Yaşlılarda Üriner İnkontinansın Fonksiyonel Durum ve Denge Üzerine Etkileri

Year 2020, Volume: 3 Issue: 1, 18 - 26, 30.04.2020

Melda Başer Seçer , Özge Çeliker Tosun , Erhan Seçer

Abstract

Amaç: Bu çalışmanın amacı üriner inkontinansı olan ve olmayan 60 yaş üstü bireylerde üriner inkontinansın fonksiyonel durum ve denge üzerine etkisini incelemektir.

Gereç ve Yöntemler: Çalışma Manisa Huzurevi Vakfı’nda kalan toplam 57 gönüllü ile gerçekleştirildi. Üriner inkontinans durumunu, tipini ve şiddetini saptamak için ICIQ’da yer alan bazı sorular, UDI-6, IIQ-7, OAB-V8 anketleri kullanıldı. Elde edilen sonuçlara göre katılımcılar, üriner inkontinansı olan ve olmayan olarak 2 gruba ayrıldı. Her iki gruba fonksiyonel durum değerlendirmesi için senior fitness testin 6 bataryasından 4’ü olan 30 sn otur-kalk, 8 adım kalk yürü, 2 dk step ve sandalyede otur-uzan testleri yapıldı. Denge değerlendirmesinde her iki grup için Berg Denge Ölçeği kullanıldı.

Bulgular: Gruplar arasında demografik özellikler bakımından fark yoktu (n=57) (p>0.05). İki grup fonksiyonel durum ve denge değerlendirmesinde üriner inkontinanslı grubun skorları daha düşük bulundu fakat bu fark istatistiksel olarak anlamlı değildi (p>0.05). Üriner inkontinanslı grupta cinsiyete göre fonksiyonel durum ve denge değerlendirmesinde 2 dk step ve 8 adım kalk ve yürü testlerinde anlamlı bir fark (p<0.05) bulunurken aynı durum üriner inkontinansı olmayan grupta yoktu(p>0.05). 8 adım kalk yürü testi ile UDI-6 arasında negatif yönde güçlü, 8 adım kalk yürü testi ile OAB-V8 arasında negatif yönde orta dereceli, BDÖ ile UDI-6 arasında pozitif yönde orta dereceli, 30 sn otur-kalk testi ile OAB-V8 ile pozitif yönde orta dereceli korelasyon bulundu (rho:-0,630 p=0.001, rho=-0,407 p=0.044, rho=0,405 p=0.045, rho=0,467 p=0,018).

Sonuç: 60 yaş ve üstü üriner inkontinansı olan ve olmayan yaşlılarda fonksiyonel durum ve denge etkilenebilir. İnkontinans semptomları arttıkça denge ve fonksiyonel durum kötüleşebilir fakat daha fazla sayıda çalışma yapılması gerekmektedir.

Keywords

yaşlılık, üriner inkontinans, fonksiyonel durum ve denge

Supporting Institution

BULUNMAMAKTADIR.

The Effects of Urinary Incontinence on Functional Status and Balance in the Elderly

Abstract

Aim: The aim of this study was to investigate the effects of urinary incontinence on functional status and balance in individuals over 60 years of age with and without urinary incontinence.

Material and Methods: The study was carried out with 57 volunteers from Manisa Nursing Home Foundation. To determine urinary incontinence status, type and severity, some questions in ICIQ, UDI-6, IIQ-7, OAB-V8 questionnaires were used. Participants were divided into 2 groups with and without urinary incontinence. Functional status was evaluated using the 30 seconds chair stand test, 8 food up and go test, 2 minutes step test and chair sit and reach test, 4 batteries of Senior Fitness Test. Berg Balance Scale was used for the two groups in balance evaluation.

Results: Demographic characteristics of the groups were similar (n=57) (p> 0.05). The scores of the urinary incontinence group were lower in the two groups’ functional status and balance evaluation, but this difference was not statistically significant (p> 0.05). In the urinary incontinence group, there was a significant difference (p <0.05) in the 2 minutes step and 8 food up and go tests in the assessment of functional status and balance according to gender, whereas the same was not found in the group without urinary incontinence (p> 0.05). 8 food up and walk test negatively strong correlation with UDI-6, 8 food up and walk test negatively moderate correlation with OAB-V8, BDÖ with positively moderate correlation with UDI-6 and 30 second chair stand test with positively moderate correlation with OAB-V8 was found (rho:-0,630 p=0.001, rho=-0,407 p=0.044, rho=0,405 p=0.045, rho=0,467 p=0,018).

Conclusions: Functional status and balance may be affected in elderly patients with and without urinary incontinence aged 60 years and older. Balance and functional status may worsen as incontinence symptoms increase, but more studies are needed. 

Keywords

Elderly, urinary incontinence, functional status, balance

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