Research Article
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Investigation of women's awareness and attitudes towards urinary incontinence

Year 2025, Volume: 6 Issue: 1, 8 - 14, 30.04.2025

Süreyya Kılıç , Sema Dereli Yılmaz

https://doi.org/10.61534/anatoljhr.1524845

Abstract

Aim: The present study was planned to examine women's awareness and attitudes towards urinary incontinence.
Methods: The sample of the descriptive and correlational study consisted of 199 women with urinary incontinence who applied to a public hospital in Central Anatolia between July 2023 and March 2024. Data were collected using Personal Information Form, Urinary Incontinence Awareness and Attitude Scale and Urogenital Distress Inventory. Descriptive statistics, independent samples t-test, One-Way ANOVA test and Pearson correlation analysis were used to analyze the data. All steps of the study were conducted in accordance with the Declaration of Helsinki.
Results: The mean age of the women participating in the study was 44.31±7.83 years. The mean scores of the factors that prevent acceptance as a health problem, health motivation, coping with urinary incontinence, restriction, and fear of urination sub-dimensions of the Urinary Incontinence Awareness and Attitude Scale were 22.22±6.69, 10.73±3.96, 16.55±5.64, 9.99±3.50, and 11.32±4.49, respectively. The total mean score of the Urogenital Distress Inventory was 46.26±23.10.
Conclusion: It was concluded that women with higher education level, with chronic constipation problem, who underwent episiotomy considered urinary incontinence as a health problem, women with higher income level experienced milder level of restriction due to urinary incontinence, women with any chronic disease, frequent urinary tract infection and vaginal infection, chronic constipation, frequent coughing and menopausal women experienced more urogenital distress symptoms.

