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Yaşlılarda Üriner İnkontinansın Fonksiyonel Durum ve Denge Üzerine Etkileri

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

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.

Supporting Institution

BULUNMAMAKTADIR.

References

  • 1. https://www.who.int/news-room/%20fact-sheets/detail/ageing-and-health. 2019 [cited 2019 6.2019]. 2. Altındağ Ö. ve Madenci E., Geriatrik Rehabilitasyon. Türkiye Fiziksel Tıp ve Rehabilitasyon Derneği, 2010: p. 34-47. 3. Özayan N. ve Arıoğul S., Yaşlanma ile meydana gelen fizyolojik değişiklikler. İç Hastalıkları Dergisi, 2007. 14(1): p. 18-26. 4. Ateşkan Ü., Mas A.r., Doruk H. ve Kutlu M. Yaşlı Türk Popülasyonunda Üriner Inkontinans: Görülme Sikliği, Muhtemel Kilinik Tipleri Ve Birey Açisindan Öneminin Değerlendirilmesi. , ed. Geriatri. 2000, 45-50. 5. Kim H., Yoshida H. ve Suzuki T., The effects of multidimensional exercise on functional decline, urinary incontinence, and fear of falling in community-dwelling elderly women with multiple symptoms of geriatric syndrome: a randomized controlled and 6-month follow-up trial. Archives of gerontology and geriatrics, 2011. 52(1): p. 99-105. 6. Kron M., Loy S., Sturm E., Nikolaus T., ve ark., Risk indicators for falls in institutionalized frail elderly. American Journal of Epidemiology, 2003. 158(7): p. 645-653. 7. Abrams P., Cardozo L., Fall M., Griffiths D., ve ark., The standardisation of terminology of lower urinary tract function: report from the Standardisation Sub‐committee of the International Continence Society. Neurourology and urodynamics, 2002. 21(2): p. 167-178. 8. Chiu A.F., Huang M.H., Hsu M.H., Liu J.L., ve ark., Association of urinary incontinence with impaired functional status among older people living in a long‐term care setting. Geriatrics & gerontology international, 2015. 15(3): p. 296-301. 9. Fritel X., Lachal L., Cassou B., Fauconnier A., ve ark., Mobility impairment is associated with urge but not stress urinary incontinence in community‐dwelling older women: results from the Ossébo study. BJOG: An International Journal of Obstetrics & Gynaecology, 2013. 120(12): p. 1566-1574. 10. Silva V.A.d. ve D'Elboux M.J., Factors associated with urinary incontinence in elderly individuals who meet frailty criteria. Texto & Contexto-Enfermagem, 2012. 21(2): p. 338-347. 11. Cankurtaran F., Soyuer F. Ve Sibel A., Huzurevinde kalan yaşlılarda idrar kaçırma problemi ve mobilite ile ilişkisi. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi, 2015. 4(4): p. 594-603. 12. Cam C., Sakalli M., Ay P., Cam M., ve ark., Validation of the short forms of the incontinence impact questionnaire (IIQ‐7) and the urogenital distress inventory (UDI‐6) in a Turkish population. Neurourology and Urodynamics: Official Journal of the International Continence Society, 2007. 26(1): p. 129-133. 13. Coyne K.S., Zyczynski T., Margolis M.K., Elinoff V., ve ark., Validation of an overactive bladder awareness tool for use in primary care settings. Advances in therapy, 2005. 22(4): p. 381-394. 14. Rikli R. ve Jones C., Senior Fitness Test Manual, Human Kinetics. Disponible desde Internet en: https://books. google. com. co/books/about/Senior_Fitness_Test_Manual. html, 2001. 