Undetected prevalence of urinary incontinence among middle-aged women and its association with quality of life

Incilay Çelik 1 * , Ayşe Kılıç Uçar 2, Ümüt Güzelküçük 3
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1 Gaziler Physical Medicine and Rehabilitation Training and Research Hospital, Ankara, Turkey
2 Florence Nightingale Hospital School of Nursing, Demiroglu Bilim University, Istanbul, Turkey
3 Gaziler Physical Medicine and Rehabilitation Training and Research Hospital, Ankara,Turkey
* Corresponding Author
J CLIN MED KAZ, Volume 18, Issue 6, pp. 56-61. https://doi.org/10.23950/jcmk/11344
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ABSTRACT

INTRODUCTION: The study was conducted to determine the undiagnosed prevalence of urinary incontinence and its association with the quality of life in middle-aged and older women.
METHODS: The sample of the study consisted of women aged 40 years or above who were admitted to a tertiary care center between March and July 2019. The data were collected by face-to-face interview method. “International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF)” and “Incontinence Quality of Life Questionnaire (I-QOL)” were used to collect data on urinary incontinence and quality of life.
RESULTS: The screened sample included 140 women (mean age: 60.6 ± 11.3 years). Urinary incontinence was detected in 90 subjects (64.3%). Urinary incontinence complaints were present for an average of four years. Self-rated effect on daily life was moderate (ICIQ-SF: 5.0 ± 2.5), and more than half of them (64.4%) did not consider urinary incontinence as a health issue, More than half (62.9%) did not admit for prefossional care for many reasons. The average score was 85.0 ± 14.7 from the "Psychosocial influence" sub-dimension, 71.0 ± 16.9 from the "Social isolation" sub-dimension, 65.1 ± 16.6 from the "Limitation of behaviors" sub-dimension, and 74.6 ± 14.5 from the whole scale. There was no significant relationship between I-QOL total score and educational status, marital status, income level, chronic diseases, mode of delivery, and menopause.
DISCUSSION AND CONCLUSION: This study found that more than half of women admitted to a hospital for other reasons have urinary incontinence complaints. Although the duration of symptoms was long and quality of life was somehow influenced, admission to a health facility was low.
Keywords:
Urinary incontinence, quality of life, nursing, women's health

CITATION

Çelik I, Kılıç Uçar A, Güzelküçük Ü. Undetected prevalence of urinary incontinence among middle-aged women and its association with quality of life. J CLIN MED KAZ. 2021;18(6):56-61. https://doi.org/10.23950/jcmk/11344

