分析,设计,开发,实施和评估方法来开发一个盆地肌肉训练指南,以治疗女性压力尿失禁
Surahman Hakim1,2, Budi Iman Santoso1, Harrina Erlianti Rahardjo3
1Urogynecology Division, Department of Obstetrics and Gynecology, Dr. Cipto Mangunkusumo Hospital, Jakarta, Indonesia.
Obstetrics & gynecology science
|March 13, 2024
概括
使用ADDIE方法开发了一本关于盆地肌肉训练 (PFMT) 的新指南,以改善压力尿失禁 (SUI) 的妇女的结果. 该指南显示,在试点研究后,关键患者指标显著改善.
科学领域:
- 泌尿和妇科 泌尿和妇科
- 物理疗法物理治疗
- 医学教育 医学教育
背景情况:
- 压力尿失禁 (SUI) 显著影响全球妇女的生活质量.
- 盆地肌肉训练 (PFMT) 是SUI的主要保守治疗方法.
- 患者对PFMT的遵守程度低往往导致治疗失败,突出需要改进的坚持策略.
研究的目的:
- 开发一个全面的盆地肌肉训练 (PFMT) 指南书,用于压力尿失禁 (SUI) 管理.
- 用分析,设计,开发,实施和评估 (ADDIE) 模型来系统地创建指南书.
- 通过指导自我管理来提高患者在SUI治疗中的坚持和结果.
主要方法:
- 该PFMT指南书是在2020年7月至2021年4月期间使用ADDIE方法开发的.
- 混合方法方法,包括定性分析,焦点小组和专家采访,为开发过程提供了信息.
- 参与SUI患者的试点研究进行了评估指南的有效性.
主要成果:
- ADDIE方法促进了PFMT指南书的成功开发,评估重点是技术,清晰度和设计.
- 在试点后的研究中,该指南在失禁影响问卷 (IIQ-SF),1小时试验和围膜仪得分方面取得了显著改善.
- 在试点研究期间,尿路生殖器应急清单 (UDI-SF) 评分没有显著改善.
结论:
- 通过ADDIE方法开发的PFMT指南是改善SUI患者治疗结果的有效工具.
- 开发患者教育材料的这种结构化方法可以提高保守的SUI治疗的疗效.
- 进一步的研究可能会探索这种指南的长期遵守和更广泛的实施.
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