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间歇性自导管训练和对治疗坚持和感染的影响
Luisa DE Palma1, Raffaele Balsamo2,3, Annarita Cicalese4
1Unit of Physical, Rehabilitation Medicine and Spinal Cord, Polyclinic of Bari, Bari, Italy - luisa.depalma@policlinico.ba.it.
European journal of physical and rehabilitation medicine
|September 26, 2023
概括
干净间歇性自导管 (CISC) 的培训时间不会影响坚持或并发症. 然而,持续使用CISC可降低神经性膀患者尿路感染的风险.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 神经科学是一个神经科学.
- 康复医学 康复医学 康复医学
背景情况:
- 干净间歇性自导管 (CISC) 是脊髓损伤和多发性硬化症 (MS) 中膀功能障碍的关键治疗方法.
- 高患者退学率凸显了CISC学习阶段的挑战.
研究的目的:
- 调查CISC培训的时间是否影响患者的服从性和尿路感染 (UTI) 率.
- 评估训练计划对治疗坚持和神经性尿并发症患病率的影响.
主要方法:
- 一项非随机观察性研究,涉及100名新入CISC的神经性尿的成年患者.
- 患者被分为两组:即时训练 (n=75) 和延迟训练 (处方后1-2天,n=25).
- 在基线,训练后6个月和12个月收集了对粘附度,导管频率和感染事件的数据.
主要成果:
- 培训时间没有显著影响CISC坚持或并发症率.
- 坚持规定的导管频率的患者经历了尿路感染的风险较低.
- 虽然病理学和泌尿动力学没有影响并发症,但MS患者的感染发病率较高 (P<0.03).
结论:
- CISC教育的时间是灵活的,不会影响治疗坚持或并发症.
- 遵守规定的CISC频率对于降低尿路感染风险至关重要.
- 医疗保健中心可以根据组织能力优化培训计划,而不会影响患者的结果.
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