Aşırı Aktif Mesaneli Kadınlarda Pelvik Taban Kas Kuvveti ile Mesane Semptom Ciddiyeti ve Kaygı Düzeyi Arasındaki İlişkisi

Yıl 2018, Cilt: 1 Sayı: 2, 1 - 7, 31.01.2019

Şeyda Toprak Çelenay , Yasemin Karaaslan , Kemal Oskay Faruk Küçükdurmaz

Öz

Amaç: Bu çalışmanın amacı, aşırı aktif
mesaneli (AAM) kadınlarda pelvik taban kas kuvveti (PTKK) ile mesane semptom
ciddiyeti ve kaygı düzeyi arasındaki ilişkiyi incelemektir.

Yöntem: AAM tanısı olan 40 kadın çalışmaya
dahil edilmiştir. Hastaların fiziksel ve klinik özellikleri kaydedilmiştir.
Hastaların PTKK’si perineometre cihazı ile, AAM’ye bağlı görülen semptomların
ciddiyeti Aşırı Aktif Mesane-V8 Anketi (AAM-V8) ile, sıkışma hissi Hasta
Sıkışma Hissi Ciddiyet Algısı Ölçeği (HSHCAÖ) ve kaygı düzeyi Spielberger
Durumluk-Sürekli Kaygı Envanteri ile değerlendirilmiştir. Analiz için Pearson
ve Spearman korelasyon testleri kullanılmıştır. 

Bulgular: AAM’li hastalarda PTKK ile
AAM-V8 (p < 0,001; r= -0,568), sıkışma hissi (p= 0,004; rho= -0,447) ve
sürekli kaygı skoru (p= 0,010; r= -0,440) arasında orta derecede negatif ilişki
bulunmuştur. PTKK ile durum kaygı skoru arasında anlamlı bir ilişki
saptanmamıştır (p= 0,451; r= -0,134).

Sonuç: Bu çalışmada, AAM’li kadınlarda
PTKK, AAM ile ilişkili semptomlarının ciddiyeti ve sürekli kaygı düzeyi ile
negatif bir ilişkili olduğu görüldü. AAM semptomları ve kaygı düzeyinin
azalması için bu hastaların tedavisinde PTKK’nin artırılması göz önünde
bulundurulmalıdır.

Anahtar Kelimeler

Aşırı aktif mesane, Pelvik Taban Kas Kuvveti, Sıkışma hissi, Kaygı

The Relationship Between Pelvic Floor Muscle Strength and Bladder Symptom Severity and Anxiety Level in Women with Overactive Bladder

Öz

Aim: The aim of this study
was to investigate the relationship between pelvic floor muscle strength (PFMS)
and bladder symptom severity and anxiety level in women with Overactive Bladder
(OAB).

Method: Forty women with OAB were included in the study. Physical and
clinic characteristics of the patients were recorded. The PFMS of the patients
with perineometer,
symptoms severity related to OAB with Overactive Bladder-V8 Questionnaire
(OAB-V8), urgency with Patient Perception of Intensity of Urgency Score (PPIUS)
and anxiety level with Spielberger State Trait Anxiety Inventory were
evaluated. Pearson and Spearman correlation tests
were used for analysis.

Results:
It was
found a moderate negative correlation between the PFMS and OAB-V8 (p < 0.001; r= -0.568), PPIUS (p= 0.004; r= -0.447) and trait anxiety scores (p= 0.010; r= -0.440). It was not detected a significant
correlation between the PFMS and state anxiety scores (p= 0.451; r= -0.134).

Conclusion: In this study, it was seen a negative correlation
between the PFMS and  symptoms severity
related to OAB, and trial anxiety level in women with OAB. It should be taken
into account increasing the PFMS in treatment of these patients for decreasing
the AAM symptoms and anxiety level.

Anahtar Kelimeler

Overactive Bladder, Anxiety, Urgency, Pelvic Floor Muscle Strength

Kaynakça

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