QUALITY OF LIFE AND FACTORS ASSOCIATED WITH IT IN ELDERLY WOMEN WITH URINARY INCONTINENCE

DEMİR, GÖKÇE; erbesler, zeynel abidin

QUALITY OF LIFE AND FACTORS ASSOCIATED WITH IT IN ELDERLY WOMEN WITH URINARY INCONTINENCE

Zeynel Abidin ERBESLER, (Ahi Evran University, Faculty of Medicine Department of Palliative Care KIRSEHIR)

Gökçe DEMİR (Ahi Evran University, Faculty of Medicine Department of Palliative Care KIRSEHIR)

Türk Geriatri Dergisi

9 2

Yıl: 2017 Cilt: 20 Sayı: 3 Sayfa Aralığı: 213 - 222 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

QUALITY OF LIFE AND FACTORS ASSOCIATED WITH IT IN ELDERLY WOMEN WITH URINARY INCONTINENCE

Öz:

Giriş: Üriner inkontinans her yaş grubundaki kadınları etkilemekle birlikte özellikle yaşlanma ile birlikte sıklığı artan ve yaşam kalitesini etkileyen, önemli bir sağlık problemidir. Gereç ve Yöntem: Üriner inkontinans yaşayan kadınların yaşam kalitelerinin hangi düzeyde etkilendiğini ve etkileyen faktörleri belirlemek amacıyla yapılan çalışma kesitsel türdedir. Bir ildeki bir hastanenin üroloji polikliniklerine 1 Aralık 2016- 31 Mayıs 2017 tarihleri arasında üriner inkontinans şikayeti ile başvuran 65 yaş ve üzeri kadınlar örneklemi oluşturmuştur. Araştırmanın verileri, kadınların sosyo-demografik özellikleri, doğurganlık özellikleri ve üriner inkontinans ile ilişkili yakınmalarını saptamaya yönelik anket formu ve "İnkontinans Yaşam Kalitesi Ölçeği" ile toplanmıştır. Verilerin analizinde tanımlayıcı analiz yöntemleri, Kruskal Wallis, ve Mann Whitney U testi kullanılmıştır. Bulgular: Kadınlarda yaş, sigara içme, epizyotomi uygulanma durumu, inkontinans miktarı ve beden kitle indeksindeki artışla birlikte inkontinans yaşam kalitesi ölçeği puanlarının anlamlı düzeyde düştüğü ve dolayısı ile yaşam kalitelerinin negatif yönde etkilendiği belirlenmiştir (p<0.05). Kadınların eğitim düzeyi, kronik hastalık varlığı, üriner inkontinans tipi, doğum sayısı, 4 kg ve üzeri bebek doğurma, idrar kaçırma süresi ve yaşanan üriner inkontinans sıklığına göre yaşam kalitesi etkilenme durumu karşılaştırıldığında istatistiksel olarak anlamlı bir farklılık görülmemektedir (p>0.05). Sonuç: Üriner inkontinans yaşlı kadınların yaşam kalitesini olumsuz yönde etkilemektedir.

Anahtar Kelime:

Konular: Cerrahi

ÜRİNER İNKONTİNANSLI YAŞLI KADINLARDA YAŞAM KALİTESİ VE ETKİLEYEN FAKTÖRLER

Öz:

Introduction: Urinary incontinence, which affects women of all age groups, is a crucial health problem, affecting the quality of the life and incidence of it increases especially with aging. Materials and Method: This study was designed as a cross-sectional research to determine to what extent the quality of life of women with urinary incontinence was affected and which factors were involved. The study included women aged 65 years and over who were admitted to a urology outpatient clinic at a provincial hospital with a complaint of urinary incontinence between December 1, 2016 and May 31, 2017. The study data such as demographic characteristics, reproductive features, and complaints related to urinary incontinence were collected using a questionnaire and the Incontinence Quality of Life Scale. Descriptive statistics and Kruskal–Wallis and Mann–Whitney U tests were used in data analysis. Results: Incontinence Quality of Life Scale scores significantly decreased in association with age, smoking status, episiotomy status, and increased body mass index; therefore, quality of life was negatively affected in these women (p<0.05). Educational level of the women, presence of chronic disease, type of urinary incontinence, having delivered a baby weighing 4 kg or over, and duration and frequency of urinary incontinence had no statistically significant effect on the quality of life of women (p>0.05). Conclusion: Urinary incontinence negatively affects the quality of life of elderly women.

