kanıt Temelli Tamamlayıcı Ve Alternatif Tedaviler”. Kocaeli Üniversitesi Sağlık Bilimleri Dergisi, c. 6, sy. 2, 2020, ss. 83-90, doi:10.30934/kusbed.605439.
Vancouver Andaç T, Can Gürkan Ö, Demirci N. Üriner İnkontinansta Kanıt Temelli Tamamlayıcı ve Alternatif Tedaviler. KOU Sag Bil Derg. 2020;6(2):83-90.