Clınıcal Guıdelines and Its Use In Clinic In Sub Urınary System Symptoms and Pelvic Organ Prolapsus

Yıl 2021, Cilt: 2 Sayı: 1, 54 - 65, 07.06.2021

Arzu Akdemir , Ergül Aslan

Öz

Symptoms related to the pelvic floor are a common problem that can be seen in all stages of women's life and have a negative impact on women's quality of life in terms of physical, sexual and social aspects. Guidelines have been developed to be a resource for healthcare services to be provided for the prevention, diagnosis and treatment of these symptoms. These guidelines provide support to healthcare professionals in the process of identifying clinical problems, systematizing them, and creating the necessary suggestions for the solution of the problem with recommendations at different levels of evidence. Current guidelines on lower urinary tract symptoms and pelvic organ prolapse, the importance of anamnesis and physical examination in the initial evaluation of patients, the use of bladder diary and validated scales, post-voiding residual urine volume measurement and urine analysis as the first diagnostic test, application of first-line conservative treatment options, second They agree on using antimuscarinic drugs as a stepwise treatment option and the use of midurethral slings as a surgical method. They agree on testing antimuscarinic drugs and using midurethral slings as a surgical method. Current guidelines and studies with high level of evidence will be guiding in nursing care to be given regarding the symptoms related to the pelvic floor. The aim of this review is to review the guidelines of internationally recognized institutions and organizations on the management of lower urinary system and pelvic organ prolapse symptoms on an evidence-based basis and to raise awareness of the issue among nurses.

Anahtar Kelimeler

Lower urinary tract symptoms, clinical guidelines, pelvic organ prolapse

Alt Üriner Sistem Semptomları ve Pelvik Organ Prolapsuslarında Klinik Rehberler ve Klinikte Kullanımı

Öz

Pelvik tabana ilişkin semptomlar kadın yaşamının her evresinde görülebilen ve kadının yaşam kalitesi üzerinde fiziksel, cinsel, sosyal yönden olumsuz etki yapan yaygın bir sorundur. Bu semptomların önlenmesi, tanısı ve tedavisinde sunulacak sağlık hizmetine kaynak oluşturacak rehberler geliştirilmiştir. Bu rehberler, farklı kanıt düzeyinde öneriler ile klinik sorunları belirleme, sistematize etme, sorunun çözümüne yönelik gerekli önerileri oluşturma sürecinde sağlık profesyonellerine destek sağlamaktadır. Alt üriner sistem semptomları ve pelvik organ prolapsuslarına ilişkin güncel rehberler hastaların ilk değerlendirmesinde anamnez ve fizik muayenenin önemi, mesane günlüğü ve doğrulanmış ölçeklerin kullanımı, ilk tanı testi olarak boşaltım sonrası rezidüel idrar hacmi ölçümü ve idrar analizi yapılması, birinci basamak konservatif tedavi seçeneklerinin uygulanması, ikinci basamak tedavi seçeneği olarak antimuskarinik ilaçların denenmesi, cerrahi yöntem olarak midüretral slinglerin kullanımı konusunda hemfikirdirler. Pelvik tabana ilişkin semptomlara yönelik verilecek hemşirelik bakımında güncel rehberler ve kanıt düzeyi yüksek çalışmalar yol gösterici olacaktır. Bu derlemenin amacı alt üriner sistem ve pelvik organ prolapsusu semptomlarının yönetimi hakkında, alanında uluslararası tanınırlığı olan kurum ve kuruluşların rehberlerini kanıt temelli olarak gözden geçirmek ve hemşirelerde konuyla ilgili farkındalığın artmasını sağlamaktır.

Anahtar Kelimeler

Alt üriner sistem semptomları, klinik rehberler, pelvik organ prolapsusu

Kaynakça

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