DOĞUMDAN SONRA GEÇEN SÜRENİN ÜRİNER İNKONTİNANS GÖRÜLME SIKLIĞI VE YAŞAM KALİTESİNE ETKİSİ

Bu çalışmanın amacı son 5 yıl içinde doğum yapmış kadınlarda doğumdan sonra geçen sürenin üriner inkontinans görülme sıklığı ve yaşam kalitesine etkisini belirlemektir. Bu kesitsel çalışma son 5 yıl içinde doğum yapmış, gebe olmayan 358 kadın ile yürütülmüştür. Veriler “Tanılama Formu” ve “Üriner İnkontinanslı Hasta Yaşam Kalitesi Anketi (IQOL)” ile toplanmıştır. Popülasyonumuzda üriner inkontinans prevalansı %67.3’tür. Doğumdan sonra 1 yıldan az geçen kadınlarda %31.1, 1-3 yıl geçenlerde %47.8, 3 yıldan fazla süre geçenlerde %21.1 oranında Üİ görülmektedir. Gebelik sayısı, doğum sayısı, gebelikte idrar kaçırma ile üriner inkontinans arasında anlamlı bir ilişki bulunurken, doğum şekli ile üriner inkontinans arasında istatistiksel olarak anlamlı ilişki saptanmamıştır. Doğumdan sonra geçen süre ile Üİ arasında istatistiksel olarak anlamlı ilişki saptanmıştır. Üriner inkontinansı olan kadınların yaşam kaliteleri daha düşük bulunmuştur. Sonuç olarak çalışmamızda kadınların doğum sonrası dönemde ciddi oranda üriner inkontinans sorunu yaşadığı ve üriner inkontinans tipi farketmeksizin inkontinans şikâyeti olan kadınların yaşam kalitelerinin daha düşük olduğu saptanmıştır. Üriner inkontinans semptomlarının doğumun kaçınılmaz bir sonucu olmadığı kabul edilerek kadınların doğum sonrası üriner inkontinans varlığında sağlık hizmeti almaları sağlanmalıdır.

Anahtar Kelimeler:

doğum sonu dönem, üriner inkontinans, yaşam kalitesi

The Effect of Postpartum Period on the Urinary Incontinence Frequency and the Quality of Life

This study aimed to determine the effect of the postpartum period on the urinary incontinence incidence and the quality of life in women giving birth in the last five years. This cross-sectional study was conducted with 358 non-pregnant women who had given birth in the last five years. The data were collected with the "Diagnostic Form" and the "Urinary Incontinence Quality of Life Scale (IQOL)". The prevalence of urinary incontinence in our population is 67.3%. Urinary incontinence was seen in 31.1% of women who had passed less than one year postpartum, 47.8% after 1-3 years, and 21.1% for more than three years. There was a statistically significant relationship between urinary incontinence and the number of pregnancies, the delivery number, and the urinary incontinence during pregnancy while a statistically significant relationship wasn't found between delivery type and urinary incontinence. A statistically significant relationship was found between the time passed postpartum and urinary incontinence. The life quality of women with urinary incontinence was lower. It was found that women had serious urinary incontinence problems in the postpartum period and women with incontinence complaints had lower life quality regardless of urinary incontinence type. By considering that urinary incontinence symptoms are not an inevitable consequence of delivery, women should be provided with healthcare services in the presence of postpartum urinary incontinence.

Keywords:

postpartum period, urinary incontinence, quality of life,

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