对于患有间歇性囊炎/膀疼痛综合征的妇女的集中群治疗:一个前性,并行组队列研究
Kate V Meriwether1, Niharika Ravichandran2, Cassandra J Darley1
1From the Department of Obstetrics and Gynecology, Division of Female Pelvic Medicine and Reconstructive Surgery, University of New Mexico, Albuquerque, NM.
Urogynecology (Philadelphia, Pa.)
|September 11, 2023
概括
在短期内,集体集中访问改善了女性间歇性囊炎/膀疼痛综合征 (ICBPS) 的疼痛和症状. 需要进一步的研究来确认ICBPS治疗的长期益处.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 疼痛管理 疼痛管理
- 团体医疗访问 团体医疗访问
背景情况:
- 间歇性囊炎/膀疼痛综合征 (ICBPS) 为女性带来了重大挑战,包括隔离和治疗困难.
- 群体医疗访问,例如使用中心化模型的群体医疗访问,在治疗其他慢性疾病方面取得了成功,但对于ICBPS仍然未被探索.
研究的目的:
- 通过集中的小组访问来评估增加标准ICBPS护理的有效性.
- 为了比较标准护理单独和标准护理加上ICBPS妇女的中心化访问之间的疼痛和症状控制.
主要方法:
- 一项前性队列研究,涉及45名被诊断患有ICBPS的女性.
- 参与者接受了标准护理 (对照) 或标准护理与中心化访问相结合.
- 经过验证的问卷评估了疼痛 (数值评分表),疼痛干扰 (PROMIS) 和ICBPS症状 (BPICSI) 在基线和每月长达12个月.
主要成果:
- 集中参与者在干预后1个月和2个月显示疼痛得分明显降低.
- 在1,2,3个月的中心化组中,观察到疼痛干扰和ICBPS症状得分的改善.
- 治疗组和教育水平与结果有关,尽管超过6个月的分析因参与者数量而受到限制.
结论:
- 与标准护理相比,集中群体访问为患有ICBPS的妇女提供短期益处,减少疼痛,疼痛干扰和特定症状.
- 需要进行更大规模的随访研究,以确定ICBPS管理的集中治疗的长期疗效.
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