REFERENCES

  • Bilgiç D, Bejı NK, Özbaş A, Çavdar İ, et al. Coping and help-seeking behaviors for management of urinary ıncontinence. LUTS. 2017; 9(3):9. https://doi: 10.1111/luts.12120.
  • Demir S, Beji NK. Üriner inkontinanslı kadınlarda yaşam kalitesi ve sağlık arama davranışları. F.N. Hem. Derg. 2015; 23(1):179-182. https://doi: 10.17672/fnhd.68821
  • Chughtai B, Thomas D, Russell D, et al. Prevalence of and risk factors for urinary incontinence in home hospice patients. Eur Urol. 2018; 75(2):268-271 https://doi: 10.1016/j.eururo.2018.10.027.
  • Poomalar GK, Priyadharshini M. Prevalence of urinary incontinence in reproductive women and its impact on quality of life. IJRCOG. 2015; 4(5). https://dx.doi.org/10.18203/2320-1770.ijrcog20150710
  • Seshan V. Coping strategies & self measures adopted by the women with urinary incontinence & its effects on QOL. Obstet Gynecol Int J. 2016; 5(7):00187. https://doi: 10.15406/ogij.2016.05.00187
  • Demirci N, Aba YA, Süzer F, et al. 18 yaş üstü kadınlarda üriner inkontinans ve yaşam kalitesine etkileri. Fırat Sağlık Hizmetleri Dergisi. 2012;7(19):23-37. https://www.researchgate.net/publication/311274185
  • Koçak İ, Okyay P, Dündar M, et al. Female urinary ıncontinence in the west of Turkey: Prevelance, risk factors and impact on quality of life. Eur Urol. 2005; 48(4):634-41. https://pubmed.ncbi.nlm.nih.gov/15963633/
  • Öztürk GZ, Toprak D, Basa E. 35 yaş üzeri kadınlarda üriner inkontinans sıklığı ve etkileyen faktörlerin değerlendirilmesi. Şişli Etfal Hastanesi Tıp Bülteni. 2012; 46:170-6.
  • Yücel Ü, Hadımlı A, Çakır-Koçak Y, et al. Bornova’da yaşayan 20 yaş ve üzeri kadınlarda üriner inkontinans prevelansı ve risk faktörleri. Arch Health Sci Res. 2018; 5:414-423. https://doi: 10.17681/hsp.385265
  • Öz Ö, Altay B. Üriner inkontinans risk faktörleri ve hemşirelik yaklaşımı. İnönü Üniversitesi Sağlık Bilimleri Dergisi. 2017; 6(1):34-37.
  • Çetinel B, Özkan B, Can G. The validation study of ICIQ-SF Turkish version. Türk Üroloji Derg. 2004; 30(3):332-8.
  • Akkuş Y. 18 yaş üstü kadınlarda üriner inkontinans sıklığı, tipi, şiddeti, risk faktörleri ve yaşam kalitesine etkisinin değerlendirilmesi. Yüksek Lisans Tezi, Yıldırım Beyazıt Üniversitesi Sağlık Bilimleri Enstitüsü, Hemşirelik Anabilim Dalı. 2014.
  • Acar NB. Üriner inkontinansı olan yaşlı kadınlarda yaşam kalitesi ve depresyon arasındaki ilişki. Yükseklisans Tezi, Mersin Üniversitesi Sağlık Bilimleri Enstitüsü, Hemşirelik Anabilim Dalı. 2010.
  • Ghafouri A, Alnaimi AR, Alhothi HM, et al. Urinary incontinence in Qatar: A study of the prevalence, risk factors and impact on quality of life. Arab J Urol. 2014 ; 12(4):269–274. https://doi.org/10.1016/j.aju.2014.08.002
  • Howard F, Steggall M. Urinary incontinence in women: Quality of life and help-seeking. Br J Nurs. 2010; 19(12):742-749. https://doi.org/10.12968/bjon.2010.19.12.48651.
  • Kök G, Şenel N, Akyüz A. GATA jinekoloji polikliniğine başvuran 20 yaş üstü kadınların üriner inkontinans açısından farkındalık durumlarının değerlendirilmesi. Gülhane Tıp Dergisi. 2006; 48(3):132-136.
  • Göral S. Akdeniz bölgesi huzurevlerinde yaşayan kadınlarda üriner inkontinans ve yaşam kalitesi. Yükseklisans Tezi, Akdeniz Üniversitesi Sağlık Bilimleri Enstitüsü, Hemşirelik Anabilim Dalı. 2014.
  • Wojtowicz U, Płaszewska-Zywko L, Stangel-W ´ ojcikiewicz ´K, Basta A. Barriers in entering treatment among women. Ginekol Pol. 2014; 85(5). doi: 10.17772/gp/1734.
  • Delarmelindo RCA, Parada CMCGL, Rodrigues RAP, Bocchi SCM. Women’s strategies for coping with urinary incontinence. Rev Esc Enferm USP[İnternet]. 2013;47(2):296-303. http://www.scielo.br/pdf/reeusp/v47n2/en_04.pdf
  • Ertem G. Üriner inkontinanslı hastaların hastalığıyla başa çıkma yollarının incelenmesi. Uluslararası İnsan Bilimleri Dergisi. 2009; 6(1):177-187
  • Li FL, Low LP, Lee DT. Chinese women's experiences in coping with urinary incontinence. J Clin Nurs. 2007; 16(3):610-2. https://doi.org/10.1111/j.1365-2702.2006.01755.x. PMID: 17335537
