Effectiveness of Kegel Exercise Training in Women with Urinary Incontinence: A Methodological and Experimental
Öz
Objective: This study was carried out to evaluate the Kegel Exercise training efficacy given to women diagnosed with urinary incontinence and to develop the “Evaluation of the Usefulness and Applicability of Kegel Exercise Training Scale” and to test its validity reliability.
Methods:The study, which was planned methodologically and experimentally with pre-test and post-test, was carried out on 105 women with urinary incontinence between March and July 2017.
Results: The average age of women was 49.10 ± 8.99 years. According to the data before the Kegel Exercise training and 8 weeks after the Kegel Exercise application, the average scores of the scales changed over time (p <0.05). The scale developed in the study was found to be a valid and reliable scale that can measure the effectiveness of Kegel Training training.
Conclusion: Kegel Exercise training positively affected the quality of life and it was determined that the Evaluation Scale of the Developed Kegel Exercise Training Activity is a valid and reliable measurement tool. Nurses are asked to work on issues related to urinary incontinence, to evaluate and transfer these studies to their applications, and thus, it is expected that evidence-based practices will be increased.
Anahtar Kelimeler
KEGEL EXERCISE TRAINING IN WOMEN Kegel Exercise Kegel Exercise Scale Development Urinary Incontinence Quality of Life
Destekleyen Kurum
Sakarya University
Proje Numarası
2017-40-02-001
Teşekkür
The authors would like to thank the women who were willing to participate in the study.
Kaynakça
- Referance1. Abrams, P., Cardozo, L., Fall, M., Griffiths, D., Rosier, P., Ulmsten, U.,Van Kerrebroeck, P., Victor A., & Wein, A. (2002). Standardisation Sub-committee of the International Continence Society. The Standardization of Terminology in Lower Urinary Tract Function: Report from ,The Standardization sub-Committee of the International Continence Society. Neurourology and Urodynamics, 21, 167-178.
- Referance2. Akgün, G., Süt, N., & Balkanlı Kaplan, P. (2010). Prevalance of the Urinary Incontinence in Women Older Than 40 Years and Influence of Their QoL. Turkiye Klinikleri Gynecology Obstetrics, 20(6), 378-386. (in Turkish)
- Referance3. Amaral, M.O., Coutinho, E.C., Nelas, P.A., Chaves, C.M., & Duarte, J.C.(2015). Risk factors associated with urinary incontinence in Portugal and the quality of life of affected women. International Journal of Gynecology & Obstetrics, 131, 82-86. doi: 10.1016/j.ijgo.2015.03.041.
- Referance4. Bartoli, S., Aguzzi, G., & Tarricone, R. (2010). Impact on quality of life of urinary incontinence and overactive bladder: A systematic literature review. Urology, 75(3), 491-500. doi: 10.1016/j.urology.2009.07.1325
- Referance5. Biswas, B., Bhattacharyya, A., Dasgupta, A., Karmakar, A., Mallick, N., & Sembiah, S. (2017). Urinary icontinence, its Risk factors, and quality of life: A study among women aged 50 years and above in a rural health facility of West Bengal. Journal of Mid‑life Health, 8(3), 130-136. doi: 10.4103/jmh.JMH_62_17.
- Referance6. Bo, K. (2004). Pelvic Floor Muscle Training is Effective in Treatment of Female Stress Urinary Incontinence, But How Does It Work? International Urogynecology Journal, 15, 76-84.
- Referance7. Bresee, C., Dubina, E.D., Khan, A.A., Sevilla, C., Grant, D., Eilber, K.S., & Anger, J.T. (2014). Prevalence and correlates of urinary incontinence among older, community-dwelling women. Female Pelvic Medicine & Reconstructive Surgery, 20(6), 328-333. doi: 10.1097/SPV.0000000000000093.
- Referance8. Burns, N., & Grove, S.K. (1997). The Practice of Nursing Research Conduct, Critique and Utilization (3rd ed.). W.B. Saunders Company.