Keywords

attitude awareness coping motivation urinary incontinence

References

  • Ahmed, W. R. A., Zeidan, M. A. K., & Kamil, A. M. (2024). An epidemiological study of urinary incontinence among a sample of adults in Baghdad city. Journal of Scientific Research in Medical and Biological Sciences, 5(2), 54–68. https://doi.org/10.47631/JSRMBS.V5I2.778
  • Aksoy, Y. E., & Yılmaz, S. D. (2022). The effect of urinary incontinence symptoms on sexual functions and quality of life in women. Sexuality and Disability, 40, 195–207. https://doi.org/10.1007/s11195-021-09714-y
  • Avci, İ. A., Öz Yıldırım, Ö., & Eren, D. Ç. (2022). Urinary Incontinence Awareness and Attitude Scale (URINAS). Journal of Wound, Ostomy & Continence Nursing, 49(6), 551–557. https://doi.org/10.1097/WON.0000000000000921
  • Batmani, S., Jalali, R., Mohammadi, M., & Bokaee, S. (2021). Prevalence and factors related to urinary incontinence in older adults women worldwide: A comprehensive systematic review and meta-analysis of observational studies. BMC Geriatrics, 21(1), 212. https://doi.org/10.1186/S12877-021-02135-8
  • Bulgak, M., & Avci, İ. A. (2022). Methods of coping with factors affecting urinary incontinence awareness and frequency in elderly patients with urinary incontinence. Journal Nursology, 25(1), 1–6. https://doi.org/10.54614/JANHS.2022.729980
  • Cam, C., Sakalli, M., Ay, P., Cam, M., & Karateke, A. (2007). 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, 26(1), 129–133. https://doi.org/10.1002/nau.20292
  • Çuvadar, A., & Onur, S. (2023). Determining incontinence awareness, attitude, and frequency in female students enrolled in the faculty of health sciences. Journal of Clinical Medicine of Kazakhstan, 20(5), 37–41. https://doi.org/10.23950/JCMK/13758
  • Demir, S., & Beji, N. K. (2015). Üriner inkontinanslı kadınlarda yaşam kalitesi ve sağlık arama davranışları. Florence Nightingale Hemşirelik Dergisi, 1(23), 23–31.
  • Faul, F., Erdfelder, E., Buchner, A., & Lang, A.-G. (2009). Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses. Behavior Research Methods, 41(4), 1149–1160. https://doi.org/10.3758/BRM.41.4.1149
  • Faul, F., Erdfelder, E., Lang, A. G., & Buchner, A. (2007). G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods, 39(2), 175–191. https://doi.org/10.3758/BF03193146
  • Gencer, G. Y. G., Göktaş, İ., & Uz, B. Y. (2024). Menopozlu kadınlarda deprem sonrası genital hijyen, yaşam kalitesi ve üriner inkontinans farkındalığının incelenmesi. Yaşlı Sorunları Araştırma Dergisi, 17(1), 33–42. https://doi.org/10.46414/yasad.1436396
  • Haylen, B. T., de Ridder, D., Freeman, R. M., Swift, S. E., Berghmans, B., Lee, J., Monga, A., Petri, E., Rizk, D. E., Sand, P. K., & Schaer, G. N. (2010). An international urogynecological association (IUGA)/international continence society (ICS) joint report on the terminology for female pelvic floor dysfunction. Neurourology and Urodynamics, 29(1), 4–20. https://doi.org/10.1002/nau.20798
  • İskender, M. D., & Gül, S. (2024). The effect of demographic characteristics of patients applying to the urology outpatient clinic on urinary incontinence awareness and attitudes. Pamukkale Medical Journal, 17(1), 143–157. https://doi.org/10.31362/patd.1406978
  • Kaya, H. D., Yılmaz, T., & Bilgiç, F. Ş. (2024). Symptom severity and its impact on daily life in women with urinary incontinence: A cross-sectional study. Journal Modern Nursing Practice and Research, 4(1), 4. https://doi.org/10.53964/jmnpr.2024004
  • Li, M., Wang, H., Ko, W. K., & Kwong, S. K. (2024). Factors associated with health-seeking for urinary incontinence in Hong Kong Chinese women: A cross-sectional study. International Urogynecology Journal, 35(1), 95–101. https://doi.org/10.1007/S00192-023-05656-5
  • Liang, S., Li, J., Chen, Z., Li, Y., Hao, F., & Cai, W. (2023). Prevalence and influencing factors of help-seeking behavior among women with urinary incontinence: A systematic review and meta-analysis. Journal of Women’s Health, 32(12), 1363–1379. https://doi.org/10.1089/JWH.2022.0482
  • Mainu, T. C. R., George, S., Raj, A., & Rajiv, M. (2023). Prevalence and risk factors of urinary incontinence among elderly women residing in Kochi corporation: A community-based cross-sectional study. Journal of Mid-Life Health, 14(1), 15–20. https://doi.org/10.4103/jmh.jmh_184_22
  • Manso, M., Botelho, F., Bulhões, C., Cruz, F., & Pacheco-Figueiredo, L. (2023). Self-reported urinary incontinence in women is higher with increased age, lower educational level, lower income, number of comorbidities, and impairment of mental health. Results of a large, population-based, national survey in Portugal. World Journal of Urology, 41(12), 3657–3662. https://doi.org/10.1007/S00345-023-04677-5
  • Özgül, S., Gürşen, C., Toprak Çelenay, Ş., Baran, E., Üzelpasacı, E., Nakip, G., Nalan Çinar, G., Sinan Beksaç, M., & Akbayrak, T. (2022). Contributory effects of individual characteristics on pelvic floor distress in women with pelvic floor dysfunctions. Physiotherapy Theory and Practice, 40(3), 625–636. https://doi.org/10.1080/09593985.2022.2127137
  • Rashidi Fakari, F., Hajian, S., Darvish, S., & Alavi Majd, H. (2021). Explaining factors affecting help-seeking behaviors in women with urinary incontinence: A qualitative study. BMC Health Services Research, 21(1). https://doi.org/10.1186/S12913-020-06047-Y
  • Shumaker, S. A., Wyman, J. F., Uebersax, J. S., McClish, D., & Fantl, J. A. (1994). Health-related quality of life measures for women with urinary incontinence: The Incontinence Impact Questionnaire and the Urogenital Distress Inventory. Quality of Life Research, 3(5), 291–306. https://doi.org/10.1007/BF00451721
  • Srisanam, M., Buppasiri, P., Chongsomchai, C., & Temtanakitpaisan, T. (2022). Urinary incontinence: Women attending the gynecology outpatient clinic unaware of symptoms. Thai Journal of Obstetrics and Gynaecology, 30(2), 136–144.
  • Tabachnick, B. G., Fidell, L. S., & Ullman, J. B. (2013). Using multivariate statistics (6. Baskı). Pearson New International Edition.
  • Wang, Q., Que, Y., Yang, Y., Wan, X., & Lin, C. (2023). A population-based cross-sectional survey on the prevalence, severity, risk factors, and self-perception of female urinary incontinence in rural Fujian, China. International Urogynecology Journal, 34(9), 2089–2097. https://doi.org/10.1007/S00192-023-05518-0
  • Xue, K., Palmer, M. H., & Zhou, F. (2020). Prevalence and associated factors of urinary incontinence in women living in China: A literature review. BMC Urology, 20(1). https://doi.org/10.1186/S12894-020-00735-X
  • Yaǧmur, Y., & Gül, S. (2021). Urinary incontinence in women aged 40 and older: Its prevalence, risk factors, and effect on quality of life. Nigerian Journal of Clinical Practice, 24(2), 186–192. https://doi.org/10.4103/NJCP.NJCP_626_18

