Üriner İnkontinanslı Kadınlarda Pelvik Taban Bilgi Düzeyinin Pelvik Taban Kas Fonksiyonu, Semptomları ve İnkontinans Şiddeti Üzerine Etkisi: Korelasyonel Bir Çalışma

Yıl 2025, Cilt: 14 Sayı: 1, 313 - 321, 23.03.2025

Esra Üzelpasacı , Ayşe Figen Türkçapar , Özge Özkutlu , Esma Demir , Ayşegül Dülger , Necmiye Ün Yıldırım , Özhan Özdemir

Öz

Bu çalışmanın amacı, üriner inkontinans (Üİ) şikayeti olan kadınlarda pelvik taban bilgi düzeyi ile pelvik taban kas fonksiyonu, semptomları ve Üİ şiddeti arasındaki ilişkinin araştırılmasıydı. Bu kesitsel çalışmaya 88 Üİ ‘li kadın dahil edildi. Kadınların sosyodemografik, obstetrik ve klinik hikayeleri kaydedildi. Kadınlara fonksiyon/disfonksiyon, risk/etiyoloji, tanı ve tedavi alt boyutlarından oluşan Pelvik Taban Sağlığı Bilgi Testi (PTSBT), Modifiye Oxford Skalası ve perineometrik ölçüm, Global Pelvik Taban Rahatsızlık Anketi (GPTRA) ve İnkontinans Şiddet İndeksi (İŞİ) uygulandı. Değişkenler arasındaki korelasyon Spearman Korelasyon Analizi ile belirlendi. PTSBT-risk/etiyoloji alt skoru ile perineometrik ölçüm ile belirlenen istirahat tonusu arasında negatif yönde, zayıf düzeyde ilişki (p=0,015; r=-0,320) bulunurken; PTSBT toplam ve diğer alt skorlar ile perineometrik ölçüm, GTPRA ve İŞİ’den elde edilen sonuçlar arasında anlamlı bir ilişki bulunamamıştır (p>0,05). Bu çalışma, Üİ şikayeti olan kadınlarda pelvik taban sağlığı ve riskleri/etiyolojisi hakkındaki bilgi seviyesinin, pelvik taban kası istirahat tonusu üzerinde etkili olduğunu gösterirken, istemli kas kontraksiyon kuvveti, Üİ şiddeti, pelvik taban disfonksiyonuyla ilişkili spesifik semptomlar ve rahatsızlıklar gibi diğer yönler üzerinde önemli bir etkiye sahip olmadığını gösterdi.

Anahtar Kelimeler

pelvik taban, pelvik taban bozuklukları, üriner inkontinans

Etik Beyan

Çalışma protokolü Sağlık Bilimleri Üniversitesi, Bilimsel Araştırmalar Etik Kurulu tarafından 28.05.2024 tarih ve 2024-32 karar numarasıyla kabul edilmiştir. Tüm katılımcılardan sözlü ve yazılı bilgilendirilmiş onam alındı.

The Effect of Pelvic Floor Knowledge Level on Pelvic Floor Muscle Function, Symptoms, and Incontinence Severity in Women with Urinary Incontinence: A Correlational Study

Öz

The aim of this study was to investigate the relationship between pelvic floor knowledge level and pelvic floor muscle function, symptoms and UI severity in women with urinary incontinence (UI) complaints. This cross-sectional study included 88 women with UI. The sociodemographic, obstetric and clinical histories of the women were recorded. Pelvic Floor Health Knowledge Test (PFHKT) consisting of function/dysfunction, risk/etiology, diagnosis and treatment sub-dimensions, Modified Oxford Scale and perineometric measurement, Global Pelvic Floor Bother Questionnaire (GPFBQ), Incontinence Severity Index (ISI) was applied to women. Correlation between variables was determined by Spearman Correlation Analysis. While there was a negative, weak correlation between the PFHKT-risk/etiology subscore and resting tone determined by perineometric measurement (p=0.015; r=-0.320), no significant correlation was found between the PFHKT total and other subscores and the results obtained from perineometric measurement, GPFBQ and ISI (p>0.05).This study showed that the level of knowledge about pelvic floor health and risks/etiology in women with UI has an effect on pelvic floor muscle resting tone, while it does not have a significant effect on other aspects such as voluntary muscle contraction strength, UI severity, specific symptoms and discomfort associated with pelvic floor dysfunction.

Anahtar Kelimeler

pelvic floor, pelvic floor disorders, urinary incontinence

Kaynakça

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