女性尿失禁的数字护理计划:一个大规模的,前性,队列研究
Dora Janela1, Anabela C Areias1, Maria Molinos1
1Clinical Research, Sword Health Inc., Draper, UT 84020, USA.
Healthcare (Basel, Switzerland)
|January 23, 2024
概括
一个远程数字护理程序有效地改善了女性的尿失禁症状. 这种可访问的方法,结合了教育和盆地肌肉训练与生物反,为管理这种常见疾病提供了可行的解决方案.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 数字健康数字健康
- 物理疗法物理治疗
背景情况:
- 女性尿失禁 (UI) 影响超过60%的美国女性.
- 盆地肌肉训练 (PFMT) 是UI的第一线治疗方法.
- 获得和遵守的挑战需要UI的创新护理交付模式.
研究的目的:
- 评估女性尿失禁的远程数字护理计划 (DCP) 的可行性和安全性.
- 评估结合教育,PFMT和实时生物反的DCP的有效性.
- 探索一种新的护理交付模式,以改善UI管理.
主要方法:
- 对326名参与者的前性队列研究.
- 一个为期10周的远程数字护理计划,实时生物反.
- 潜在增长曲线分析 (LGCA) 用于初级结局 (UIQ-7).
主要成果:
- 81%的参与者完成了为期10周的计划.
- 显著改善UIQ-7得分 (8.8,p < 0.001),反应率为57.3%.
- 观察到的改善影响骨盆状况,抑郁,焦虑和生产力,以及参与者的高满意度 (8.9/10).
结论:
- 与异步物理治疗师管理的远程数字护理计划是可行的,并且可以安全地减少UI症状.
- 这种数字化方法表明了增加获得有效UI护理的可能性.
- 这些发现支持进一步探索远程数字护理以实现广泛的UI管理.
相关概念视频
Urinary Bladder
725
The urinary bladder is a hollow, muscular sac that temporarily stores urine before it is expelled from the body. It can hold approximately 600 mL of urine prior to micturition. The bladder is retroperitoneal and located behind the pubic symphysis in the pelvic floor.
In males, the bladder is situated in front of the rectum, while in females, it is positioned anterior to the vagina and uterus. The bladder floor contains an inverted triangular area called the trigone, defined by the two ureteric...
In males, the bladder is situated in front of the rectum, while in females, it is positioned anterior to the vagina and uterus. The bladder floor contains an inverted triangular area called the trigone, defined by the two ureteric...
725
Disorders of the Urinary System
314
The urinary system is responsible for eliminating waste and excess fluids from the body. However, disorders of the urinary system can arise due to various reasons like infections, stress, age, congenital abnormalities, and lifestyle.
Urinary tract infections (UTIs) are one of the most common urinary system disorders. They are caused by bacteria that enter the urethra and can spread to the bladder resulting in cystitis. Pyelonephritis is the result of a UTI that has ascended to the level of the...
Urinary tract infections (UTIs) are one of the most common urinary system disorders. They are caused by bacteria that enter the urethra and can spread to the bladder resulting in cystitis. Pyelonephritis is the result of a UTI that has ascended to the level of the...
314
Introduction to Urinary System
2.6K
The urinary system consists of two kidneys, two ureters, the urinary bladder, and the urethra.
The kidneys are bean-shaped organs located in the retroperitoneal space, on either side of the vertebral column, between the T12 and L3 vertebrae. They are partially protected by the rib cage and surrounded by perirenal fat, which provides cushioning. They are responsible for urine formation and play critical roles in regulating blood pressure, electrolyte levels, and hormone production. The ureters...
The kidneys are bean-shaped organs located in the retroperitoneal space, on either side of the vertebral column, between the T12 and L3 vertebrae. They are partially protected by the rib cage and surrounded by perirenal fat, which provides cushioning. They are responsible for urine formation and play critical roles in regulating blood pressure, electrolyte levels, and hormone production. The ureters...
2.6K
Ostomy Care
304
Introduction
An ostomy is a surgical procedure that creates an artificial opening from the intestines to the outside of the body, allowing for the rerouting of effluent. This opening is known as a stoma. A stoma usually protrudes above the skin surface, appearing pink or red, moist, and round, and it lacks nerve sensations.
There are different types of ostomies, including colostomies, ileostomies, and urostomies:
An ostomy is a surgical procedure that creates an artificial opening from the intestines to the outside of the body, allowing for the rerouting of effluent. This opening is known as a stoma. A stoma usually protrudes above the skin surface, appearing pink or red, moist, and round, and it lacks nerve sensations.
There are different types of ostomies, including colostomies, ileostomies, and urostomies:
304
Physiology of Urine Formation
4.1K
Urine formation is an essential function of the human body. It plays a critical role in maintaining homeostasis by regulating the volume and composition of body fluids. The kidneys, the primary organs involved in this process, filter blood to remove waste products and excess substances, ultimately producing urine.
Glomerular Filtration
The first stage in urine formation is glomerular filtration. Each kidney contains approximately 1 million nephrons, the functional units of filtration, with a...
Glomerular Filtration
The first stage in urine formation is glomerular filtration. Each kidney contains approximately 1 million nephrons, the functional units of filtration, with a...
4.1K
The Micturition Reflex
640
Urination, or micturition involves the coordination of the bladder's detrusor muscle and two sphincters to ensure controlled bladder emptying.
The process begins with bladder filling, where the bladder wall stretches as urine accumulates. This stretching activates the urine storage reflex, mediated by the sacral spinal segments and the pontine storage center. Efferent sympathetic impulses stimulate the detrusor muscle to relax and the internal urethral sphincter to contract, facilitating...
The process begins with bladder filling, where the bladder wall stretches as urine accumulates. This stretching activates the urine storage reflex, mediated by the sacral spinal segments and the pontine storage center. Efferent sympathetic impulses stimulate the detrusor muscle to relax and the internal urethral sphincter to contract, facilitating...
640

