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定义和优先考虑可修改的风险因素,共同创建老年男性尿失禁自我管理干预措施:一个连续的多方法研究协议
Olawunmi Olagundoye1, Shelley Ross2, William Gibson1
1Division of Geriatric Medicine, Department of Medicine, Faculty of Medicine & Dentistry, College of Health Sciences, Edmonton, AB, Canada.
PloS one
|July 25, 2024
概括
本研究通过结合专家和患者的观点,确定了老年男性尿失禁 (UI) 的自我管理策略. 它的目的是为这个研究不足的群体开发实际干预措施.
科学领域:
- 老年学是一门学科.
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 公共卫生 公共卫生
背景情况:
- 尿失禁 (UI) 是一种普遍的,但报告不足和治疗不足的疾病,特别是在老年男性 (65岁以上) 中.
- 现有的UI自我管理干预措施没有纳入老年男性的独特需求或观点.
- 患有UI的男性的健康差异和低健康寻求行为需要以患者为中心的干预开发.
研究的目的:
- 在老年男性中确定易受自我管理的UI风险因素.
- 评估老年男性在管理UI的自我有效性.
- 根据老年男性的投入,确定基于自我管理计划的务实,可修改的风险因素.
主要方法:
- 一个连续的,多方法设计,结合了与医疗保健专家的Delphi研究和与UI的老年男性的调查.
- 医疗保健专家评估并就UI风险因素达成共识,这些风险因素可能适合自我管理.
- 老年男性对专家识别的风险因素进行实用性和优先级评分,以及自我有效性和修改意愿.
主要成果:
- 医疗保健专家们就UI风险因素达成共识,这些风险因素适合自我管理.
- 老年男性确定并优先考虑他们认为自主管理是可行的特定可修改的风险因素.
- 收集了有关患者特征,自我有效性 (GSE-UI指数) 和愿意修改因素的数据.
结论:
- 纳入老年男性的观点对于开发有效和可接受的UI自我管理干预措施至关重要.
- 这项研究为有针对性,以患者为中心的计划奠定了基础,以改善老年男性的节制护理.
- 解决不太优先考虑的研究领域,如老年男性的UI,可以帮助减少健康差异.
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