Üriner İnkontinansı Olan Kadınlarda İnkontinans Şiddetinin Sağlık Arama Davranışı ve Yaşam Kalitesi Üzerindeki Etkisinin İncelenmesi

Yıl 2026, Cilt: 9 Sayı: 2, 190 - 197, 25.03.2026

Gülsüm Çeter Bülbül Sevda Karakaş

https://doi.org/10.38108/ouhcd.1514147

https://izlik.org/JA44HS96SS

Öz

Amaç: Üriner inkontinans (Üİ) kadınlar tarafından genellikle göz ardı edilen, sağlık sorunu olarak görülmeyen bir durumdur. Bu çalışmanın amacı, Üİ’lı kadınlarda inkontinans şiddeti, yaşam kalitesi ve tedavi arama davranışı arasındaki ilişkinin incelenmesi amacıyla yapılmıştır.
Yöntem: Bu çalışma ilişki arayıcı türde tasarlanan bir araştırmadır. Ocak 2023 – Temmuz 2023 tarihleri arasında 370 kadın ile yürütülmüştür. Veri toplama aşamasında demografik bilgi formu, Ürogenital Distres Envanteri, İnkontinans Şiddeti, Bristol Kadın Alt Üriner Sistem Semptomları İndeksi ve İnkontinans Etki soru formu kullanılmıştır.
Bulgular: Kadınların % 63’ünün yaklaşık bir yıldan uzun süredir üriner inkontinans yaşadığı, % 75.1’inin doktora başvurmadığı, %37.3’ünün üriner inkontinansı önemsemediği belirlenmiştir. Kadınlarda inkontinans şiddeti ile doktora başvurma oranları ve yaşam kalitesi arasında anlamlı bir ilişki olduğu tespit edilmiştir (p<0.05).
Sonuç: Çalışmamızda kadınlarda yaşam kalitesinin olumsuz etkilenmesine rağmen dört kadından üçünün doktora başvurmadığı tespit edildi. İnkontinans şiddeti arttıkça yaşam kalitesinin ciddi düzeyde olumsuz etkilendiği tespit edildi. Toplumda kadınlarda Üİ tanılanması, Üİ’a neden olabilecek risk faktörlerinin değerlendirilmesi ve Üİ’dan korunma konusunda kadınlarda bilinç ve farkındalık kazandırmada hemşirelere önemli sorumluluklar düşmektedir.

Anahtar Kelimeler

inkontinans şiddeti , sağlık arama davranışı , Üriner inkontinans , yaşam kalitesi

Examination of the Impact of Incontinence Severity on Health-Seeking Behavior and Quality of Life in Women with Urinary Incontinence

https://izlik.org/JA44HS96SS

Öz

Objective: Urinary incontinence (UI) is a health problem that is often ignored, and treatment is delayed. It is crucial to raise awareness among women that urinary incontinence is a treatable condition, can occur at any age, and is not a natural consequence of aging. The aim of this study was to investigate the relationship between incontinence severity, quality of life, and treatment seeking behavior in women with UI.
Methods: This study is a correlational research design. It was conducted with 370 women between January 2023 and July 2023. During data collection, a demographic information form, the Urogenital Distress Inventory, the Incontinence Severity Index, the Bristol Female Lower Urinary Tract Symptom, and Incontinence Impact Questionnaire were utilized.
Results: It was found that 63% of the women had been experiencing urinary incontinence for more than a year, 75.1% had not consulted a doctor for their urinary incontinence complaints, and 37.3% did not consider their urinary incontinence significant. A significant relationship was identified between the severity of incontinence, doctor consultation rates, and quality of life (p<0.05).
Conclusion: Despite the negative impact on quality of life, three out of four women did not seek medical advice. It was determined that as the severity of incontinence increased, the quality of life was severely negatively affected. Nurses have important responsibilities in diagnosing UI in women in the community, evaluating the risk factors that may cause UI, and raising awareness and consciousness in women about prevention of UI.

Anahtar Kelimeler

urinary incontinence , incontinence severity , quality of life , health-seeking behavior

Etik Beyan

Approval was obtained from the Ethics Committee of Mardin Artuklu University (Approval No: 78108 and Decision No: 14), and institutional permission was received from Mardin Training and Research Hospital to conduct the research. Also, the study was conducted under the principles of the Declaration of Helsinki.

Teşekkür

Acknowledgments The authors thank all of the participants in this study. Authorship Contributions: Concept: GÇB, SK; Design: GÇB, SK; Data Collection or Processing: GÇB, SK; Analysis or Interpretation: GÇB, SK; Literature Search: GÇB, SK; Preparation of the manuscript: GÇB, SK; Critical Reviews: GÇB, SK. Conflict of Interest: No conflict of interest was declared by the authors. Financial Disclosure: The authors declared that this study received no financial support.

