在神经性下尿路功能障碍 (NLUTD) 患者中,尿路症状因膀管理而异
Rochelle E Tractenberg1,2,3, Suzanne L Groah3,4, Jamie K Frost1
1Collaborative for Research on Outcomes and -Metrics, Georgetown University, Washington, DC.
Topics in spinal cord injury rehabilitation
|December 11, 2023
概括
对神经性下尿路功能障碍 (NLUTD) 的尿症状评估应根据膀管理量身定制. 十个核心的NLUTD症状是独立于管理的,而其他症状则取决于管理.
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.
- 临床评估 临床评估
背景情况:
- 神经性下尿路功能障碍 (NLUTD) 影响膀控制.
- 目前对尿路症状的评估可能无法充分考虑各种膀管理策略.
研究的目的:
- 要确定在NLUTD中尿症状评估和决策是否应该取决于膀管理的方法.
- 根据膀管理类型开发和验证特定的尿路症状问卷.
主要方法:
- 开发了与NLUTD相关的三个尿路症状调查 (USQNBs),适用于内置导管 (IDC),间歇导管 (IC) 和排泄 (V) 管理.
- 主题专家对项目的定性评估和无监督的结构性学习以识别和分类症状项.
- 项目被分类为临床可行的,膀特异性的,尿液质量的或宪法的.
主要成果:
- 确定了10个NLUTD尿路症状的核心,包括临床可行的,膀特定的,尿液质量和宪法项目.
- 每一种管理方法 (IDC,IC,V) 都有独特的症状项目 (分别为9,11和8).
- 一个单一的决策协议适用于所有工具.
结论:
- 在NLUTD中,十个核心尿路症状独立于膀管理,但相似的数量是依赖的.
- 对于患有NLUTD的人来说,尿路症状评估需要对膀管理方法的特异性.
- 开发的USQNB为NLUTD的症状评估提供了量身定制的方法.
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