Research Information System
Thesis Type: Postgraduate
Institution Of The Thesis: Gazi University, Sağlık Bilimleri Enstitüsü, FİZYOTERAPİ VE REHABİLİTASYON ANABİLİM DALI, Turkey
Approval Date: 2019
Thesis Language: Turkish
Student: EMİNE İPEK
Supervisor: İlke Keser
Abstract:
The aim of this study was to investigate the effect of urinary incontinence (UI) severity on
patient preference after information about physiotherapy methods. Socio-demographic
characteristics and urinary symptoms of 70 individuals included in the study were recorded.
Individuals were divided into two groups according to the results of the 24-hour pad test,
individuals with ≥4-20 gr/24 hours value were included in mild UI group (n:44) and with
21g/24 hours value or above were included in moderate-severe UI group (n:26). The
individuals were asked whether they asked about UI and their treatments, physiotherapy
applications for UI and whether they had been treated for UI before. After the information,
individuals were asked which of the proven physiotherapy methods they prefer, reason to
choose, if they have more than 1 preference, order of preference, whether they feel having
sufficient information about UI and whether the information given by the physiotherapist
satisfied or not. Pelvic floor muscle strength (PFMS), urinary symptoms, quality of life
Electromyography (EMG) Biofeedback were evaluated by using the Turkish version of the
of Urogenital Distress Inventory-short form (UDI-6) and the Incontinence Impact
Questionnaire- short form (IIQ-7) and King Health Questionnaire (KHQ). In both groups,
individuals did not have sufficient information about the practices. Pelvic floor muscle
training was the most preferred physiotherapy method in the groups. The reason for
preference were “comfortable and easy treatment” in the mild UI group. In the group with
moderate-severe UI, they expressed “for treatment at home” and “comfortable and easy
treatment”. According to the results of this study, it was detected that individuals do not have
information about the physiotherapy methods directed to UI and there is a need to be
informed about these issues. After informing about physiotherapy options for UI
independent from UI severety the individuals prefered to apply PFMS
Key Words : Urinary incontinence, patient preference, patient benefit index
physiotherapy, incontinence severity