Anahtar Kelime:

Konular: Cerrahi

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

1. TUIK, 2016, TC. Turkish Statistical Institute The Results of Address Based Population [Internet] Available from: http://www.tuik.gov.tr/PreHaberBultenleri. do?id=246382016. Number: 21507, 26 January 2017. Accessed: 25.12.2016.
2. Özdemir L, Koçoğlu G, Sümer H, et al. Frequency of some chronic diseases and risk factors among the elderly people in Sivas, Turkey. Journal of the Faculty of Medicine Cumhuriyet University 2005;27(3):89-94. (in Turkish).
3. Altay B, Çavuşoğlu F, Çal A. The factors affecting the perception of elderly patients towards health, quality of life and health-related quality of life. TAF Preventive Medicine Bulletin 2016;15(3):181-9. (in Turkish).
4. Kaşıkçı M, Kılıç D, Avşar G, Şirin M. Prevalence of urinary incontinence in older Turkish women, risk factors, and effect on activities of daily living. Arch Gerontol Geriatr 2015;61(2): 217-23. (PMID:26123541).
5. Ateşkan Ü, Mass RM, Doruk H, Kutlu M. Urinary incontinence among the elderly people of Turkey: prevalance, clinical types and health-care seeking. Turk J Geriatr 2000;3(2):45-50. (in Turkish).
6. Demirel T, Akın B. Prevalence and risk factors of urinary incontinence and its impact on quality of life among 65 years and over women who lived in rural area. Turk J Geriatr 2014;17(4): 379-88. (in Turkish).
7. Ghafouri A, Alnaimi AR, Alhothi HM, et al. Urinary incontinence in Qatar: a study of the prevalence, risk factors and impact on quality of life. Arab J Urol 2014;12(4): 269-74. (PMID:26019961).
8. Amaral MO, Coutinho EC, Nelas PA, Chaves CM, Duarte JC. Risk factors associated with urinary incontinence in Portugal and the quality of life of affected women. Int J Gynaecol Obstet 2015;131(1): 82-6. (PMID:26077752).
9. Ozerdogan N, Kizilkaya NB, Yalcin O. Urinary incontinence: its prevalence, risk factors and effects on the quality of life of women living in region of Turkey. Gynecologic Obstet Invest 2004;58(3):145- 50. (PMID:15237249).
10. Beeckman D, Van Lancker A, Van Hecke A, Verhaeghe S. A systematic review and meta-analysis of incontinence-associated dermatitis, incontinence, and moisture as risk factors for pressure ulcer development. Res Nurs Health 2014;37(3):204-18. (PMID:24700170).
11. Wagner TH, Patrick DL, Bavendam TG, Martin ML, Buesching DP. Quality of life of persons with urinary incontinence: development of a new measure. Urology 1996;47(1):67-71.
12. Özerdoğan N, Kızılkaya NB. The prevalence and risk factors of urinary incontinence and its influence on the quality of life in 20 years or older of women in Eskişehir, Afyon, Kütahya, Bilecik cities. Florence Nightingale Journal of Nursing 2003;51:37-50. (in Turkish).
13. Koçak I, Okyay P, Dündar M, Erol H, Beşer E. Female urinary incontinence in the west of Turkey: prevalence, risk factors and impact on quality of life. Eur Urol 2005;48(4):634-41. (PMID:15963633).
14. Maral I, Ozkardeş H, Peşkircioğlu L, Bumin MA. Prevalence of stress urinary incontinence in both sexes at or after age 15 years: a crosssectional study. J Urol 2001;165(2):408-12. (PMID:11176384).
15. Aylaz R, Işık K, Bayır B, Yetiş G. The effect of urinary incontinence on quality of life in women 65 years and older. İnönü Unıversıty Journal of Health Sciences 2016;5(2):19-25. (in Turkish).
16. Bump RC, McClish DK. Cigarette smoking and urinary incontinence in women. Am J Obstet Gynecol 1992;167(5):1213-8.
17. Kirss F, Lang K, Toompere K, Veerus P. Prevalence and risk factors of urinary incontinence among Estonian postmenopausal women. Springerplus 2013;2(1):524.
18. Kocaöz S, Bilgili N, Eroglu K. Prevalence and risk factors of urinary incontinence in Turkish Nursing Homes: A cross-sectional study. Pakistan Journal of Medical Sciences 2009;25(1):18-25.
19. Tozun M, Ayrancı U, Unsal A. Prevalence of urinary incontinence among women and its impact on quality of life in a semirural area of western Turkey. Gynecol Obstet Invest 2009;67(4):241-9. (PMID:19321981).
20. Peyrat L, Haillot O, Bruyere F, Boutin JM, Bertrand P, Lanson Y. Prevalence and risk factors of urinary incontinence in young and middle- aged women. BJU Int 2002;89(1):61-6. (PMID:11849162).
21. Bilgili N, Akın B, Ege E, Ayaz S. Prevalence of urinary ıncontinence and affecting risk factors in women. Türkiye Klinikleri Journal of Medical Sciences 2008;28:487-93. (in Turkish).
22. İlçe A, Ayhan F. The identification of urınary and fecal ıncontınence ın older people and ıts effects over lıfe qualıty: brıefıng and traınıng. Anatolian Journal of Clinical Investigation 2011;5(1):15-23.
23. Maggi S, Minicuci N, Langlois J, Pavan M, Enzi G, Crepaldi G. Prevalence rate of urinary incontinence in community-dwelling elderly individuals: the Veneto study. J Gerontol A Biol Sci Med Sci 2001;56(1):14-8. (PMID:11193226).
24. Başgöl Ş, Kızılkaya Beji N. Common practices and evidence based approach in second and third stage of labor. J DU Health Sci Inst 2015;5(3):66-71.
25. Akkus Y, Pinar G. Evaluation of the prevalence, type, severity, and risk factors of urinary incontinence and its impact on quality of life among women in Turkey. Int Urogynecol J 2016;27(6):887-93.

