在LURN中寻求治疗的妇女中,尿路和非尿路症状之间的关系
Abigail R Smith1, Sarah A Mansfield1, Catherine S Bradley2
1From the Arbor Research Collaborative for Health, Ann Arbor, MI.
Urogynecology (Philadelphia, Pa.)
|July 10, 2023
概括
身体和心理健康影响女性下尿道症状 (LUTS). 虽然这些因素与症状严重程度相关,但它们不能预测随着时间的推移LUTS的变化.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 妇女健康 妇女健康
- 精神病体医学是一种精神病体医学.
背景情况:
- 下尿道症状 (LUTS) 显著影响女性的生活质量.
- 身体和心理健康被认为是影响LUTS的潜在可修改因素.
- 了解这些因素与LUTS之间的纵向关系对于有效管理至关重要.
研究的目的:
- 在12个月的时间内,研究成人女性的身体功能,抑郁症,睡眠障碍和LUTS之间的关系.
- 为了确定基线非泌尿学因素是否预测了LUTS随时间的推移或改善.
主要方法:
- 一项观察性队列研究,涉及545名成年女性.
- 评估LUTS,尿道,脱落和结直肠-门痛苦,使用在基线,3个月和12个月的验证问卷.
- 使用患者报告结果测量信息系统 (PROMIS) 问卷和使用多变量线性混合模型的分析来测量身体功能,抑郁和睡眠障碍.
主要成果:
- 在PROMIS抑郁症得分和所有尿路结果之间发现了积极的关联.
- 较高的睡眠障碍得分与增加的紧迫性,阻塞性和整体LUTS严重性相关.
- 改善的身体功能与不太严重的尿路症状有关,不包括压力尿失禁.
结论:
- 身体和心理健康等非神经病学因素显示了与LUTS领域的横截面关联.
- 这些因素在研究期间与LUTS变化没有显著的关联.
- 需要进一步的研究来探索针对女性LUTS减少的非泌尿学因素的干预措施.
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