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Do levels of self-efficacy affect urinary incontinence, falls, quality of life, sleep, and physical activity in elderly people with urinary incontinence?

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Abstract

Background

Our study aims to determine whether different self-efficacy (SE) levels affect urinary incontinence symptoms, falls, quality of life, sleep, and physical activity in elderly individuals with incontinence. Our secondary aim is to examine the relationship between SE levels and urinary incontinence severity, quality of life, sleep status, fear of falling, and physical activity level.

Methods

One hundred twenty elderly individuals (median age: 71 years) with urinary incontinence participated in the cross-sectional study. Participants were divided into 3 groups as levels of low, moderate, and high according to their Geriatric SE Index for Urinary Incontinence (GSE-UI). Urogenital Distress Inventory (UDI-6), Incontinence Impact Questionnaire (IIQ-7), Incontinence Quality of Life Scale (I-QOL), Pittsburgh Sleep Quality Index (PSQI), Fall Efficacy Scale (FES), Rapid Assessment Physical Activity (RAPA), and International Physical Activity Questionnaire Short Form (IPAQ-SF) assessments associated with incontinence were performed. Data were analyzed using Mann–Whitney U, Kruskal–Wallis tests, and Spearman’s correlation.

Results

A significant difference was found in UDI-6, IIQ-7, I-QOL, and FES belonging to three groups according to GSE-UI levels (p ˂0.01, p ˂0.01, p ˂0.01). It was determined that the group with low GSE-UI level had the highest incontinence symptoms, fear of falling, and the lowest quality of life statistically significant. A negative moderate significant correlation was found between GSE-UI scores and UDI-6 (r: − .67, p ˂0.01), IIQ-7 (r: − .67, p ˂0.01), and FES (r: − .46, p ˂0.01).

Conclusion

In elderly individuals with urinary incontinence, the level of SE may affect incontinence symptoms, severity, fear of falling, and quality of life and may be an important factor for incontinence. An increased level of SE may lead to positive effects on the user interface. Further studies in this field are needed.

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Abbreviations

FES:

Fall Efficacy Scale

GSE-UI:

Geriatric SE Index for Urinary Incontinence

IIPE:

Incontinence Intervention Program for the Elderly

IIQ-7:

Incontinence Impact Questionnaire

IPAQ-SF:

International Physical Activity Questionnaire Short Form

I-QOL:

Incontinence Quality of Life Scale

MMSE:

Mini-Mental State Examination Test

MOM:

Mind over matter

MUI:

Mixed urinary incontinence

PA:

Physical activity

PFM:

Pelvic floor muscle

PFMT:

Pelvic floor muscle training

PSQI:

Pittsburgh Sleep Quality Index

RAPA:

Rapid Assessment of Physical Activity

SD:

Standard deviation

SPSS:

Statistical Package for the Social Sciences

SUI:

Stress urinary incontinence

UDI-6:

Urogenital Distress Inventory

UI:

Urinary incontinence

UUI:

Urge urinary incontinence

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Author information

Authors and Affiliations

  1. Health Services Vocational School, Manisa Celal Bayar University, Manisa, Turkey

    Melda Başer Seçer

  2. Faculty of Physical Therapy and Rehabilitation, Dokuz Eylul University, Izmir, Turkey

    Özge Çeliker Tosun

  3. Department of Obstetrics and Gynecology, University of Health Sciences, Tepecik Training and Research Hospital, Izmir, Turkey

    Gökhan Tosun

Authors
  1. Melda Başer Seçer
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  2. Özge Çeliker Tosun
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  3. Gökhan Tosun
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Corresponding author

Correspondence to Melda Başer Seçer.

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Ethical approval

This study was performed in line with the principles of the Declaration of Helsinki. Approval was granted by the Ethics Committee of University Dokuz Eylül (2019/09.07).

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Informed consent was obtained from all individual participants included in the study.

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The authors declare no competing interests.

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Başer Seçer, M., Çeliker Tosun, Ö. & Tosun, G. Do levels of self-efficacy affect urinary incontinence, falls, quality of life, sleep, and physical activity in elderly people with urinary incontinence?. Ir J Med Sci 192, 935–944 (2023). https://doi.org/10.1007/s11845-022-03053-3

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  • DOI: https://doi.org/10.1007/s11845-022-03053-3

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