15. Sahin F., Yilmaz F., Ozmaden A., Kotevoglu N., ve ark., Reliability and validity of the Turkish version of the Berg Balance Scale. Journal of Geriatric Physical Therapy, 2008. 31(1): p. 32-37. 16. Barros L., Carvalhais A., Brochado G. ve Ferreira M., Functional ability and urinary incontinence in elderly women. European Journal of Public Health, 2019. 29(Supplement_1): p. ckz034. 027. 17. Sanses T.V.D., Functional Status and Muscle Evaluation in Older Women with Urinary Incontinence. 2019. 18. Corrêa L.C.d.A.C., Pirkle C.M., Wu Y.Y., Vafaei A., ve ark., Urinary Incontinence Is Associated With Physical Performance Decline in Community-Dwelling Older Women: Results From the International Mobility in Aging Study. Journal of aging and health, 2018: p. 0898264318799223. 19. Le Berre M., Morin M., Corriveau H., Hamel M., ve ark., Characteristics of Lower Limb Muscle Strength, Balance, Mobility, and Function in Older Women with Urge and Mixed Urinary Incontinence: An Observational Pilot Study. Physiotherapy Canada, 2019(aop): p. 1-11. 20. Anne G.V., Harkless G.E. ve Nyrønning S., Unit-based intervention to improve urinary incontinence in frail elderly. Vård i Norden, 2007. 27(3): p. 53-56. 21. Huang A.J., Brown J.S., Thom D.H., Fink H.A., ve ark., Urinary incontinence in older community-dwelling women: the role of cognitive and physical function decline. Obstetrics & Gynecology, 2007. 109(4): p. 909-916. 22. Silay K., Akinci S., Ulas A., Yalcin A., ve ark., Occult urinary incontinence in elderly women and its association with geriatric condition. Eur Rev Med Pharmacol Sci, 2016. 20(3): p. 447-451. 23. DuBeau C.E., Kuchel G.A., Johnson II T., Palmer M.H., ve ark., Incontinence in the frail elderly: report from the 4th International Consultation on Incontinence. Neurourology and Urodynamics: Official Journal of the International Continence Society, 2010. 29(1): p. 165-178. 24. Bresee C., Dubina E.D., Khan A.A., Sevilla C., ve ark., Prevalence and correlates of urinary incontinence among older, community-dwelling women. Female pelvic medicine & reconstructive surgery, 2014. 20(6): p. 328. 25. Chandra A., Crane S.J., Tung E.E., Hanson G.J., ve ark., Patient-reported geriatric symptoms as risk factors for hospitalization and emergency department visits. Aging and disease, 2015. 6(3): p. 188. 26. Takazawa K. ve Arisawa K., Relationship between the type of urinary incontinence and falls among frail elderly women in Japan. The Journal of Medical Investigation, 2005. 52(3, 4): p. 165-171. 27. Parker-Autry C., Houston D.K., Rushing J., Richter H.E., ve ark., Characterizing the functional decline of older women with incident urinary incontinence. Obstetrics & Gynecology, 2017. 130(5): p. 1025-1032. 28. Kim J.S., Kim S.Y., Oh D.W. ve Choi J.D., Correlation between the severity of female urinary incontinence and concomitant morbidities: a multi-center cross-sectional clinical study. International neurourology journal, 2010. 14(4): p. 220. 29. Chmielewska D., Stania M., Słomka K., Błaszczak E., ve ark., Static postural stability in women with stress urinary incontinence: Effects of vision and bladder filling. Neurourology and urodynamics, 2017. 36(8): p. 2019-2027. 30. Abreu H.C.d.A., Reiners A.A.O., Azevedo R.C.d.S., Silva A.M.C.d., ve ark., Urinary incontinence in the prediction of falls in hospitalized elderly. Revista da Escola de Enfermagem da USP, 2014. 48(5): p. 851-856.

