İnkontinansı Olan ve Olmayan Kadınlarda Başa Çıkma Tutumlarının ve İnkontinans Sıklığının İncelenmesi

Abstract

Amaç: Başa çıkma stratejilerinin, inkontinans gibi yaşam kalitesini etkileyen durumlarda önemli olduğu düşünülmektedir. Bu çalışmanın amacı, inkontinansı olan ve olmayan kadınların başa çıkma tutumlarının ve inkontinans sıklığının incelenmesidir. Gereç ve Yöntemler: Kesitsel-tanımlayıcı tipteki çalışma, Türkiye'nin güneybatısında yer alan bir Sağlıklı Yaşam Merkezi'ne başvuran 417 kadın ile gerçekleştirilmiştir. Çalışma verileri, Uluslararası İnkontinans Anketi Kısa Formu (ICIQ-SF) ve Başa Çıkma Tutumlarını Değerlendirme Ölçeği (BÇTDÖ) kullanılarak toplandı. Bulgular: Çalışmaya katılan kadınların %34.8'inde inkontinans olduğu ve stres tipi inkontinansın daha fazla görüldüğü bulunmuştur. İnkontinanslı olan ve olmayan kadınlar arasında sorunlarla başa çıkma tutumlarının benzer olduğu saptanmıştır. İnkontinanslı olan ve olmayan kadınlar arasında sorunlarla başa çıkma tutumlarının benzer olduğu ve kadınlarının daha çok işlevsel olan duygu odaklı ve problem odaklı tutumlarını kullandıkları saptanmıştır. İnkontinanslı kadınlarının işlevsel başa çıkma tutumlarından problem odaklı olarak "geri durma" tutumunu; duygu odaklı olarak "kabullenme" tutumunu ve işlevsel olmayan başa çıkma tutumu olarak "inkar" ve "davranışsal olarak boş verme" tutumlarını, inkontinans olmayan kadınlara göre daha fazla kullandığı saptanmıştır. Sonuç: Kadınların, yaklaşık üçte birinde inkontinans olduğu ve kadınlarının problem odaklı ve duygu baş etme yöntemlerini daha çok kullandıkları saptanmıştır. Üriner inkontinans tedavi edilme şansı olmasına rağmen topluma majör fiziksel, psikososyal ve ekonomik etkileri bulunan, kadınlar tarafından çoğu zaman sağlık kurumuna rapor edilmekte ve tedavi olmakta gecikilen bir durum olarak karşımıza çıkmaktadır.

Keywords

• İnkontinans
• Başa çıkma
• Tutum
• Kadın
• Yaşam Kalitesi

Prevalence of Urinary Incontinence and Coping Attitudes in Women With and Without Incontinence in Turkey

Abstract

Aim: Coping strategies are thought to be important in dealing with a problem that affects women's well-being and quality of life, such as incontinence (UI). This study was done to investigate the incidence of UI and coping attitudes in women without and with UI in Turkey. Material and Methods: The descriptive study was carried out with 417 women who were applied in a Healthy Life Center located in Turkey. The study data were obtained using the International Consultation on Incontinence Questionnaire (Short Form) (ICIQ-SF) and Coping Orientations to Problems Experienced (COPE). Results: It was found that 34.8% of women had UI. It was determined that women used more common problem and emotion-focused coping attitudes” which are functional coping attitudes. It was found that women with UI used "withdrawal" which are problem-functional coping attitude "acceptance" which are emotion-functional coping attitude and "denial" and "behavioral disengagement" which are dysfunctional coping attitudes more than women without UI. Conclusion: It was determined that one third of the women had UI and they used more common problem-and emotion-focused coping attitudes. Although urinary incontinence has a chance of being treated, it is a condition that has major physical, psychosocial and economic effects on society, and is often reported to the health institution by women, and treatment is delayed.

Keywords

• Urinary incontinence
• Cope
• Coping Attitudes
• Women
• Life of quality

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