从使用一次性导管的间歇性导管切换到可重复使用的导管对生活质量产生负面影响
Julie Schnipper1, Nessn Azawi2, Zenia Størling1
1Clinical Strategies, Coloplast A/S, Humlebæk, Denmark.
Neurourology and urodynamics
|July 20, 2024
概括
切换到可重复使用的间歇性导管 (IC) 显著降低了用户的生活质量和满意度. 大多数参与者更喜欢一次性导管,理由是处理和方便,可重复使用的导管显示细菌污染.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 医疗器械 医疗器械
- 患者报告的结果
背景情况:
- 可重复使用的间歇性导管 (IC) 是作为一次性导管的经济高效和可持续的替代品.
- 以前的评估没有充分考虑患者的福祉和对导管类型的偏好.
- 了解对健康相关生活质量 (HR-QoL) 的影响对于评估IC方法至关重要.
研究的目的:
- 调查从一次性使用到可重复使用间歇性导管的转换对个人与健康相关的生活质量 (HR-QoL) 的影响.
- 评估一次性和可重复使用的间歇性导管导管 (IC) 导管类型之间的用户满意度和偏好.
- 评估可重复使用的导管在使用过程中的微生物污染.
主要方法:
- 一个开放的标签,单臂,多中心研究超过28天.
- 40名受试者从一次性水友性导管转换为IC的可重复使用导管.
- 通过间歇性自导管问卷 (ISC-Q) 评估HR-QoL;通过间歇性自导管满意度问卷 (InCaSa-Q) 评估满意度;进行微生物评估.
主要成果:
- 观察到整体HR-QoL (ISC-Q总得分) 显著下降28% (p < 0.001).
- 在HR-QoL的易用性和隐蔽性子域中报告了显著的减少 (p < 0.001).
- 用户满意度 (InCaSa-Q) 和偏好强烈支持一次性导管 (90.9%的偏好),50%的可重复使用导管显示细菌污染.
结论:
- 过渡到可重复使用的间歇性导管显著减少HR-QoL和用户满意度.
- 大多数用户更喜欢一次性导管由于优越的处理和方便.
- 应优先考虑患者的偏好和幸福感,并承认他们有权选择自己喜欢的膀管理方法.
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