APA	erbesler z, DEMİR G (2017). QUALITY OF LIFE AND FACTORS ASSOCIATED WITH IT IN ELDERLY WOMEN WITH URINARY INCONTINENCE. , 213 - 222.
Chicago	erbesler zeynel abidin,DEMİR GÖKÇE QUALITY OF LIFE AND FACTORS ASSOCIATED WITH IT IN ELDERLY WOMEN WITH URINARY INCONTINENCE. (2017): 213 - 222.
MLA	erbesler zeynel abidin,DEMİR GÖKÇE QUALITY OF LIFE AND FACTORS ASSOCIATED WITH IT IN ELDERLY WOMEN WITH URINARY INCONTINENCE. , 2017, ss.213 - 222.
AMA	erbesler z,DEMİR G QUALITY OF LIFE AND FACTORS ASSOCIATED WITH IT IN ELDERLY WOMEN WITH URINARY INCONTINENCE. . 2017; 213 - 222.
Vancouver	erbesler z,DEMİR G QUALITY OF LIFE AND FACTORS ASSOCIATED WITH IT IN ELDERLY WOMEN WITH URINARY INCONTINENCE. . 2017; 213 - 222.
IEEE	erbesler z,DEMİR G "QUALITY OF LIFE AND FACTORS ASSOCIATED WITH IT IN ELDERLY WOMEN WITH URINARY INCONTINENCE." , ss.213 - 222, 2017.
ISNAD	erbesler, zeynel abidin - DEMİR, GÖKÇE. "QUALITY OF LIFE AND FACTORS ASSOCIATED WITH IT IN ELDERLY WOMEN WITH URINARY INCONTINENCE". (2017), 213-222.

APA	erbesler z, DEMİR G (2017). QUALITY OF LIFE AND FACTORS ASSOCIATED WITH IT IN ELDERLY WOMEN WITH URINARY INCONTINENCE. Türk Geriatri Dergisi, 20(3), 213 - 222.
Chicago	erbesler zeynel abidin,DEMİR GÖKÇE QUALITY OF LIFE AND FACTORS ASSOCIATED WITH IT IN ELDERLY WOMEN WITH URINARY INCONTINENCE. Türk Geriatri Dergisi 20, no.3 (2017): 213 - 222.
MLA	erbesler zeynel abidin,DEMİR GÖKÇE QUALITY OF LIFE AND FACTORS ASSOCIATED WITH IT IN ELDERLY WOMEN WITH URINARY INCONTINENCE. Türk Geriatri Dergisi, vol.20, no.3, 2017, ss.213 - 222.
AMA	erbesler z,DEMİR G QUALITY OF LIFE AND FACTORS ASSOCIATED WITH IT IN ELDERLY WOMEN WITH URINARY INCONTINENCE. Türk Geriatri Dergisi. 2017; 20(3): 213 - 222.
Vancouver	erbesler z,DEMİR G QUALITY OF LIFE AND FACTORS ASSOCIATED WITH IT IN ELDERLY WOMEN WITH URINARY INCONTINENCE. Türk Geriatri Dergisi. 2017; 20(3): 213 - 222.
IEEE	erbesler z,DEMİR G "QUALITY OF LIFE AND FACTORS ASSOCIATED WITH IT IN ELDERLY WOMEN WITH URINARY INCONTINENCE." Türk Geriatri Dergisi, 20, ss.213 - 222, 2017.
ISNAD	erbesler, zeynel abidin - DEMİR, GÖKÇE. "QUALITY OF LIFE AND FACTORS ASSOCIATED WITH IT IN ELDERLY WOMEN WITH URINARY INCONTINENCE". Türk Geriatri Dergisi 20/3 (2017), 213-222.