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Published on: August 14, 2019
Fluid manipulation among individuals with lower urinary tract symptoms: a mixed methods study
Emily A Elstad1, Nancy N Maserejian, John B McKinlay
1Department of Health Behavior & Health Education, University of North Carolina at Chapel Hill, Gillings School of Global Public Health, Chapel Hill, NC 27599, USA. elstad@email.unc.edu
Individuals with lower urinary tract symptoms self-manage by restricting or increasing fluid intake, often with unmet expectations. This highlights a need for patient guidance on fluid management to prevent adverse effects.
Area of Science:
- Urology
- Behavioral Science
Background:
- Lower urinary tract symptoms (LUTS) are common and impact quality of life.
- Understanding fluid intake self-management strategies for LUTS is limited.
Purpose of the Study:
- To qualitatively and quantitatively assess how individuals manage urinary symptoms (frequency, urgency, leakage) through fluid manipulation.
- To explore the rationale behind these fluid intake behaviors.
Main Methods:
- Mixed-methods approach combining statistical analysis of a population-based survey (n=5503) and qualitative analysis of in-depth interviews (n=152).
- Participants included diverse men and women with LUTS from the Boston Area Community Health Survey.
Main Results:
- Qualitative findings revealed fluid intake restriction and افزایش (increase) were employed to manage symptoms.
- Quantitative data showed higher fluid intake in individuals with frequency. Women with frequency drank more water, while those with urgency drank less.
Conclusions:
- Individuals exhibit varied fluid management strategies for LUTS, with conflicting expectations.
- Patients with LUTS may require professional guidance on appropriate fluid management to avoid risks like dehydration or symptom exacerbation.
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