- Referance9. California Health Interview Survey. (2010). CHIS 2003 Adult Public Use File Release 3 [computer file]: UCLA. Center for Health Policy Research, Los Angeles, CA.
- Referance10. Chiaffarino, F., Parazzini, F., Lavezzari, M., Giamban, V., & Gruppo Inter disciplinaredi Studio Incontinenza Urinaria (GISIU). (2003). Impact of Urinary Incontinence and Over Active Bladder on Quality of Life. European Urology, 43: 535-538.
- Referance11. Çam, Ç., Sakallı, M., Ay, P., Çam, M., & Karateke, A. (2007). Validation of The Shortforms of The Distress Inventory (UDI-6) in a Turkish Population. Neurourology and Urodynamics, 26,129-133.
- Referance12. Demir, G., & Erbesler, Z.A. (2017). Quality of life and factors associated with it in elderly women with urinary incontinence. Turkish Journal of Geriatrics, 20, 213-222.
- Referance13. Demirci, N., & Coşar, F. (2009). Behavioural therapy techniques for urinary incontinence. SDU Medical Faculty Journal, 16, 35-40. (in Turkish)
- Referance14. Demirel, T., & Akın, B. (2014). Prevalence and risk factors of urinary incontinence and its impact on quality of life among 65 years and over women who lived in rural area. Turkish Journal of Geriatrics, 17, 379-388.
- Referance15. García-Pérez, H., Harlow, S.D., Sampselle, C.M., & Denman, C. (2013). Measuring Urinary Incontinence in a Population of Women in Northern Mexico: Prevalence and Severity. International Urogynecology Journal , 24, 847-854. doi: 10.1007/s00192-012-1949-y.
- Referance16. Grady, D., Brown, J.S., Vittinghoff, E., Applegate, W., Varner, E., Snyder, T., & HERS Research Group. (2001). Postmenopausal hormones and incontinence: the Heart and Estrogen/Progestin Replacement Study. Obstetrics & Gynecology, 97(1), 116-120.
- Referance17. Harai, M., Oura, A., & Mori, M. (2014). Risk factors for urinary incontinence in Japanese elderly women. Lower Urinary Tract Symptoms, 6, 94–97. doi: 10.1111/luts.12026.
- Referance18. Haslam, J., & Laycock, J. (2008). Therapeutic Management of Incontinence and Pelvic Pain (2nd ed). Springer.
- Referance19. Herderschee, R., Hay-Smith, E.J.C., Herbison, G.P., Roovers, J.P., & Heineman, M.J. (2011). Feedback or Biofeedback to Augment Pelvic Floor Muscle Training for Urinary Incontinence in Women. The Cochrane Collaboration, 6(7), CD009252. doi: 10.1002/14651858.CD009252.
- Referance20. Kaplan, S., & Demirci, N. (2010). Conservative treatment methods for urinary incontinence. Fırat Sağlık Hizmetleri Dergisi, 5, 1-14. (in Turkish)
- Referance21. Melville, JL.., Delaney, K., Newton, K., & Katon, W. (2005). Incontinence Severity and Major Depression in Incontinent Women. Obstetrics & Gynecology, 106, 585-592. doi: 10.1097/01.AOG.0000173985.39533.37.