Kaynakça

• Almutairi S, Alobaid O, Al-Zahrani MA, Alkhamees, M, Aljuhayman, A, Ghazwani Y. (2021). Urinary incontinence among Saudi women: prevalence, risk factors, and impact on quality of life. European Review for Medical and Pharmacological Sciences, 25(20), 6311-6318.
• Aström Y, Asklund I, Lindam A, Sjöström M. (2021). Quality of life in women with urinary incontinence seeking care using e-health. BMC Women's Health, 21, 1-9.
• Chow PM, Chuang YC, Hsu KP, Shen YC, Liu SP. (2022). Impact of female stress urinary incontinence on quality of life, mental health, work limitation, and healthcare seeking in China, Taiwan, and South Korea (LUTS Asia): Results from a cross-sectional, population-based study. International Journal of Women's Health, 14, 1871-1880.
• Çulha Y, Üşenmez SY, Büyükyılmaz F. (2024). The relationship between urinary incontinence awareness and health-seeking behavior in elderly individuals living in nursing homes. Kocatepe Medical Journal, 25(2), 194-200.
• Çiloğlu D, Zaybak A. (2020). Coping behaviors and quality of life in ındividuals with urinary ıncontinence. Türkiye Clinics Journal of Nursing Sciences, 12(1), 64–71.
• Gomes TA, Faber MDA, Botta B, Brito LGO, Juliato CRT. (2020). Severity of urinary incontinence is associated with prevalence of sexual dysfunction. Int Urogynecol Journal, 31(8), 1669–1674.
• Gökkaya CS, Öztekin CV, Doluoglu OG, Güzel O, Ersahin V, Özden C. (2012). Validation of Turkish version of bristol female lower urinary tract symptom Index. Journal of Clinical and Analytical Medicine, 3(4), 415-418.
• Güngör F, Cihan C, Şebnem E, Önay Y. (2016). Thoughts and attitudes about urinary incontinence in Turkey. Journal of Istanbul Faculty of Medicine, 79(4), 141-146.
• Hammad FT. (2021). Prevalence, social impact and help-seeking behaviour among women with urinary incontinence in the gulf countries: a systematic review. European Journal of Obstetrics Gynecology and Reproductive Biology, 266, 150-156.
• İrer B, Şen V, Demir Ö, Bozkurt O, Esen A. (2018). Effects of urinary incontinence subtypes on quality of life: is the urinary incontinence subtype important in consulting a doctor? Ortadogu Medical Journal, 10(1), 8 –12.
• Hazar HU, Şirin A. (2008). Validity and reliability study of the incontinence severity index. ADÜ Faculty of Medicine Journal, 9(3), 5-8.
• Karaca ŞB, Demir AN. (2019). The effect of urinary incontinence on quality of life and mood in female patients and their exercise awareness levels. Ankara Training and Research Hospital Medical Journal, 52(2),133-137.
• Kilit DÖ, Eke E. (2019). Evaluation of individuals' health information seeking behaviors: Isparta province example. Hacettepe Journal of Health Administration, 22(2), 401-436.
• Lamerton TJ, Mielke GI, Brown WJ. (2020). Urinary incontinence in young women:risk factors, management strategies, help-seeking behavior, and perceptions about bladder control. Neurourol Urodynamics, 39(8), 2284–2292.
• Lim R, Liong ML, Leong WS, Lau YK, Khan NAK, Yuen KH. (2018). The impact of stress urinary incontinence on individual components of quality of life in Malaysian women. Urology, 112, 38–45.
• Mallett VT, Jezari AM, Carrillo T, Sanchez S, Mulla ZD. (2018) Barriers to seeking care for urinary incontinence in Mexican American women. International Urogynecology Journal , 29, 235–241.
• Milsom I, Gyhagen M. (2019). The prevalence of urinary incontinence. Climacteric, 22(3), 217–22.
• Najafi Z, Morowatisharifabad MA, Jambarsang S, Rezaeipandari H, Hemayati R. (2022). Urinary incontinence and related quality of life among elderly women in Tabas, South Khorasan, Iran. BMC Urology, 22(1), 1–9.
• Pizzol D, Demurtas J, Celotto S, Maggi S, Smith L, Angiolelli G. (2021). Urinary incontinence and quality of life: a systematic review and meta-analysis. Aging Clinical and Experimental Research, 33, 25–35.
• Pedersen LS, Lose G, Høybye MT, Jürgensen M, Waldmann A, Rudnicki M. (2018). Predictors and reasons for help-seeking behavior among women with urinary incontinence. International Urogynecology Journal, 29(4), 521–530.
• Rüzgar Ş, Özerdoğan N, Yalçın, Ö. (2020). The effect of urinary incontinence on women's quality of life and the spiritual dimension of their lives. Samsun Health Sciences Journal , 5(1), 50-58.
• Rashidi Fakari, Hajian S, Darvish S, Alavi MH. (2021). Explaining factors affecting help-seeking behaviors in women with urinary incontinence: a qualitative study. Bmc Health Services Research, 21,1-10.
• Rashidi Fakari, Hajian S, Darvish S, Alavi M H. (2023). Predictors of help-seeking behaviors in women with urinary incontinence: based on Iranian women’s lens. Plos One, 18(8), 1-13.
• Shumaker SA, Wyman JF, Uebersax JS, McClish D, Fantl, JA. (1994). Health-related QOL measures for women with urinary incontinence: The incontinence impact questionnaire and urogenital distress inventory. Quality of Life Research, 3(5), 291-306.
• Şimşek Ş, Yağcı N. (2022). Examination of urinary incontinence and incontinence knowledge level in female healthcare professionals. Adnan Menderes University Faculty of Health Sciences Journal, 6(1), 77-84.
• Vethanayagam N, Orrell A, Dahlberg L, McKee KJ, Orme S, Parker SG. (2017). Understanding help-seeking in older people with urinary incontinence: an interview study. Health & Social Care in the Community, 25(3), 1061–1069.
• Yaman, Z, Atalay HN. (2020). Examining the relationship between individuals' health perception and health seeking behavior. The Journal of International Education Science, 25 (7), 189-202.