使用移动应用程序对患有压力尿失禁的妇女的盆地训练的影响:一项随机对照临床研究
Ingrid da Costa Vilela1, Natasha Morena Bazílio Silva1, Rogério de Melo Costa Pinto1
1Universidade Federal de Uberlândia, Uberlândia, Brazil.
Neurourology and urodynamics
|June 7, 2024
概括
使用移动应用程序进行盆地肌肉训练 (PFMT) 有效地减少了女性尿失禁 (UI) 症状. 然而,与基于应用程序的方法相比,传统的书籍引导的PFMT表现出更好的结果.
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
- 数字健康数字健康
背景情况:
- 尿失禁 (UI) 显著影响女性的生活质量.
- 盆地肌肉训练 (PFMT) 是强有力的科学证据的UI的第一线治疗方法.
- 改善患者对PFMT的坚持对于持续治疗效果至关重要.
研究的目的:
- 为了评估通过移动应用程序提供的PFMT的有效性,与传统的基于小册子的指令相比.
- 评估应用引导的PFMT对女性尿失禁症状和生活质量的影响.
主要方法:
- 一个远程,受控,随机的临床试验,涉及104名女性的压力和/或混合UI.
- 参与者被分配到应用程序引导的PFMT组或手册引导的PFMT组.
- 在12周前后使用国际商失禁问卷-简短表格 (ICIQ-SF) 和国王健康问卷 (KHQ) 来衡量结果.
主要成果:
- 这两组都经历了ICIQ-SF测量的UI症状的改善.
- 与应用程序引导组相比,书籍引导的PFMT组显示了统计学上显著的优异结果 (p=0.03).
结论:
- 手机应用程序引导的PFMT可以减少尿失禁及其影响.
- 在这项研究中,使用传统手册说明书的PFMT产生了比移动应用程序干预更好的结果.
- 进一步的研究可能会探索优化UI管理的数字健康干预措施.
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