Turkiye Klinikleri Journal of Health Sciences

.: ORIGINAL RESEARCH
Üriner İnkontinans Tipine Göre Pelvik Taban Kas Kuvveti ve Yaşam Kalitesinin Karşılaştırılması: Retrospektif Çalışma
A Comparison of Pelvic Floor Muscle Strength and Quality of Life in Regard to Urinary Incontinence Type: A Retrospective Study
Ayfer ATEŞa, Nuriye ÖZENGİNa, Yeşim BAKARa
aAbant İzzet Baysal Üniversitesi Kemal Demir Fizik Tedavi ve Rehabilitasyon Yüksekokulu,
Bolu, TÜRKİYE
Turkiye Klinikleri J Health Sci. 2019;4(2):147-54
doi: 10.5336/healthsci.2018-62723
Article Language: TR
Full Text
ÖZET
 Amaç: Bu çalışma üriner inkontinanslı kadınlarda, üriner inkontinans tipine göre pelvik taban kas kuvveti ve yaşam kalitesini karşılaştırmak amacıyla retrospektif olarak gerçekleştirildi. Gereç ve Yöntemler: Stres, urgency ve mikst üriner inkontinanslı 470 kadının sosyodemografik özellikleri kaydedildikten sonra pelvik taban kas kuvvetleri yüzeyel elektromiyografi ile yaşam kaliteleri 'üriner inkontinanslı kadınlarda yaşam kalitesi anketi' ile ve inkontinansın kadının yaşamına etkisi ve algılanan kuruluk hissi 10 cm'lik vizüel analog skalası ile değerlendirildi. Sonuçları inkontinans tipine göre karşılaştırmak için Kruskal-Wallis testi ve post-hoc Dunn testi kullanıldı. Bulgular: Stres üriner inkontinanslı kadınların yaş ortalamalarının diğer inkontinans tiplerine göre daha küçük olduğu bulundu. Mikst üriner inkontinanslı kadınların inkontinans süresinin daha uzun olduğu saptandı. Mikst üriner inkontinanslı kadınların diğer inkontinans tiplerine göre yaşam kaliteleri, algıladıkları kuruluk hissi ve yaşantılarına olan etkisi daha kötü idi. Pelvik taban kas kuvveti ise tüm gruplarda benzer bulundu. Sonuç: Bu çalışma ile pelvik taban kas kuvvetinin üriner inkontinans tipine göre değişmediği ve mikst üriner inkontinans tipinin kadınların yaşamlarını daha fazla etkilediği bulunmuştur.

Anahtar Kelimeler: Üriner inkontinans; pelvik taban; kas kuvveti; yaşam kalitesi
ABSTRACT
 Objective: This study aimed to compare pelvic floor muscle strength and quality of life in regard to urinary incontinence type retrospectively. Material and Methods: Socio-demographic characteristics of 470 women who were with stress, urgency and mixed urinary incontinence were recorded then pelvic floor muscle strength was assessed by electromyography, their quality of life was assessed by 'life quality questionnaire in women with urinary incontinence' and its effect on women's life and the perceived dryness sensation was assessed by 10 cm-visual analog scale. Kruskal- Wallis test and post-hoc Dunn test were used for comparisons according to incontinence type. Results: The age averages of the women with stress urinary incontinence were found to be low. The incontinence period of women with mixed urinary incontinence was longer. Dryness sensation sensed by women with mixed urinary incontinence, its effect on their lives and their life quality was worse. Pelvic floor muscle strength was determined to be similar among urinary incontinence types. Conclusion: In the present study, it was found that urinary incontinence type had no effect on pelvic flor muscle strength and mixed urinary incontinence type affected the women's lives adversely.

Keywords: Urinary incontinence; pelvic floor; muscle strength; quality of life
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