一个尿失禁查工具的试验和苦难
Falisha F Kanji1, Tara Cohen1, Claire S Burton2
1From the Department of Surgery, Cedars-Sinai Medical Center, Los Angeles, CA.
Urogynecology (Philadelphia, Pa.)
|March 14, 2025
概括
尿失禁 (UI) 的在线查工具在初级保健中是可行的. 然而,只有21%的女性在查后与提供者讨论了UI症状,这表明需要改进提供者意识战略.
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
- 数字健康数字健康
背景情况:
- 尿失禁 (UI) 是一种普遍影响许多女性的疾病.
- 尬和耻辱通常会阻止女性与医疗保健提供者讨论UI症状.
- 初级保健环境对于识别和管理UI至关重要.
研究的目的:
- 评估在线查工具在确定初级保健中麻烦的UI方面的有效性.
- 确定在阳性查后与提供者讨论UI的女性的百分比.
- 评估在临床环境中实施UI数字查的可行性.
主要方法:
- 一项试点干预涉及南加州的初级保健提供者和18岁以上的女性患者.
- 通过在线查调查招募患者.
- 提供者通过电子邮件和电子健康记录收到积极查的警报.
主要成果:
- 在发送的6,360份调查中,有709份 (11.15%) 被返回.
- 302名患者报告UI症状,其中166人参加了这项研究.
- 只有35名 (21.08%) 的参与患者在查后与他们的提供者讨论了他们的UI症状.
结论:
- 对UI的在线查是初级保健机构中可行的方法.
- 很少有患者与提供者讨论UI,即使有警报,也突出了沟通上的差距.
- 增强的提供者意识工具,如EHR警报,可能是必要的,以改善患者提供者对话UI.
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