Kadınların üriner inkontinansa ilişkin farkındalık ve tutumlarının incelenmesi

Year 2025, Volume: 6 Issue: 1, 8 - 14, 30.04.2025

Süreyya Kılıç , Sema Dereli Yılmaz

https://doi.org/10.61534/anatoljhr.1524845

Abstract

Amaç: Bu çalışma, kadınların üriner inkontinansa ilişkin farkındalık ve tutumlarının incelenmesi amacıyla planlanmıştır.
Yöntem: Tanımlayıcı ve ilişki arayıcı türde planlanan çalışmanın örneklemini, Temmuz 2023-Mart 2024 tarihleri arasında İç Anadolu bölgesinde bulunan bir kamu hastanesine başvuran 199 üriner inkontinansı olan kadın oluşturmuştur. Veriler; Kişisel Bilgi Formu, Üriner İnkontinans Farkındalık ve Tutum Ölçeği ve Ürogenital Distres Envanteri kullanılarak toplanmıştır. Verilerin analizinde tanımlayıcı istatistikler, bağımsız gruplarda t testi, One-Way ANOVA testi ve Pearson korelasyon analizi kullanılmıştır.
Bulgular: Araştırmaya katılan kadınların yaş ortalaması 44.31±7.83 yıldır. Katılımcıların Üriner İnkontinans Farkındalık ve Tutum Ölçeği sağlık sorunu olarak kabulünü engelleyen faktörler alt boyut ortalama puanı 22.22±6.69, sağlık motivasyonu alt boyut ortalama puanı 10.73±3.96, üriner inkontinans ile başetme alt boyut ortalama puanı 16.55±5.64, kısıtlanma alt boyut ortalama puanı 9.99±3.50 ve idrar kaçırma korkusu alt boyut ortalama puanı 11.32±4.49’dir. Ürogenital Distres Envanteri toplam ortalama puanı 46.26±23.10’dur.
Sonuçlar: Öğrenim düzeyi yüksek, kronik kabızlık sorunu olan, epizyotomi uygulanan kadınların üriner inkontinansı sağlık sorunu olarak gördükleri, gelir düzeyi yüksek olanların üriner inkontinans nedeniyle daha hafif düzeyde kısıtlanma yaşadıkları, kronik herhangi bir hastalığı olan, sık idrar yolu enfeksiyonu ve vajinal enfeksiyon geçiren, kronik kabızlığı olan, sık sık öksüren ve menopoza giren kadınların daha fazla ürogenital distres semptomları yaşadığı sonucuna varılmıştır.