  • Wagner TH, Patrick DL, Bavendam TG, Martin ML, Buesching DP. Quality of life of persons with urinary incontinence: development of a new measure. Urology. 1996; 47(1):67-71; discussion 71-2https://doi 10.1016/s0090-4295(99)80384-7. PMID: 8560665.
  • Patrick DL, Martin ML, Bushnell DM, Yalcin I, Wagner TH, Buesching DP. Quality of life of women with urinary incontinence: further development of the incontinence quality of life instrument (I-QOL). Urology. 1999; 53(1):71-6. https://doi 10.1016/s0090-4295(98)00454-3. Erratum in: Urology 1999 May;53(5):1072. PMID: 9886591.
  • Özerdoğan NÖ, Beji NK. Eskisehir, Bilecik, Afyon, Kütahya illerinde 20 yaş veüstü kadınlarda üriner inkontinansın prevalansı, risk faktörleri, yaşam kalitesine etkisi. Florence Nightingale Hemşirelik Dergisi. 2003; 13(51):37-50.
  • Organization WH. Physical status: The use of and interpretation of anthropometry, Report of a WHO Expert Committee. World Health Organization; 1995.
  • Nygaard CC, Schreiner L, Morsch TP, Saadi RP, Figueiredo MF, Padoin AV. Urinary Incontinence and Quality of Life in Female Patients with Obesity. Rev Bras Ginecol Obstet. 2018; 40(9):534-539. English. doi: 10.1055/s-0038-1670626. Epub 2018 Sep 19. PMID: 30231292.
  • Gözükara F, Koruk I, Kara B. Urinary incontinence among women registered with a family health center in the Southeastern Anatolia Region and the factors affecting its prevalence. Turk J Med Sci. 2015; 45(4):931-9. doi: 10.3906/sag-1410-31. PMID: 26422870.
  • Thubert T, Deffieux X, Letouzey V, Hermieu JF. Obesity and urogynecology: a systematic review. Prog Urol. 2012; 22(8):445-53. French. doi: 10.1016/j.purol.2012.03.009. Epub 2012 May 30. PMID: 22732579.
  • Sykes D, Castro R, Pons ME, Hampel C, et al. Characteristics of female outpatients with urinary incontinence participating in a 6-month observational study in 14 European countries. Maturitas. 2005; 30(52), https://doi.org/10.1016/j.maturitas.2005.09.003
  • Karaca BŞ, Demir AN. Üriner inkontinansın kadın hastalarda yaşam kalitesi ve duygu durum üzerine etkisi ve hastaların egzersiz farkındalık düzeyleri. Med. J. Ankara Tr. Res. Hosp. 2019; 52(2):133-137.
  • Kocaöz S, Talas MS, Atabekoǧlu CS. Urinary incontinence among Turkish women: An outpatient study of prevalence, risk factors, and quality of life. J Wound Ostomy Continence Nurs. 2012; 39(4):431-9. https://doi 10.1097/WON.0b013e318259c42b.
  • Lasserre A, Pelat C, Guéroult V, Hanslik T, et al. Urinary incontinence in french women: prevalence, risk factors, and impact on quality of life. Eur Urol. 2009; 56(1). https://doi.org/10.1016/j.eururo.2009.04.006
  • Samuelsson E, Victor A, Svärdsudd K. Determinants of urinary incontinence in a population of young and middle-aged women. Acta Obstet Gynecol Scand. 2000; 79(3). https://doi.org/10.1034/j.1600-0412.2000.079003208.x
  • Hägglund D, Walker-Engström LM, Larsson G, Leppert J. Reasons why women with long-term urinary incontinence do not seek professional help: A cross-sectional population-based cohort study. Int Urogynecol J Pelvic Floor Dysfunct. 2007; 14(5), https://doi 10.1007/s00192-003-1077-9
  • Horrocks S, Somerset M, Stoddart H, Peters TJ. What prevents older people fom seeking treatment for urinary incontinence? Aqualitative exploration of barriers to the use of community community continence services. Family Practice. 2004; 21(2), https://doi.org/10.1093/fampra/cmh622
  • Kang Y, Crogan NL. Social and cultural construction of urinary incontinence among Korean-American elderly women. Geriatr Nurs. 2008; 29(2). doi: 10.1016/j.gerinurse.2008.01.002. PMID: 18394511.
  • Saleh N, Bener A, Khenyab N, Al-Mansori Z, Al Muraikhi A. Prevalence, awareness and determinants of health care-seeking behaviour for urinary incontinence in Qatari women: A neglected problem? Maturitas. 2005; 50(1). doi: 10.1016/j.maturitas.2004.04.003
  • Güvenç G, Kocaöz S, Kök G. Quality of life in climacteric Turkish women with urinary incontinence. Int J Nurs Pract. 2016; 22(6):649-659. https://doi.org/10.1111/ijn.12495
  • Ceyhan Ö, Göriş S, Zincir H. Yaşlı bireylerde uykuyu etkileyen önemli bir problem:inkontinans. Sağlık Bilimleri Dergisi (Journal of Health Sciences). 2018; 27(1):29-35.