- Referance22. Ozerdogan, N., Beji, N.K., & Yalçin, O. (2004). Urinary Incontinence: Its Prevalence, Risk Factors and Effects on the Quality of Life of Women Living in a Region of Turkey. Gynecologic and Obstetric Investigation 2004; 58:145-150. (in Turkish)
- Referance23. Öz, Ö.,& Altay, B. (2017). Risk Factors of Urinary Incontinence and Nursing Approach. İnönü Üniversitesi Sağlık Bilimleri Dergisi, 6, 34-37. (in Turkish)
- Referance24. Özdemir, E., Özerdoğan, N., & Unsal, A. (2011). Urinary Incontinence, Sexual Dysfunction and Quality of Life Among Married Women Older than 20, in Ankara Gulveren Health Clinic Region. Turkiye Klinikleri Gynecology Obstetrics, 21(4), 266-276. (in Turkish)
- Referance25. Özkan, S.A., Bilgiç, D., & Beji, N.K. (2019). The Examination of Nursing Postgraduate Theses Related to Urinary Incontinence in Turkey. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi, 10, 201-210. doi:10.31067/0.2019.142 (in Turkish)
- Referance26. Stothers, L., & Friedman, B. (2011). Risk Factors for The Development of Stress Urinary Incontinence in Women. Current Urology Reports, 12, 363-369. doi: 10.1007/s11934-011-0215-z.
- Referance27. Terzi, H., Terzi, R., Kale, A. (2013). Urinary incontinence frequency and affecting factors in women aged over 18. Ege Journal of Medicine, 52, 15-19. (in Turkish)
- Referance28. Uebersax, J.S., Wyman, J.F., Shumaker, A., McClish DK, & Fantl, J.A. (1995). Short Forms to Assess Life Quality and Symptom Distress for Urinary Incontinence in Women: The Incontinence Impact Questionnaire and The Urogenital Distress İnventory. Continence Program for Women Research Group. Neurourology and Urodynamics, 14,131- 139.
- Referance29. Ünsal, A., Tözün, M., & Arslantaş, D. (2013). Urinary ıncontinence, related factors and depression among 20 aged and over women in beylikova district centre in Eskişehir. TAF Preventive Medicine Bulletin, 12, 231-242. doi: 10.5455/pmb.1-1328538128. (in Turkish)
- Referance30. Velázquez, M.M., Bustos, L.H.H., Rojas, P.G., Oviedo, O.G., Neri Ruz, E.S., & Castrillo C.S. (2007). Prevalence and quality of life in women with urinary incontinence. A population base study. Revista de Ginecología y Obstetricia de México, 75(6), 347-356.
- Referance31. Wagner, T.H., Patrick, D.L., Bavendam, T.G., Martin, M.L., & Buesching, D.P. (1996). Quality of Life of Persons with Urinary Incontinence: Development of a New Measure. Urology, 47,67–72.
- Referance32. Wyman, J.F., Burgio, K.L., & Newman, D.K. (2009). Practical Aspects of Lifestyle Modifications and Behavioural Interventions in The Treatment of Overactive Bladder and Urgency Urinary Incontinence. International Journal of Clinical Practice, 63, 1177-1191. doi: 10.1111/j.1742-1241.2009.02078.x.
- Referance33. Yıldız, N., Sarsan, A., & Ardıç, F. (2009). Conservative Treatment of Stress Urinary Incontınence in Women. Turkish Journal of Physical Medicine and Rehabilitation, 12, 42-50. (in Turkish)
- Referance34. Zhu, L., Li, L., Lang, J., Xu, T., & Wong, F. (2010). Epidemiology of Mixed Urinary Incontinence in China.. International Journal of Gynecology & Obstetrics, 109, 55-58. doi: 10.1016/j.ijgo.2009.10.017.
Üriner İnkontinansı Olan Kadınlarda Kegel Egzersiz Eğitiminin Etkililiği: Metodolojik ve Deneysel Bir Çalışma
Öz
Amaç: Bu çalışma, üriner inkontinans tanısı almış kadınlara verilen Kegel Egzersizi eğitimi etkinliğinin değerlendirilmesi ve “Kegel Egzersizi Eğitimi Etkinliğinin Değerlendirme Ölçeği”nin geliştirilmesi, geçerlilik güvenirliğinin test edilmesi amacıyla gerçekleştirildi.
