Gebelikte Üriner İnkontinans ve Yaşam Kalitesine Etkisi

Yıl 2024, Cilt: 7 Sayı: 3, 604 - 615

Esra Keskin , Ebru Şahin

https://doi.org/10.38108/ouhcd.1366777

Öz

Amaç: Araştırmanın amacı gebelikte üriner inkontinans görülme durumu, yaşam kalitesi üzerine etkisi ve etkileyen faktörleri belirlemektir.
Yöntem: Tanımlayıcı tipte yapılan çalışma Aralık 2017- Mayıs 2018 tarihleri arasında Ordu ilindeki bir hastanenin gebe polikliniğine başvuran 300 gebe ile gerçekleştirildi. Araştırmanın verileri, Kişisel Bilgi Formu, İnkontinans Yaşam Kalitesi Ölçeği (İYKÖ), İnkontinans Şiddet İndeksi (İŞİ) kullanılarak toplandı.
Bulgular: Gebelerin %91.7’sinin gebelikten önce idrar kaçırma şikayetinin olmadığı, %49.3’ünün gebelik boyunca idrar kaçırma şikayeti olduğu belirlenmiştir. %82.4’ünün öksürme sırasında, %75’inin ise hapşırma sırasında idrar kaçırdığı saptanmıştır. Üriner inkontinans (Üİ)lı gebelerin %35.7’si miks tipi Üriner İnkontinans, %31.6’sı Stres ÜÜİ, %4.1’i ise urge Üİ olduğu tespit edilmiştir. Bu çalışmadaki Üriner inkontinanslı gebelerin İŞİ skorlamasına bakıldığında %54.7’si hafif, %43.2’si orta ve %2’sinin ise şiddetli grupta olduğu belirlenmiştir. Üİ ile eğitim, yaş, sigara kullanımı, kabızlık yaşama durumu arasında istatistiksel olarak anlamlı farklılık bulunmazken (p>0.05), gebelik sayısı, gebelik haftası, BKİ ve doğum şekli ile Üİ arasında anlamlı farklılık bulunmuştur (p<0.05).
Sonuç: Üriner inkontinanslı olan gebelerin olmayan gebelere göre inkontinans yaşam kalitesi düzeyleri daha düşük bulunmuştur.

Anahtar Kelimeler

gebelik, üriner inkontinans, yaşam kalitesi, hemşirelik

Etik Beyan

Ordu Üniversitesi Klinik Araştırmalar Etik Kurulu'ndan etik izin alınmıştır.

Urinary Incontinence in Pregnancy and Its Effect on Quality of Life

Öz

Objective: The aim of the study is to determine the incidence of urinary incontinence during pregnancy, its impact on quality of life, and the affecting factors.
Methods: The descriptive study was conducted on 300 pregnant women who applied to the pregnant outpatient clinic of a hospital in Ordu between December 2017 and May 2018. Data were collected using the Personal Information Form, Incontinence Quality of Life Scale (ASQI), and Incontinence Severity Index (ISI).
Results: It was determined that 91.7% of the pregnant women did not have urinary incontinence before pregnancy and 49.3% of them had urinary incontinence during pregnancy. It was found that 82.4% experienced incontinence during coughing and 75% during sneezing. It was determined that 35.7% of the pregnant women with urinary incontinence had mixed type UI, 31.6% had stress UI and 4.1% had urge UI. When the Incontinence Severity Index score of the pregnant women with urinary incontinence was evaluated, it was found that 54.7% were mild, 43.2% were moderate and 2% were in the severe group. There was a statistically significant difference between UI and the number of years, week, BMI, and type of delivery (p <0.05). There was a statistically significant difference between the gestational weeks of the patients with urinary incontinence in terms of quality of life and limitation of behavior subscale scores (p<0.05).
Conclusions: Incontinence quality of life levels of pregnant women with urinary incontinence were found to be lower than pregnant women without urinary incontinence.