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

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

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. 

References

  • 1. https://www.who.int/news-room/%20fact-sheets/detail/ageing-and-health. 2019 [cited 2019 6.2019]. 2. Altındağ Ö. ve Madenci E., Geriatrik Rehabilitasyon. Türkiye Fiziksel Tıp ve Rehabilitasyon Derneği, 2010: p. 34-47. 3. Özayan N. ve Arıoğul S., Yaşlanma ile meydana gelen fizyolojik değişiklikler. İç Hastalıkları Dergisi, 2007. 14(1): p. 18-26. 4. Ateşkan Ü., Mas A.r., Doruk H. ve Kutlu M. Yaşlı Türk Popülasyonunda Üriner Inkontinans: Görülme Sikliği, Muhtemel Kilinik Tipleri Ve Birey Açisindan Öneminin Değerlendirilmesi. , ed. Geriatri. 2000, 45-50. 5. Kim H., Yoshida H. ve Suzuki T., The effects of multidimensional exercise on functional decline, urinary incontinence, and fear of falling in community-dwelling elderly women with multiple symptoms of geriatric syndrome: a randomized controlled and 6-month follow-up trial. Archives of gerontology and geriatrics, 2011. 52(1): p. 99-105. 6. Kron M., Loy S., Sturm E., Nikolaus T., ve ark., Risk indicators for falls in institutionalized frail elderly. American Journal of Epidemiology, 2003. 158(7): p. 645-653. 7. Abrams P., Cardozo L., Fall M., Griffiths D., ve ark., The standardisation of terminology of lower urinary tract function: report from the Standardisation Sub‐committee of the International Continence Society. Neurourology and urodynamics, 2002. 21(2): p. 167-178. 8. Chiu A.F., Huang M.H., Hsu M.H., Liu J.L., ve ark., Association of urinary incontinence with impaired functional status among older people living in a long‐term care setting. Geriatrics & gerontology international, 2015. 15(3): p. 296-301. 9. Fritel X., Lachal L., Cassou B., Fauconnier A., ve ark., Mobility impairment is associated with urge but not stress urinary incontinence in community‐dwelling older women: results from the Ossébo study. BJOG: An International Journal of Obstetrics & Gynaecology, 2013. 120(12): p. 1566-1574. 10. Silva V.A.d. ve D'Elboux M.J., Factors associated with urinary incontinence in elderly individuals who meet frailty criteria. Texto & Contexto-Enfermagem, 2012. 21(2): p. 338-347. 11. Cankurtaran F., Soyuer F. Ve Sibel A., Huzurevinde kalan yaşlılarda idrar kaçırma problemi ve mobilite ile ilişkisi. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi, 2015. 4(4): p. 594-603. 12. Cam C., Sakalli M., Ay P., Cam M., ve ark., Validation of the short forms of the incontinence impact questionnaire (IIQ‐7) and the urogenital distress inventory (UDI‐6) in a Turkish population. Neurourology and Urodynamics: Official Journal of the International Continence Society, 2007. 26(1): p. 129-133. 13. Coyne K.S., Zyczynski T., Margolis M.K., Elinoff V., ve ark., Validation of an overactive bladder awareness tool for use in primary care settings. Advances in therapy, 2005. 22(4): p. 381-394. 14. Rikli R. ve Jones C., Senior Fitness Test Manual, Human Kinetics. Disponible desde Internet en: https://books. google. com. co/books/about/Senior_Fitness_Test_Manual. html, 2001. 15. Sahin F., Yilmaz F., Ozmaden A., Kotevoglu N., ve ark., Reliability and validity of the Turkish version of the Berg Balance Scale. Journal of Geriatric Physical Therapy, 2008. 31(1): p. 32-37. 16. Barros L., Carvalhais A., Brochado G. ve Ferreira M., Functional ability and urinary incontinence in elderly women. European Journal of Public Health, 2019. 29(Supplement_1): p. ckz034. 027. 17. Sanses T.V.D., Functional Status and Muscle Evaluation in Older Women with Urinary Incontinence. 2019. 18. Corrêa L.C.d.A.C., Pirkle C.M., Wu Y.Y., Vafaei A., ve ark., Urinary Incontinence Is Associated With Physical Performance Decline in Community-Dwelling Older Women: Results From the International Mobility in Aging Study. Journal of aging and health, 2018: p. 0898264318799223. 19. Le Berre M., Morin M., Corriveau H., Hamel M., ve ark., Characteristics of Lower Limb Muscle Strength, Balance, Mobility, and Function in Older Women with Urge and Mixed Urinary Incontinence: An Observational Pilot Study. Physiotherapy Canada, 2019(aop): p. 1-11. 20. Anne G.V., Harkless G.E. ve Nyrønning S., Unit-based intervention to improve urinary incontinence in frail elderly. Vård i Norden, 2007. 27(3): p. 53-56. 21. Huang A.J., Brown J.S., Thom D.H., Fink H.A., ve ark., Urinary incontinence in older community-dwelling women: the role of cognitive and physical function decline. Obstetrics & Gynecology, 2007. 109(4): p. 909-916. 22. Silay K., Akinci S., Ulas A., Yalcin A., ve ark., Occult urinary incontinence in elderly women and its association with geriatric condition. Eur Rev Med Pharmacol Sci, 2016. 20(3): p. 447-451. 23. DuBeau C.E., Kuchel G.A., Johnson II T., Palmer M.H., ve ark., Incontinence in the frail elderly: report from the 4th International Consultation on Incontinence. Neurourology and Urodynamics: Official Journal of the International Continence Society, 2010. 29(1): p. 165-178. 24. Bresee C., Dubina E.D., Khan A.A., Sevilla C., ve ark., Prevalence and correlates of urinary incontinence among older, community-dwelling women. Female pelvic medicine & reconstructive surgery, 2014. 20(6): p. 328. 25. Chandra A., Crane S.J., Tung E.E., Hanson G.J., ve ark., Patient-reported geriatric symptoms as risk factors for hospitalization and emergency department visits. Aging and disease, 2015. 6(3): p. 188. 26. Takazawa K. ve Arisawa K., Relationship between the type of urinary incontinence and falls among frail elderly women in Japan. The Journal of Medical Investigation, 2005. 52(3, 4): p. 165-171. 27. Parker-Autry C., Houston D.K., Rushing J., Richter H.E., ve ark., Characterizing the functional decline of older women with incident urinary incontinence. Obstetrics & Gynecology, 2017. 130(5): p. 1025-1032. 28. Kim J.S., Kim S.Y., Oh D.W. ve Choi J.D., Correlation between the severity of female urinary incontinence and concomitant morbidities: a multi-center cross-sectional clinical study. International neurourology journal, 2010. 14(4): p. 220. 29. Chmielewska D., Stania M., Słomka K., Błaszczak E., ve ark., Static postural stability in women with stress urinary incontinence: Effects of vision and bladder filling. Neurourology and urodynamics, 2017. 36(8): p. 2019-2027. 30. Abreu H.C.d.A., Reiners A.A.O., Azevedo R.C.d.S., Silva A.M.C.d., ve ark., Urinary incontinence in the prediction of falls in hospitalized elderly. Revista da Escola de Enfermagem da USP, 2014. 48(5): p. 851-856.
There are 1 citations in total.

