男性的腰部疼痛和下尿道症状的同时存在会影响身体功能
Tom Vredeveld1,2, Stephan P J Ramaekers2, Michel W Coppieters1,3
1Department of Neuromechanics, Faculty of Behavioural and Movement Sciences, Section Prevention and Rehabilitation, Amsterdam Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
Physiotherapy theory and practice
|August 28, 2025
概括
腰部疼痛 (LBP) 和下尿道症状 (LUTS) 的同时存在对男性的身体功能产生重大影响. 医疗保健提供者应对患者进行LBP和LUTS评估,以改善结果.
科学领域:
- 尿道病学
- 整形医学
- 公共卫生
背景情况:
- 腰部疼痛 (LBP) 是一种常见的疾病,可能受到并发症的影响.
- 低尿路症状 (LUTS) 在男性中很常见,可能与LBP并存.
- 需要进一步研究LBP和LUTS对健康结果的综合影响.
研究的目的:
- 研究LBP和LUTS对男性身体功能,生活质量,睡眠质量,并发症和心理健康的影响.
- 确定LBP和LUTS严重程度对身体功能的影响.
主要方法:
- 在40岁及以上的男性中进行了横截面调查.
- 参与者填写了验证的问卷,评估LBP,LUTS严重程度和烦 (ICIQ-MLUTS),身体功能 (PROMIS-PF-10),身体和心理健康 (PROMIS-GH-10),抑郁,焦虑,压力 (DASS-21-R) 和睡眠质量 (PSQI).
- 使用统计模型分析了LBP,LUTS和健康结果之间的关系.
主要成果:
- 与单独的任何一种情况相比,LUTS严重程度和LBP (R2=0. 31) 的联合存在更好地解释了身体功能 (LBP:R2=0. 23;LUTS严重程度:R2=0. 18).
- 从LUTS和LBP的痛苦与减少的身体功能 (R2=0.29) 和一般健康 (R2=0.31) 相关.
- 在LBP和LUTS与心理健康,睡眠质量或其他并发症之间没有发现显著的关联.
结论:
- 在男性中,LBP和LUTS的共存显著影响身体限制.
- 精神健康,睡眠质量和其他并发症没有受到LBP和LUTS联合存在的显著影响.
- 为了提供全面的护理,医疗专业人员应定期对患有LBP的男性进行LUTS评估,并对患有LUTS的男性进行LBP评估.
相关概念视频
01:20Disorders of the Male Reproductive System
570
Men's health issues are increasingly recognized as significant, with several conditions posing common threats. Among these, testicular cancer is especially prevalent in younger men, particularly those aged 20 to 35 years. The disease often manifests as a painless mass in the testicles, sometimes accompanied by a sensation of heaviness or a dull ache.
Prostate disorders are another major concern. These conditions can impair urinary flow due to the prostate's location around the urethra....
Prostate disorders are another major concern. These conditions can impair urinary flow due to the prostate's location around the urethra....
570
01:21Nursing Assessment of the Genitourinary System I: Health History
75
The genitourinary system is critical to maintaining fluid balance, waste elimination, and reproductive function. Nurses play a vital role in assessing this system, beginning with a thorough health history. This process involves gathering patient information, identifying risk factors, and recognizing symptoms of genitourinary disorders. Early detection is vital for timely interventions and management.1. Gathering Patient InformationA complete health history includes the patient’s personal,...
75
01:26Urinary Tract Calculi II: Pathophysiology and Clinical Manifestations
39
Renal calculi, commonly termed kidney stones, are crystalline solid masses that form in the kidneys but can occur at any point within the urinary system, encompassing the kidneys, ureters, bladder, and urethra.The pathophysiology of renal stones involves several key factors: supersaturation of the urine with stone-forming constituents, changes in urine pH, a decrease in urine volume, and the presence of substances that promote or inhibit stone formation.Supersaturation of Urine: This is the...
39
01:25Urinary Tract Infection II: Pathophysiology
43
The pathophysiology of urinary tract infections (UTIs) encompasses several progressive stages, beginning with bacterial colonization and culminating in potential systemic complications if untreated. UTIs are primarily initiated by bacteria, such as Escherichia coli, which often originate from the gastrointestinal tract and migrate to the urinary system through the periurethral area. This migration can occur via several routes, including improper hygiene practices, sexual activity, or...
43
01:19Anatomy of the Genitourinary System II: Bladder and Urethra
206
The lower urinary system consists of the urinary bladder and urethra, which are essential in storing and expelling urine from the body. Together with the internal and external sphincters, these structures work together to regulate urination effectively.Anatomy of the BladderThe urinary bladder is a muscular, stretchable organ behind the pubic bone and in front of the rectum. In females, the bladder is positioned anterior to the vagina and inferior to the uterus, while in males, it is located...
206
01:17Urinary Tract Infection IV: Nursing Management
87
In managing urinary tract infections (UTIs) in nursing, a comprehensive assessment is essential. Begin by gathering subjective data, such as the patient’s complaints of dysuria (painful urination), urinary frequency, urgency, suprapubic pain, and any lower abdominal discomfort. This information can be complemented by questions regarding previous UTIs, sexual activity, and personal hygiene practices, which can provide insight into risk factors. Objective assessment should focus on signs...
87