Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
Doğal Soğuk Hava Depolarında Tarım İşçisi Olarak Çalışan Kadınlarda Üriner İnkontinans Prevalansı, Risk Faktörleri ve Yaşam Kalitesi: Tanımlayıcı Bir Çalışma
The Prevalence, Risk Factors and Quality of Life of Urinary Incontinence in Women Working as Agricultural Workers in Natural Cold Storage: A Descriptive Study
Pelin CALPBİNİCİa , Aynur KIZILIRMAKa
aNevşehir Hacı Bektaş Veli Üniversitesi Semra ve Vefa Küçük Sağlık Bilimleri Fakültesi, Hemşirelik Bölümü, Doğum ve Kadın Sağlığı Hastalıkları Hemşireliği AD, Nevşehir, Türkiye
Turkiye Klinikleri J Nurs Sci. 2024;16(2):333-43
doi: 10.5336/nurses.2023-99250
Article Language: TR
Full Text
ÖZET
 Amaç: Araştırma, doğal soğuk hava depolarında tarım işçisi olarak çalışan kadınlarda üriner inkontinans (Üİ) prevalansını, risk faktörlerini ve yaşam kalitesini incelemek amacıyla yapılmıştır. Gereç ve Yöntemler: Araştırma, tanımlayıcı ve ilişki arayıcı tiptedir. Araştırmanın evrenini Nevşehir ilinde bulunan doğal soğuk hava depolarında çalışan kadınlar oluşturmuştur. Araştırmada örneklem seçimine gidilmemiş, dâhil edilme kriterlerine uyan ve araştırmaya katılmayı kabul eden 111 kadın ile araştırma tamamlanmıştır. Verilerin toplanması amacıyla; Uluslararası İdrar Kaçırma Konsültasyon Sorgulaması-Kısa Formu [International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF)] ve Üriner İnkontinans Yaşam Kalitesi Ölçeği [Incontinence Quality of Life Scale (I-QOL)] kullanılmıştır. Bulgular: Araştırmaya katılan kadınların ICIQ-SF toplam puan ortalaması ile I-QOL ölçeği toplam puan (r=-0,622) ve alt boyutlarından; davranışların sınırlandırılması (r=-0,639), psikolojik etkilenme (r=-0,536), sosyal yaşamını sınırlama (r=-0,595), puan ortalamaları arasında negatif yönde orta düzeyde anlamlı bir ilişki bulunmuştur (p<0,05). Çok değişkenli lojistik regresyon analizi sonucu; morbid obez kadınlarda Üİ görülme riski normal kiloda olan kadınlara göre %4,4 kat [göreceli olasılıklar oranı (odds ratio ''OR'')=0,044; %95 güven aralığı (GA): 0,005~0,376], kilolu olan kadınlara göre ise %12,5 kat daha fazla bulunmuştur (OR=0,125; %95 GA: 0,017~0,906). Günlük 7-10 saat çalışan kadınlarda Üİ görülme riski 4-8 saat çalışan kadınlara göre %19,6 kat daha fazla belirlenmiştir (OR=0,196; %95 GA: 0,058~0,665). Ayrıca çalışırken kova kaldırmakta bazen zorlanan kadınların Üİ görülme riski, kova kaldırmakta zorlanmayan kadınlara göre %10 kat daha fazla (OR=0,100; %95 GA: 0,028~0,354) bulunmuştur. Sonuç: Araştırmada Üİ'nin doğal soğuk hava depolarında tarım işçisi olarak çalışan kadınlar arasında yaygın bir sağlık sorunu olduğunu ve beden kitle indeksi, günlük çalışma saati, kova kaldırmakta zorlanma durumunun Üİ'nin için risk faktörü olduğu saptanmıştır. Ayrıca Üİ'nin kadınların yaşam kalitesini olumsuz yönde etkilediği belirlenmiştir.

Anahtar Kelimeler: Kadın; üriner inkontinans; yaşam kalitesi; prevalans
ABSTRACT
 Objective: The research was carried out to examine the prevalence, risk factors and quality of life of urinary incontinence (UI) in women working as agricultural workers in natural cold storage. Material and Methods: The research is descriptive and correlational. The universe of the research consisted of women working in natural cold storages in Nevşehir Province. Sample selection was not made in the study, and the study was completed with 111 women who met the inclusion criteria and agreed to participate in the study. In order to collect data; The International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF) and the Urinary Incontinence Quality of Life Scale (I-QOL) were used. Results: The ICIQ-SF total score average of the women participating in the study and the I-QOL scale total score (r=-0.622) and its sub-dimensions; A moderately significant negative correlation was found between limiting behaviors (r=-0.639), being psychologically affected (r=-0.536), limiting social life (r=-0.595), and mean scores (p<0.05). Multivariate logistic regression analysis result; The risk of UI in morbidly obese women was found to be 4.4% [odds ratio (OR)=0.044; 95% confidence interval (CI): 0.005~0.376] compared to normal-weight women, and 12.5% higher than overweight women (OR=0.125; 95% CI: 0.017~0.906). The risk of UI in women who work 7-10 hours a day is 19.6% more than women who work 4-8 hours (OR=0.196; 95% CI: 0.058~0.665). In addition, the risk of UI in women who sometimes have difficulty in lifting buckets while working was 10% times higher (OR=0.100; 95% CI: 0.028~0.354) compared to women who did not have difficulty in lifting buckets. Conclusion: In the study, it was determined that UI is a common health problem among women working as agricultural workers in natural cold storage warehouses, and body mass ındex, daily working hours, and difficulty in lifting buckets are risk factors for UI. In addition, it was determined that UI negatively affects women's quality of life.

Keywords: Female; urinary incontinence; quality of life; prevalence
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-To determine the tendency of the visitors on using our website

-To send print publications/correspondences

-To send press releases or notifications through e-mail

-To generate a list for an event or competition

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Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. may block the website to users in the following events:

-Information with wrong, incomplete, deceiving or immoral expressions is recorded to the website,

-Proclamation, advertisement, announcement, libelous expressions are used against natural person or legal identity,

-During various attacks to the website,

-Disruption of the website because of a virus.

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Without the written consent of Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. the information on the website cannot be downloaded, changed, reproduced, copied, republished, posted or distributed.

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