对便失禁的神经调节的患者经验 - 一个多中心的纵向队列研究
Matthew P Irwin1,2,3, Yang Yu4,5, Catherine E Turner6
1Department of Colorectal Surgery, Bankstown-Lidcombe Hospital, Sydney, Australia. m@ttirwin.com.
International journal of colorectal disease
|April 2, 2025
概括
圣神经调节 (SNM) 有效地治疗便失禁,改善生活质量. 大多数患者推SNM,尽管有些人需要持续支持设备定制.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 胃肠病学 胃肠病学
- 盆地健康 盆地健康
背景情况:
- 圣神经调节 (SNM) 是一种公认的便失禁治疗方法.
- 除了临床分数之外,了解患者体验对于优化治疗和患者选择至关重要.
研究的目的:
- 分析患者在便失禁时使用圣地神经调节 (SNM) 的经验.
- 评估患者的期望,满意度和长期结果.
- 确定影响患者选择和坚持治疗的因素.
主要方法:
- 在2013-2023年期间,对71名因便失禁而接受SNM的患者进行了队列分析.
- 评估使用圣马克失禁得分 (SMIS) 和快速评估便失禁得分 (RAFIS).
- 对56名患者进行结构化采访的定性主题分析.
主要成果:
- SNM显著改善了 incontinence 和生活质量 (P < 0.01).
- 89%的患者推SNM,大多数患者保留神经调节器超过6.5年.
- 54%的人仍然依赖于他人来定制设备,随着年龄的增长而增加.
结论:
- 圣神经调节对便失禁有效,患者推率高.
- 适当的教育和跟进很重要,但对设备定制的依赖仍然存在.
- 进一步研究优化患者对神经调节器管理的支持是有必要的.
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