Keywords

başetme farkındalık motivasyon tutum üriner inkontinans

Supporting Institution

Yok

Thanks

yok

References

  • Ahmed, W. R. A., Zeidan, M. A. K., & Kamil, A. M. (2024). An epidemiological study of urinary incontinence among a sample of adults in Baghdad city. Journal of Scientific Research in Medical and Biological Sciences, 5(2), 54–68. https://doi.org/10.47631/JSRMBS.V5I2.778
  • Aksoy, Y. E., & Yılmaz, S. D. (2022). The effect of urinary incontinence symptoms on sexual functions and quality of life in women. Sexuality and Disability, 40, 195–207. https://doi.org/10.1007/s11195-021-09714-y
  • Avci, İ. A., Öz Yıldırım, Ö., & Eren, D. Ç. (2022). Urinary Incontinence Awareness and Attitude Scale (URINAS). Journal of Wound, Ostomy & Continence Nursing, 49(6), 551–557. https://doi.org/10.1097/WON.0000000000000921
  • Batmani, S., Jalali, R., Mohammadi, M., & Bokaee, S. (2021). Prevalence and factors related to urinary incontinence in older adults women worldwide: A comprehensive systematic review and meta-analysis of observational studies. BMC Geriatrics, 21(1), 212. https://doi.org/10.1186/S12877-021-02135-8
  • Bulgak, M., & Avci, İ. A. (2022). Methods of coping with factors affecting urinary incontinence awareness and frequency in elderly patients with urinary incontinence. Journal Nursology, 25(1), 1–6. https://doi.org/10.54614/JANHS.2022.729980
  • Cam, C., Sakalli, M., Ay, P., Cam, M., & Karateke, A. (2007). 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, 26(1), 129–133. https://doi.org/10.1002/nau.20292
  • Çuvadar, A., & Onur, S. (2023). Determining incontinence awareness, attitude, and frequency in female students enrolled in the faculty of health sciences. Journal of Clinical Medicine of Kazakhstan, 20(5), 37–41. https://doi.org/10.23950/JCMK/13758
  • Demir, S., & Beji, N. K. (2015). Üriner inkontinanslı kadınlarda yaşam kalitesi ve sağlık arama davranışları. Florence Nightingale Hemşirelik Dergisi, 1(23), 23–31.
  • Faul, F., Erdfelder, E., Buchner, A., & Lang, A.-G. (2009). Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses. Behavior Research Methods, 41(4), 1149–1160. https://doi.org/10.3758/BRM.41.4.1149
  • Faul, F., Erdfelder, E., Lang, A. G., & Buchner, A. (2007). G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods, 39(2), 175–191. https://doi.org/10.3758/BF03193146
  • Gencer, G. Y. G., Göktaş, İ., & Uz, B. Y. (2024). Menopozlu kadınlarda deprem sonrası genital hijyen, yaşam kalitesi ve üriner inkontinans farkındalığının incelenmesi. Yaşlı Sorunları Araştırma Dergisi, 17(1), 33–42. https://doi.org/10.46414/yasad.1436396
  • Haylen, B. T., de Ridder, D., Freeman, R. M., Swift, S. E., Berghmans, B., Lee, J., Monga, A., Petri, E., Rizk, D. E., Sand, P. K., & Schaer, G. N. (2010). An international urogynecological association (IUGA)/international continence society (ICS) joint report on the terminology for female pelvic floor dysfunction. Neurourology and Urodynamics, 29(1), 4–20. https://doi.org/10.1002/nau.20798
  • İskender, M. D., & Gül, S. (2024). The effect of demographic characteristics of patients applying to the urology outpatient clinic on urinary incontinence awareness and attitudes. Pamukkale Medical Journal, 17(1), 143–157. https://doi.org/10.31362/patd.1406978
  • Kaya, H. D., Yılmaz, T., & Bilgiç, F. Ş. (2024). Symptom severity and its impact on daily life in women with urinary incontinence: A cross-sectional study. Journal Modern Nursing Practice and Research, 4(1), 4. https://doi.org/10.53964/jmnpr.2024004
  • Li, M., Wang, H., Ko, W. K., & Kwong, S. K. (2024). Factors associated with health-seeking for urinary incontinence in Hong Kong Chinese women: A cross-sectional study. International Urogynecology Journal, 35(1), 95–101. https://doi.org/10.1007/S00192-023-05656-5