Yöntem: Ön test ve son test yapılarak metodolojik ve deneysel olarak planlanan çalışma, Sakarya Eğitim Araştırma Hastanesi ve Zeynep Kamil Kadın ve Çocuk Hastalıkları Eğitim ve Araştırma Hastanesi’nde, Mart- Temmuz 2017 tarihleri arasında 105 üriner inkontinans tanısı almış kadın üzerinde yapılmıştır.
Bulgular: Kadınların yaş ortalaması 49,10±8,99 yıl idi. Kegel Egzersizi eğitimi öncesi ile Kegel Egzersizi uygulamasından 8 hafta sonraki verilere göre ölçeklerin puan ortalamalarında zamana göre değişim tespit edildi (p<0,05). Çalışmada geliştirilen ölçeğin Kegel Egzersizi eğitimi etkinliğini ölçebilecek geçerli ve güvenilir bir ölçek olduğu görüldü.
Sonuç: Üriner inkontinansın yaşam kalitesi üzerindeki olumsuz etkisinin Kegel Egzersizi ile azaldığı tespit edilmiştir. Kadınlara öğretilen Kegel Egzersizine uyumun sağlanması, eğitimin kadınlar için anlaşılır ve uygulanabilir hale getirilebilmesi, eğitimin etkinliğinin ölçülmesi için önerilmektedir. Bu amaçla geliştirilen “Kegel Egzersiz Eğitimi Ölçeğinin Yararlılığı ve Uygulanabilirliğinin Değerlendirilmesi” geçerli ve güvenilir bir ölçek olarak literatüre eklenmiştir.
Anahtar Kelimeler
Kadın Sağlığı Kegel Egzersizi Ölçek Geliştirme Üriner İnkontinans Yaşam Kalitesi
Proje Numarası
2017-40-02-001
Kaynakça
- Referance1. Abrams, P., Cardozo, L., Fall, M., Griffiths, D., Rosier, P., Ulmsten, U.,Van Kerrebroeck, P., Victor A., & Wein, A. (2002). Standardisation Sub-committee of the International Continence Society. The Standardization of Terminology in Lower Urinary Tract Function: Report from ,The Standardization sub-Committee of the International Continence Society. Neurourology and Urodynamics, 21, 167-178.
- Referance2. Akgün, G., Süt, N., & Balkanlı Kaplan, P. (2010). Prevalance of the Urinary Incontinence in Women Older Than 40 Years and Influence of Their QoL. Turkiye Klinikleri Gynecology Obstetrics, 20(6), 378-386. (in Turkish)
- Referance3. Amaral, M.O., Coutinho, E.C., Nelas, P.A., Chaves, C.M., & Duarte, J.C.(2015). Risk factors associated with urinary incontinence in Portugal and the quality of life of affected women. International Journal of Gynecology & Obstetrics, 131, 82-86. doi: 10.1016/j.ijgo.2015.03.041.
- Referance4. Bartoli, S., Aguzzi, G., & Tarricone, R. (2010). Impact on quality of life of urinary incontinence and overactive bladder: A systematic literature review. Urology, 75(3), 491-500. doi: 10.1016/j.urology.2009.07.1325
- Referance5. Biswas, B., Bhattacharyya, A., Dasgupta, A., Karmakar, A., Mallick, N., & Sembiah, S. (2017). Urinary icontinence, its Risk factors, and quality of life: A study among women aged 50 years and above in a rural health facility of West Bengal. Journal of Mid‑life Health, 8(3), 130-136. doi: 10.4103/jmh.JMH_62_17.
- Referance6. Bo, K. (2004). Pelvic Floor Muscle Training is Effective in Treatment of Female Stress Urinary Incontinence, But How Does It Work? International Urogynecology Journal, 15, 76-84.
- Referance7. Bresee, C., Dubina, E.D., Khan, A.A., Sevilla, C., Grant, D., Eilber, K.S., & Anger, J.T. (2014). Prevalence and correlates of urinary incontinence among older, community-dwelling women. Female Pelvic Medicine & Reconstructive Surgery, 20(6), 328-333. doi: 10.1097/SPV.0000000000000093.
