在贝利兹治疗女性尿失禁的盆底治疗计划:试点研究
David E Rapp1,2, Jacqueline Zillioux1, Fionna Sun1
1Department of Urology, University of Virginia, Charlottesville, VA, United States.
Frontiers in global women's health
|February 26, 2024
概括
盆地物理治疗和教育有效地改善了低资源环境中的女性的尿失禁症状和生活质量. 这种可访问的治疗方法在其他选择有限的情况下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
- 物理疗法物理治疗
- 妇女健康 妇女健康
背景情况:
- 尿失禁 (UI) 是低收入和中等收入国家 (LMIC) 的普遍问题.
- 在LMIC中,对手术或保守性UI治疗的有限访问需要可访问的替代方案.
研究的目的:
- 评估贝利兹的UI妇女的骨盆底物理治疗和教育 (PFPT/PFE) 的可行性和有效性.
- 评估UI症状的改善,生活质量和盆地肌肉力量.
主要方法:
- 一项前性可行性研究,涉及28名UI妇女.
- 患者接受了为期2天的密集PFPT/PFE计划,随后进行了为期6个月的家庭治疗方案.
- 测量结果包括验证的问卷 (ICIQ-FLUTS,IIQ-7) 和物理评估 (PERFECT分数,周围测量).
主要成果:
- 观察到患者对盆地运动的理解程度很高 (86-100%).
- 在6个月后,主观UI症状,生活质量和客观的骨盆底强度均显著改善.
- 患者报告的改善的中位数在10点的利卡特级别上为7.0.
结论:
- 盆地物理治疗和教育是对LMIC患者尿失禁的可行和有效治疗方法.
- 该计划在患者报告的结果和客观措施方面取得了显著的改善.
- 这种方法为资源有限的环境中的UI妇女提供了一个有希望的,可访问的解决方案.
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