  • Liang, S., Li, J., Chen, Z., Li, Y., Hao, F., & Cai, W. (2023). Prevalence and influencing factors of help-seeking behavior among women with urinary incontinence: A systematic review and meta-analysis. Journal of Women’s Health, 32(12), 1363–1379. https://doi.org/10.1089/JWH.2022.0482
  • Mainu, T. C. R., George, S., Raj, A., & Rajiv, M. (2023). Prevalence and risk factors of urinary incontinence among elderly women residing in Kochi corporation: A community-based cross-sectional study. Journal of Mid-Life Health, 14(1), 15–20. https://doi.org/10.4103/jmh.jmh_184_22
  • Manso, M., Botelho, F., Bulhões, C., Cruz, F., & Pacheco-Figueiredo, L. (2023). Self-reported urinary incontinence in women is higher with increased age, lower educational level, lower income, number of comorbidities, and impairment of mental health. Results of a large, population-based, national survey in Portugal. World Journal of Urology, 41(12), 3657–3662. https://doi.org/10.1007/S00345-023-04677-5
  • Özgül, S., Gürşen, C., Toprak Çelenay, Ş., Baran, E., Üzelpasacı, E., Nakip, G., Nalan Çinar, G., Sinan Beksaç, M., & Akbayrak, T. (2022). Contributory effects of individual characteristics on pelvic floor distress in women with pelvic floor dysfunctions. Physiotherapy Theory and Practice, 40(3), 625–636. https://doi.org/10.1080/09593985.2022.2127137
  • Rashidi Fakari, F., Hajian, S., Darvish, S., & Alavi Majd, H. (2021). Explaining factors affecting help-seeking behaviors in women with urinary incontinence: A qualitative study. BMC Health Services Research, 21(1). https://doi.org/10.1186/S12913-020-06047-Y
  • Shumaker, S. A., Wyman, J. F., Uebersax, J. S., McClish, D., & Fantl, J. A. (1994). Health-related quality of life measures for women with urinary incontinence: The Incontinence Impact Questionnaire and the Urogenital Distress Inventory. Quality of Life Research, 3(5), 291–306. https://doi.org/10.1007/BF00451721
  • Srisanam, M., Buppasiri, P., Chongsomchai, C., & Temtanakitpaisan, T. (2022). Urinary incontinence: Women attending the gynecology outpatient clinic unaware of symptoms. Thai Journal of Obstetrics and Gynaecology, 30(2), 136–144.
  • Tabachnick, B. G., Fidell, L. S., & Ullman, J. B. (2013). Using multivariate statistics (6. Baskı). Pearson New International Edition.
  • Wang, Q., Que, Y., Yang, Y., Wan, X., & Lin, C. (2023). A population-based cross-sectional survey on the prevalence, severity, risk factors, and self-perception of female urinary incontinence in rural Fujian, China. International Urogynecology Journal, 34(9), 2089–2097. https://doi.org/10.1007/S00192-023-05518-0
  • Xue, K., Palmer, M. H., & Zhou, F. (2020). Prevalence and associated factors of urinary incontinence in women living in China: A literature review. BMC Urology, 20(1). https://doi.org/10.1186/S12894-020-00735-X
  • Yaǧmur, Y., & Gül, S. (2021). Urinary incontinence in women aged 40 and older: Its prevalence, risk factors, and effect on quality of life. Nigerian Journal of Clinical Practice, 24(2), 186–192. https://doi.org/10.4103/NJCP.NJCP_626_18
There are 26 citations in total.

Details

Primary Language Turkish
Subjects Obstetrics and Gynaecology
Journal Section Research Articles
Authors

Süreyya Kılıç 0000-0003-2382-3010

Sema Dereli Yılmaz 0000-0001-5294-7966

Publication Date April 30, 2025
Submission Date July 30, 2024
Acceptance Date January 29, 2025
Published in Issue Year 2025 Volume: 6 Issue: 1

Cite

APA Kılıç, S., & Dereli Yılmaz, S. (2025). Kadınların üriner inkontinansa ilişkin farkındalık ve tutumlarının incelenmesi. Anatolian Journal of Health Research, 6(1), 8-14. https://doi.org/10.61534/anatoljhr.1524845
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