- Referance8. Burns, N., & Grove, S.K. (1997). The Practice of Nursing Research Conduct, Critique and Utilization (3rd ed.). W.B. Saunders Company.
- Referance9. California Health Interview Survey. (2010). CHIS 2003 Adult Public Use File Release 3 [computer file]: UCLA. Center for Health Policy Research, Los Angeles, CA.
- Referance10. Chiaffarino, F., Parazzini, F., Lavezzari, M., Giamban, V., & Gruppo Inter disciplinaredi Studio Incontinenza Urinaria (GISIU). (2003). Impact of Urinary Incontinence and Over Active Bladder on Quality of Life. European Urology, 43: 535-538.
- Referance11. Çam, Ç., Sakallı, M., Ay, P., Çam, M., & Karateke, A. (2007). Validation of The Shortforms of The Distress Inventory (UDI-6) in a Turkish Population. Neurourology and Urodynamics, 26,129-133.
- Referance12. Demir, G., & Erbesler, Z.A. (2017). Quality of life and factors associated with it in elderly women with urinary incontinence. Turkish Journal of Geriatrics, 20, 213-222.
- Referance13. Demirci, N., & Coşar, F. (2009). Behavioural therapy techniques for urinary incontinence. SDU Medical Faculty Journal, 16, 35-40. (in Turkish)
- Referance14. Demirel, T., & Akın, B. (2014). Prevalence and risk factors of urinary incontinence and its impact on quality of life among 65 years and over women who lived in rural area. Turkish Journal of Geriatrics, 17, 379-388.
- Referance15. García-Pérez, H., Harlow, S.D., Sampselle, C.M., & Denman, C. (2013). Measuring Urinary Incontinence in a Population of Women in Northern Mexico: Prevalence and Severity. International Urogynecology Journal , 24, 847-854. doi: 10.1007/s00192-012-1949-y.
- Referance16. Grady, D., Brown, J.S., Vittinghoff, E., Applegate, W., Varner, E., Snyder, T., & HERS Research Group. (2001). Postmenopausal hormones and incontinence: the Heart and Estrogen/Progestin Replacement Study. Obstetrics & Gynecology, 97(1), 116-120.
- Referance17. Harai, M., Oura, A., & Mori, M. (2014). Risk factors for urinary incontinence in Japanese elderly women. Lower Urinary Tract Symptoms, 6, 94–97. doi: 10.1111/luts.12026.
- Referance18. Haslam, J., & Laycock, J. (2008). Therapeutic Management of Incontinence and Pelvic Pain (2nd ed). Springer.
- Referance19. Herderschee, R., Hay-Smith, E.J.C., Herbison, G.P., Roovers, J.P., & Heineman, M.J. (2011). Feedback or Biofeedback to Augment Pelvic Floor Muscle Training for Urinary Incontinence in Women. The Cochrane Collaboration, 6(7), CD009252. doi: 10.1002/14651858.CD009252.
- Referance20. Kaplan, S., & Demirci, N. (2010). Conservative treatment methods for urinary incontinence. Fırat Sağlık Hizmetleri Dergisi, 5, 1-14. (in Turkish)
- Referance21. Melville, JL.., Delaney, K., Newton, K., & Katon, W. (2005). Incontinence Severity and Major Depression in Incontinent Women. Obstetrics & Gynecology, 106, 585-592. doi: 10.1097/01.AOG.0000173985.39533.37.
