在现实临床实践中,认知行为疗法的有效性,使用夜患者的自我检查表在现实世界的临床实践中
Yuki Kyoda1,2,3,4, Koji Ichihara5, Ippei Muranaka6
1Department of Urology, Sapporo Medical University School of Medicine, Sapporo, Japan.
Lower urinary tract symptoms
|August 24, 2023
概括
使用自我检查表的认知行为疗法 (CBT) 有效地减少了门诊患者的夜频率. 这种干预对患者和临床医生在现实世界中都有好处.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 行为医学是一种行为医学.
背景情况:
- 夜显著影响生活质量.
- 认知行为疗法 (CBT) 已经显示出对夜管理的前景.
研究的目的:
- 在真实世界的临床实践中研究CBT的疗效,使用夜的自我检查表.
- 为了确定治疗成功的预测因素.
主要方法:
- 一项为期4周的临床试验,涉及243名患有夜的门诊患者,通过自我检查表使用CBT.
- 分析包括215名完成至少50%治疗任务的患者.
主要成果:
- 观察到夜间尿动频率显著下降 (3.3至2.8,p<.001).
- 在47.4%的患者中,治疗成功 (≥1减少夜间空虚) 实现了.
- 成功的预测因素包括治疗前更高的夜间睡眠频率 (≥4空洞) 和没有糖尿病.
结论:
- 在临床实践中,用自我检查表进行的CBT是一种有益的,低成本,低劳动力干预,用于临床实践中的夜.
- 这种方法支持患者和医疗保健提供者.
相关概念视频
Urinary Tract Infection IV: Nursing Management
24
In managing urinary tract infections (UTIs) in nursing, a comprehensive assessment is essential. Begin by gathering subjective data, such as the patient’s complaints of dysuria (painful urination), urinary frequency, urgency, suprapubic pain, and any lower abdominal discomfort. This information can be complemented by questions regarding previous UTIs, sexual activity, and personal hygiene practices, which can provide insight into risk factors. Objective assessment should focus on signs...
24
Urine Studies II: Urine Culture and Sensitivity Test
54
A urine culture and sensitivity test is a diagnostic procedure used to identify urinary tract bacterial infections and determine the most effective antibiotics for treatment. This test is generally preferred when a patient shows manifestations of a urinary tract infection, such as frequent or painful urination, cloudy or foul-smelling urine, or lower abdominal pain.Purpose of the TestThe primary goals of a urine culture and sensitivity test are to:Determine the specific bacteria causing the...
54
Urinary Tract Calculi V: Nursing Management
14
AssessmentSubjective Data: Obtain a detailed health history, including any recent or chronic urinary tract infections, periods of immobilization, previous episodes of renal calculi, and medical conditions such as gout, benign prostatic hyperplasia, or hyperparathyroidism. Review the medication history for drugs that may influence stone formation, including allopurinol, analgesics, loop diuretics, or thiazide diuretics. Document the use of long-term indwelling catheters and any past surgical...
14
Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care
15
A healthcare provider can diagnose a urinary tract infection (UTI) through several methods:Medical History and Symptoms: The provider will take a detailed medical history and ask about symptoms such as frequent urination, burning sensation during urination, and lower abdominal pain.Urinalysis: A clean-catch urine sample is collected in a sterile container and tested for the presence of bacteria, white blood cells (leukocytes), nitrites, blood, and protein. The presence of leukocytes and...
15
Urodynamic Studies: Uroflowmetry
83
Uroflowmetry is a non-invasive urodynamic test designed to measure various aspects of urination, including volume, flow rate, and the time to void. This test is crucial for diagnosing and assessing conditions such as bladder outlet obstruction, bladder dysfunction, incomplete bladder emptying, incontinence, and urinary tract blockages caused by benign prostatic hyperplasia (BPH) and urethral strictures.Pre-Test Instructions:Before a uroflowmetry test, patients are typically advised to drink...
83
Nursing Assessment of the Genitourinary System I: Health History
30
The genitourinary system is critical to maintaining fluid balance, waste elimination, and reproductive function. Nurses play a vital role in assessing this system, beginning with a thorough health history. This process involves gathering patient information, identifying risk factors, and recognizing symptoms of genitourinary disorders. Early detection is vital for timely interventions and management.1. Gathering Patient InformationA complete health history includes the patient’s personal,...
30


