在初级保健中查和治疗尿失禁:错过的机会
Ushma J Patel1, Madeline K Moureau1, Joan M Neuner2
1University of Wisconsin School of Medicine and Public Health, Department of Obstetrics and Gynecology, 1010 Mound Street 4th floor, Madison, WI, USA.
概括
尿失禁 (UI) 影响超过60%的成年女性,但大多数人不寻求治疗. 本综述为初级保健提供者提供了一份实用指南,以管理妇女的UI.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 妇女健康 妇女健康
- 初级医疗保健医学 一级医疗保健医学
背景情况:
- 尿失禁 (UI) 影响了美国超过60%的成年女性,在65岁以上的女性中达到80%.
- 尽管患病率很高,但大多数UI患者不会寻求医疗护理,临床医生很少对其进行查.
- 目前缺乏UI查,诊断和治疗的指导方针,这阻碍了有效的患者管理.
研究的目的:
- 为初级保健提供者 (PCP) 提供一个实用的算法来管理女性的UI.
- 概述UI的患病率,风险因素,查方法和非手术治疗选择.
- 将UI管理纳入妇女的常规预防护理.
主要方法:
- 关于UI流行,风险因素和管理策略的当前文献的综述.
- 为PCP开发一种实用的临床算法,以解决UI问题.
- 综合有关UI非手术治疗选择的信息.
主要成果:
- 很大一部分成年女性,特别是老年人,经历了UI.
- 在患者寻求护理的行为和UI的临床查方面存在差距.
- 一个实用的算法可以指导PCP在预防性护理中管理UI.
结论:
- 妇女UI的有效管理需要PCP的积极查和干预.
- 实施结构化方法可以改善UI的诊断和治疗.
- 在初级保健机构解决UI对于改善妇女健康结果至关重要.
相关概念视频
Preventive Healthcare Services
1.0K
Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:
1.0K
The Micturition Reflex
587
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...
587
Urinary Bladder
660
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...
660
Primary Healthcare Services
1.4K
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
1.4K
Disorders of the Urinary System
298
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...
298
Irritable Bowel Syndrome III: Medical and Nursing Management
201
Managing Irritable Bowel Syndrome (IBS) involves a multifaceted approach, including lifestyle modifications, dietary changes, and medication.
201