Details

Primary Language Turkish
Subjects Clinical Sciences
Journal Section Original Research
Authors

Melda Başer Seçer

Özge Çeliker Tosun

Erhan Seçer

Publication Date April 30, 2020
Submission Date March 20, 2020
Acceptance Date April 30, 2020
Published in Issue Year 2020 Volume: 3 Issue: 1

Cite

APA Başer Seçer, M., Çeliker Tosun, Ö., & Seçer, E. (2020). Yaşlılarda Üriner İnkontinansın Fonksiyonel Durum ve Denge Üzerine Etkileri. Geriatrik Bilimler Dergisi, 3(1), 18-26.
AMA Başer Seçer M, Çeliker Tosun Ö, Seçer E. Yaşlılarda Üriner İnkontinansın Fonksiyonel Durum ve Denge Üzerine Etkileri. JoGS. April 2020;3(1):18-26.
Chicago Başer Seçer, Melda, Özge Çeliker Tosun, and Erhan Seçer. “Yaşlılarda Üriner İnkontinansın Fonksiyonel Durum Ve Denge Üzerine Etkileri”. Geriatrik Bilimler Dergisi 3, no. 1 (April 2020): 18-26.
EndNote Başer Seçer M, Çeliker Tosun Ö, Seçer E (April 1, 2020) Yaşlılarda Üriner İnkontinansın Fonksiyonel Durum ve Denge Üzerine Etkileri. Geriatrik Bilimler Dergisi 3 1 18–26.
IEEE M. Başer Seçer, Ö. Çeliker Tosun, and E. Seçer, “Yaşlılarda Üriner İnkontinansın Fonksiyonel Durum ve Denge Üzerine Etkileri”, JoGS, vol. 3, no. 1, pp. 18–26, 2020.
ISNAD Başer Seçer, Melda et al. “Yaşlılarda Üriner İnkontinansın Fonksiyonel Durum Ve Denge Üzerine Etkileri”. Geriatrik Bilimler Dergisi 3/1 (April 2020), 18-26.
JAMA Başer Seçer M, Çeliker Tosun Ö, Seçer E. Yaşlılarda Üriner İnkontinansın Fonksiyonel Durum ve Denge Üzerine Etkileri. JoGS. 2020;3:18–26.
MLA Başer Seçer, Melda et al. “Yaşlılarda Üriner İnkontinansın Fonksiyonel Durum Ve Denge Üzerine Etkileri”. Geriatrik Bilimler Dergisi, vol. 3, no. 1, 2020, pp. 18-26.
Vancouver Başer Seçer M, Çeliker Tosun Ö, Seçer E. Yaşlılarda Üriner İnkontinansın Fonksiyonel Durum ve Denge Üzerine Etkileri. JoGS. 2020;3(1):18-26.

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