发展尿失禁初级保健途径:混合方法研究
Marie C Luebke1, Joan M Neuner1, Joanna Balza1
1Medical College of Wisconsin, Milwaukee, WI, United States.
Family practice
|July 19, 2024
概括
大多数患有尿失禁的成年女性没有接受治疗. 一个试点UI护理途径表明,简化护理可能有助于初级保健提供者有效地管理UI.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 初级医疗保健医学 一级医疗保健医学
- 医疗保健系统 医疗保健系统
背景情况:
- 近50%的成年女性患有尿失禁 (UI),但大多数没有寻求治疗.
- 整合初级和专科护理对于改善UI管理至关重要.
研究的目的:
- 评估初级保健机构的UI护理资源.
- 确定初级保健提供者在诊断和治疗UI时所面临的障碍.
- 试行UI护理途径干预措施,以改善患者的治疗结果.
主要方法:
- 环境扫描评估了初级保健诊所的资源可用性.
- 与初级保健提供者的采访确定了UI护理的障碍.
- 一项试点干预为患者提供了UI行为管理的资源.
主要成果:
- 大多数诊所缺乏必要的资源,如膀超声波和在场的骨盆底物理治疗.
- 初级保健提供者指出,缺乏时间是UI诊断和治疗的主要障碍.
- 6个月后,患者报告了自我治疗策略和UI症状的适度改善.
结论:
- 一个新的UI护理途径显示了增强初级保健在控制尿失禁中的作用的希望.
- 简化UI护理途径可以支持初级保健提供者提供一线治疗.
相关概念视频
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