多发性硬化症患者的疲劳和尿路生活质量之间的相互作用
Vasileios Giannopapas1, Dimitrios K Kitsos2, Athanasia Panopoulou3
1Second Department of Neurology, Attikon University Hospital, National and Kapodistrian University of Athens, Athens, Greece; Department of Physical Therapy, University of West Attica, Athens, Greece; Laboratory of Neuromuscular and Cardiovascular Study of Motion, University of West Attica, Athens, Greece.
概括
多发性硬化症患者疲劳较少,神经性膀症状得到控制,报告尿路生活质量更好. 间歇性导管使用与改善尿路结果有关.
科学领域:
- 神经学 神经学
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 生活质量研究 生命质量研究
背景情况:
- 神经性膀和疲劳症状显著影响多发性硬化症 (MS) 患者的生活质量 (QoL).
- 了解疲劳和泌尿功能之间的相互作用对于改善患者福祉至关重要.
研究的目的:
- 研究MS患者与疲劳相关的症状 (FRS) 和尿路生活质量 (UQoL) 之间的关系.
- 在这个人群中确定预测UQoL的因素.
主要方法:
- 120名多发性硬化患者完成了修改疲劳影响量表 (MFIS) 和简短形式合格 (SF Qualiveen).
- 收集了人口统计数据和膀功能特征 (失禁,频率,间歇性导管使用).
- 进行了相关性和多重线性回归分析.
主要成果:
- MFIS的物理和认知维度与SF Qualiveen分数中等至高度相关.
- 间歇性导管使用和MFIS的物理维度显著预测了SF Qualiveen得分.
- 回归模型解释了UQoL15.0%的差异.
结论:
- 在MS中,尿液QOL与身体和认知疲劳尺寸有中度的相关性.
- 较低的身体疲劳和有效的神经性膀管理 (例如间歇性导管) 与更高的UQoL相关.
- 建议使用像尿动力学研究这样的客观工具进行进一步的研究.
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