Akkoç Yeşim, Yıldız Necmettin, Yılmaz Bilge, Ersöz Murat, Bardak Ayşe Nur, Erhan Belgin, Köklü Kurtuluş, Tunç Hakan, Paker Nurdan, Özlü Aysun, Kanyilmaz Selcen, Koyuncu Engin, Alemdaroğlu Ebru, Alkan Hakan, Yumuşakhuylu Yasemin, Selbes Esra Cansu, Yıldız Ezgi, Korkmaz Nurdan, Özişler Zuhal, Yardımcı Gökhan, Akıncı Meltem Güneş, Öztekin Saadet Nur Sena, Aksungur Tuğçe, Canbulat Ahmet Tarık
Faculty of Medicine, Department of Physical Medicine and Rehabilitation, Ege University, Izmir, Turkey.
Faculty of Medicine, Department of Physical Medicine and Rehabilitation, Pamukkale University, Denizli, Turkey.
Eur Geriatr Med. 2025 Feb;16(1):317-323. doi: 10.1007/s41999-024-01083-x. Epub 2024 Nov 3.
To investigate the awareness of the pelvic floor muscles (PFMs) and PFM exercises (PFME) knowledge, training and experience in community-dwelling women aged 60 and over and its relationship with urinary incontinence (UI).
This is a questionnaire based study which was carried out in 9 Physical Medicine and Rehabilitation Centers, including a total of 500 women aged 60 and over and living in the community. The questionnaire included questions about awareness of PFMs, UI complaints and PFME knowledge, training and experience. Knowledge and awareness of PFMs and PFME knowledge, training and experience were compared in subgroups with or without urinary incontinence.
The mean age of the women included in the study was 67.8 ± 6.1 (60-88). Knowledge and awareness of PFMs and PFME knowledge, training and experience were low in the study population. Knowledge and awareness of PFMs were significantly low in the subgroup with urinary incontinence (p < 0.05). Kegel exercise training and experience were significantly low in the subgroup without urinary incontinence (p = 0.01, p < 0.01).
Knowledge and awareness of PFMs and PFME knowledge, training and experience are low in community-dwelling women aged 60 and over and training programs should be organized to teach the function of the PFMs and to perform PFME correctly in this population.
调查60岁及以上社区居住女性对盆底肌肉（PFMs）和盆底肌肉锻炼（PFME）的知识、训练及经验的知晓情况，以及其与尿失禁（UI）的关系。
这是一项基于问卷调查的研究，在9个物理医学与康复中心开展，共纳入500名60岁及以上的社区居住女性。问卷包括关于盆底肌肉的知晓情况、尿失禁主诉以及盆底肌肉锻炼的知识、训练和经验等问题。对有或无尿失禁的亚组在盆底肌肉知识、盆底肌肉锻炼知识、训练和经验方面进行比较。
纳入研究的女性平均年龄为67.8±6.1岁（60 - 88岁）。研究人群对盆底肌肉和盆底肌肉锻炼的知识、训练及经验的知晓程度较低。有尿失禁的亚组对盆底肌肉的知识和知晓程度显著较低（p < 0.05）。无尿失禁的亚组凯格尔运动训练和经验显著较低（p = 0.01，p < 0.01）。
60岁及以上社区居住女性对盆底肌肉和盆底肌肉锻炼的知识、训练及经验的知晓程度较低，应组织培训项目，向该人群传授盆底肌肉的功能并正确进行盆底肌肉锻炼。