Anahtar Kelimeler

pregnancy, urinary incontinence, quality of life, nursing

Kaynakça

• Abdullah B, Ayub SH, Zahid AZ, Noorneza AR, İsa RM, Ng PY. (2016). Urinary incontinence in primigravida: the neglected pregnancy predicament. European Journal of Obstetrics & Gynecology and Reproductive Biology Pages, 198, 110-115.
• Altınay SA, Aydemir Ç, Gökal E. (2002). The prevalence of depressive symptom levels in puerperal period: relationship with obstetric risk factors, anxiety levels and social support. Journal of Crisis, 10(1), 11-18.
• Altınparmak S. (2006). The relationship between quality of life and self-care agency in pregnancy. TSK Koruyucu Hekimlik Bülteni, 5(6), 416-423.
• Başak T, Kök G, Güvenc G. (2013). Prevalence, risk factors and quality of life in Turkish women with urinary incontinence: a synthesis of the literature. International Nursing Review, 60, 448-460.
• Caruso FB, Schreiner L, Todescatto AD, Crivelatti I, Oliveira JM. (2020). Risk factors for urinary incontinence in pregnancy: A case-control study. Revista Brasileira de Ginecologia e Obstetrícia, 42(12), 787–792.
• Chang SR, Lin WA, Chang TC, Lin HH, Lee CN, Lin MI. (2021). Risk factors for stress and urge urinary incontinence during pregnancy and the first year postpartum: A prospective longitudinal study. International Urogynecology Journal, 32(9), 2455–2464.
• Dağdeviren H, Kaya C, Cengiz H, Erdoğan VŞ, Helvacıoğlu Ç, Bilecan MS. (2018). Urinary incontinence in pregnant women and its relation with quality of life. İstanbul Medical Journal, 19, 43-46.
• Demircan N, Özmen Ü, Köktürk F, Küçük H, Ata S, Harma M, et al. (2016). What are the probable predictors of urinary incontinence during pregnancy? Peer J Journals, 4, 1-19.
• Durmaz Ö. (2011). Determination of the Frequency of Urinary Incontinence and Risk Factors in Women Aged 20 and Over Living in Nicosia Center of the Turkish Republic of Northern Cyprus. Master's Thesis, Near East University Institute of Health Sciences, Nicosia.
• Erbil N, Taş N, Uysal M, Kesgin A, Kiliçarslan N, Gökkaya Ü. (2011). Urinary incontinence among pregnant Turkish women. Pakistan Journal of Medical Sciences, 27(3), 586-590.
• Gökalp C, Okumuş H, Bilgiç D. (2020). Urinary incontinence and quality of life according to trimesters in pregnancy, Cukurova Medical Journal, 45 (3), 954-962.
• Göral S. (2014). Urinary Incontinence and Quality of Life in Women Living in Nursing Homes in the Mediterranean Region. Master's Thesis, Akdeniz University, Antalya.
• Güvenç G, Kocaöz S, Kök G. (2016). Quality of life in climacteric Turkish women with urinary incontinence. International Journal of Nursing Practice, 22, 649–659.
• Haylen BT, Ridder D, Freeman RM. et al. (2010). An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction. Neurourol Urodyn Journal, 29, 4-20.
• Hazar H, Şirin A. (2008). A Validity and Reliability Study of the Incontinence Index. Meandros Medical And Dental Journal, 9(3), 5-8.
• Inal CG. (2019). Factors Affecting Urinary Incontinence During Pregnancy and Quality of Life. Master's Thesis, İnönü University, Malatya.
• Jean-Michel M, Kroes J, Marroquin GA, Chau ES, Salafia CM, Mikhail M. (2018). Urinary incontinence in pregnant young women and adolescents. Female Pelvic Medicine and Reconstructive Surgery Journal, 24(3), 232–236.
• Kaya S, Akbayrak T, Orhan C, Beksaç S. (2015). A comparison of patient characteristics and urinary parameters in women with various types of urinary incontinence: A retrospective study. Journal of Exercise Therapy and Rehabilitation, 2(3), 93-101.
• Kılıçarslan S. (2008). Sociodemographic Characteristics, Quality of Life, Anxiety Levels of Last Trimester Pregnant Women in Edirne City Center. Specialization Thesis, Trakya University, Edirne.
• Kocaöz S, Eroğlu K. (2009). Conservative treatment methods of stress urinary ıncontinence during pregnancy and after vaginal delivery and roles of nurse: Review. Turkiye Klinikleri Journal Nursing Sciences, 1, 94-102.
• Kocaöz S, Talas MS, Atabekoğlu CS. (2012). Urinary incontinence among Turkish women: an outpatient study of prevalence, risk factors, and quality of life. Journal Wound Ostomy Continence Nursing, 39, 431-439.
• Kocaöz S, Talas MS, Atabekoğlu CS. (2010). Urinary incontinence in pregnant women and their quality of life. Journal of Clinical Nursing, 19, 3314-3323.
• Korur A. (2008). Consequences of Urinary Incontinence in Women on General Health, Psychosocial and Sexual Life. Specialization thesis, Göztepe Training and Research Hospital Family Medicine, Istanbul.
• Mihmanlı V, Yüksel İT. (2013). Gynecologic problems in geriatric patients. European Archives of Medical Research, 29, 127-131.
• Moossdorff-Steinhauser H, Berghmans B, Spaanderman M, Bols E. (2021). Urinary incontinence during pregnancy: Prevalence, experience of bother, beliefs, and help-seeking behavior. International Urogynecology Journal, 32(3), 695-701.
• Okunola TO, Olubiyi OA, Omoya S, Rosiji B, Ajenifuja KO. (2018). Prevalence and risk factors for urinary incontinence in pregnancy in Ikere-Ekiti. Nigeria Neurourol Urodyn, 37(8), 2710-3276.
• Özerdoğan N, Beji NK. (2003). The prevalence and risk factors of urinary incontinence and its influence of the quality of life in 20 years or older of women in Eskişehir, Afyon, Kütahya, Bilecik Cities. Florence Nightingale Journal of Nursing, 13, 51, 37-50.
• Özerdoğan N. (2003). Female urinary incontinence and the quality of life. Florence Nightingale Journal of Nursing, 13, 51, 87-92.
• Parazzini F, Chiaffarino F, Lavezzari M, Giambanco V. (2003). Risk factors for stress, urge or mixed urinary incontinence in Italy. An International Journal of Obstetrics & Gynaecology, 110, 927-933.
• Patrick DL, Martin ML, Bushnell M, et.al. (1999). Quality of life of women with urinary incontinence: Further development of the incontinence Quality of Life Instrument (I-QOL). Urology, 53,71-76.
• Sandvik H, Seim A, Vanvik A, Hunskaar S. (2000). A severity index for epidemiological surveys of female urinary incontinence: comparison with 48-hour pad-weighing tests. Neurourology and Urodynamics, 19, 137-45.
• Sümbüloğlu K, Sümbüloğlu V. (2009). Biostatistics. Ankara: Hatipoğlu Publishing House. P:245-266.
• Süt HK. (2015). The effect pregnancy and childbirth on pelvic floor dysfunctions: role of nurse in prevention and protection. Gümüşhane University Journal of Health Sciences, 4, 292-230.
• Terzi H, Terzi R, Kale A. (2013). Urinary incontinence frequency and affecting factors in women aged over 18. Ege Journal of Medicine, 52(1), 15-19.
• Yılmaz E, Muslu A, Özcan E. (2014). Quality of life at women with urinary incontinence. Erciyes Üniversitesi Faculty of Health Sciences Journal, 2, 1-14