The Effect Of Informatıon About Physıotherapy Methods On Patıents Preference Accordıng To The Severıty Of Urınary Incontınence And Multıdımentıonal Comparıson Of The Groups In Women Wıth Urınary Incontınence


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