Başgöl Şükran, Küçükkaya Burcu
Faculty of Health Sciences, Department of Midwifery, Ondokuz Mayıs University, Samsun, Türkiye.
Faculty of Health Sciences, Nursing Department, Division of Gynecology and Obstetrics Nursing, Bartın University, Bartın, Türkiye.
Int Urogynecol J. 2025 Jan 30. doi: 10.1007/s00192-025-06054-9.
Health-seeking behavior is habitual among people in a society, resulting from the interaction and balance between health needs, health resources, and socioeconomic factors. This study seeks to investigate the influence of health fatalism and health-seeking behaviors on the frequency of non-medication coping strategy use among women with urinary incontinence in Türkiye.
This cross-sectional study was conducted between 8 August 2024, and 22 September 2024. A total of 354 women voluntarily participated in the study, which was disseminated via social media platforms and online forums. Data collection involved the use of a Personal Information Form, the Health Fatalism Scale (HFS), the Health-Seeking Behaviour Scale (HSBS), and the Non-Medication Coping Strategies for Urinary Incontinence Frequency of Use Scale (NMCS-UIFUS).
The mean total HFS score was 50.39 ± 29.70, the mean total HSBS score was 38.76 ± 20.48, and the mean NMCS-UIFUS score was 35.69 ± 17.31. A statistically significant, strong negative correlation was found between health fatalism and health-seeking behavior, whereas a significant, strong positive correlation was observed between health fatalism and the frequency of non-medication coping strategy use for urinary incontinence (p < 0.001). Regression analysis revealed that health fatalism explained 37% of the variance in the frequency of non-medication coping strategy use for urinary incontinence, whereas health-seeking behavior accounted for 30% of the variance (p < 0.001).
Our study demonstrated that women with urinary incontinence exhibit moderate levels of health fatalism, health-seeking behaviors, and the frequency of non-medication coping strategy use; further, as health fatalism increases, health-seeking behavior decreases, whereas the frequency of non-medication coping strategy use rises.
在一个社会中，人们的求医行为是习惯性的，它源于健康需求、健康资源和社会经济因素之间的相互作用与平衡。本研究旨在调查健康宿命论和求医行为对土耳其尿失禁女性使用非药物应对策略频率的影响。
本横断面研究于2024年8月8日至2024年9月22日进行。共有354名女性自愿参与该研究，研究通过社交媒体平台和在线论坛进行传播。数据收集使用了个人信息表、健康宿命论量表（HFS）、求医行为量表（HSBS）以及尿失禁非药物应对策略使用频率量表（NMCS-UIFUS）。
HFS总分的平均分为50.39±29.70，HSBS总分的平均分为38.76±20.48，NMCS-UIFUS总分的平均分为35.69±17.31。健康宿命论与求医行为之间存在显著的、强负相关，而健康宿命论与尿失禁非药物应对策略使用频率之间存在显著的、强正相关（p<0.001）。回归分析显示，健康宿命论解释了尿失禁非药物应对策略使用频率变异的37%，而求医行为占变异的30%（p<0.001）。
我们的研究表明，尿失禁女性在健康宿命论、求医行为以及非药物应对策略使用频率方面处于中等水平；此外，随着健康宿命论的增加，求医行为减少，而非药物应对策略使用频率上升。