- Referance22. Ozerdogan, N., Beji, N.K., & Yalçin, O. (2004). Urinary Incontinence: Its Prevalence, Risk Factors and Effects on the Quality of Life of Women Living in a Region of Turkey. Gynecologic and Obstetric Investigation 2004; 58:145-150. (in Turkish)
- Referance23. Öz, Ö.,& Altay, B. (2017). Risk Factors of Urinary Incontinence and Nursing Approach. İnönü Üniversitesi Sağlık Bilimleri Dergisi, 6, 34-37. (in Turkish)
- Referance24. Özdemir, E., Özerdoğan, N., & Unsal, A. (2011). Urinary Incontinence, Sexual Dysfunction and Quality of Life Among Married Women Older than 20, in Ankara Gulveren Health Clinic Region. Turkiye Klinikleri Gynecology Obstetrics, 21(4), 266-276. (in Turkish)
- Referance25. Özkan, S.A., Bilgiç, D., & Beji, N.K. (2019). The Examination of Nursing Postgraduate Theses Related to Urinary Incontinence in Turkey. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi, 10, 201-210. doi:10.31067/0.2019.142 (in Turkish)
- Referance26. Stothers, L., & Friedman, B. (2011). Risk Factors for The Development of Stress Urinary Incontinence in Women. Current Urology Reports, 12, 363-369. doi: 10.1007/s11934-011-0215-z.
- Referance27. Terzi, H., Terzi, R., Kale, A. (2013). Urinary incontinence frequency and affecting factors in women aged over 18. Ege Journal of Medicine, 52, 15-19. (in Turkish)
- Referance28. Uebersax, J.S., Wyman, J.F., Shumaker, A., McClish DK, & Fantl, J.A. (1995). Short Forms to Assess Life Quality and Symptom Distress for Urinary Incontinence in Women: The Incontinence Impact Questionnaire and The Urogenital Distress İnventory. Continence Program for Women Research Group. Neurourology and Urodynamics, 14,131- 139.
- Referance29. Ünsal, A., Tözün, M., & Arslantaş, D. (2013). Urinary ıncontinence, related factors and depression among 20 aged and over women in beylikova district centre in Eskişehir. TAF Preventive Medicine Bulletin, 12, 231-242. doi: 10.5455/pmb.1-1328538128. (in Turkish)
- Referance30. Velázquez, M.M., Bustos, L.H.H., Rojas, P.G., Oviedo, O.G., Neri Ruz, E.S., & Castrillo C.S. (2007). Prevalence and quality of life in women with urinary incontinence. A population base study. Revista de Ginecología y Obstetricia de México, 75(6), 347-356.
- Referance31. Wagner, T.H., Patrick, D.L., Bavendam, T.G., Martin, M.L., & Buesching, D.P. (1996). Quality of Life of Persons with Urinary Incontinence: Development of a New Measure. Urology, 47,67–72.
- Referance32. Wyman, J.F., Burgio, K.L., & Newman, D.K. (2009). Practical Aspects of Lifestyle Modifications and Behavioural Interventions in The Treatment of Overactive Bladder and Urgency Urinary Incontinence. International Journal of Clinical Practice, 63, 1177-1191. doi: 10.1111/j.1742-1241.2009.02078.x.
- Referance33. Yıldız, N., Sarsan, A., & Ardıç, F. (2009). Conservative Treatment of Stress Urinary Incontınence in Women. Turkish Journal of Physical Medicine and Rehabilitation, 12, 42-50. (in Turkish)
- Referance34. Zhu, L., Li, L., Lang, J., Xu, T., & Wong, F. (2010). Epidemiology of Mixed Urinary Incontinence in China.. International Journal of Gynecology & Obstetrics, 109, 55-58. doi: 10.1016/j.ijgo.2009.10.017.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Sağlık Kurumları Yönetimi |
| Bölüm | Özgün Araştırma |
| Yazarlar | |
| Proje Numarası | 2017-40-02-001 |
| Yayımlanma Tarihi | 26 Nisan 2024 |
| Gönderilme Tarihi | 23 Haziran 2022 |
| Kabul Tarihi | 26 Nisan 2023 |
| Yayımlandığı Sayı | Yıl 2024 Cilt: 40 Sayı: 1 |
