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.
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
Borrie MJ, Bawden M, Speechley M, Kloseck M. Interventions led by nurse continence advisers in the management of urinary incontinence: A randomized controlled trial. CMAJ. 2002;166(10):1267-1273.
Imamura M, Williams K, Wells M, McGrother C. Lifestyle interventions for the treatment of urinary incontinence in adults. Cochrane Database Syst Rev. 2015;(12): CD003505. doi:10.1002/14651858.CD003505.pub5
Dallosso H, Matthews R, McGrother C, Donaldson M. Diet as a risk factor for the development of stress urinary incontinence: a longitudinal study in women. Eur J Clin Nutr. 2004;58(6): 920–926. doi:10.1038/sj.ejcn.1601913
Dallosso HM, Matthews RJ, McGrother CW, Donaldson MM, Shaw C, Group LMIS. The association of diet and other lifestyle factors with the onset of overactive bladder: A longitudinal study in men. Public Health Nutr. 2004;7(7):885-891. doi:10.1079/PHN2004627
Dallosso HM, McGrother CW, Matthews RJ, Donaldson MM. Nutrient composition of the diet and the development of overactive bladder: A longitudinal study in women. Neurourol Urodyn. 2004;23(3):204-210. doi:10.1002/nau.20028
Dallosso H, McGrother C, Matthews R, Donaldson M, Group LMIS. The association of diet and other lifestyle factors with overactive bladder and stress incontinence: A longitudinal study in women. BJU Int. 2003;92(1):69-77. doi:10.1046/j.1464-410X.2003.04271.x
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Üriner İnkontinansta Kanıt Temelli Tamamlayıcı ve Alternatif Tedaviler
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.
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
Borrie MJ, Bawden M, Speechley M, Kloseck M. Interventions led by nurse continence advisers in the management of urinary incontinence: A randomized controlled trial. CMAJ. 2002;166(10):1267-1273.
Imamura M, Williams K, Wells M, McGrother C. Lifestyle interventions for the treatment of urinary incontinence in adults. Cochrane Database Syst Rev. 2015;(12): CD003505. doi:10.1002/14651858.CD003505.pub5
Dallosso H, Matthews R, McGrother C, Donaldson M. Diet as a risk factor for the development of stress urinary incontinence: a longitudinal study in women. Eur J Clin Nutr. 2004;58(6): 920–926. doi:10.1038/sj.ejcn.1601913
Dallosso HM, Matthews RJ, McGrother CW, Donaldson MM, Shaw C, Group LMIS. The association of diet and other lifestyle factors with the onset of overactive bladder: A longitudinal study in men. Public Health Nutr. 2004;7(7):885-891. doi:10.1079/PHN2004627
Dallosso HM, McGrother CW, Matthews RJ, Donaldson MM. Nutrient composition of the diet and the development of overactive bladder: A longitudinal study in women. Neurourol Urodyn. 2004;23(3):204-210. doi:10.1002/nau.20028
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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.