多发性硬化症患者便失禁的非药物干预:一个范围审查
İlknur Özkan1, Cansu Polat Dünya2, Seçil Taylan3
1Internal Medicine Nursing Department, Kumluca Faculty of Health Sciences, Akdeniz University, Antalya, Turkey.
Multiple sclerosis and related disorders
|November 23, 2025
概括
多发性硬化症 (MS) 便失禁 (FI) 的非药物治疗方法有望改善生活质量. 未来的研究需要标准化的方法和MS特定的工具,以更好地证明这些干预措施.
科学领域:
- 神经学 神经学
- 胃肠病学 胃肠病学
- 康复医学 康复医学 康复医学
背景情况:
- 便失禁 (FI) 是多发性硬化症 (MS) 的普遍和影响生活质量的症状.
- 推非药理干预措施作为MS中FI的第一线管理.
- 关于这些干预措施的现有证据有限且分散,需要进行全面审查.
研究的目的:
- 绘制当前关于多发性硬化症便失禁的非药物干预措施的证据.
- 发现现有研究中的差距,以指导未来的研究.
主要方法:
- 使用乔安娜·布里格斯研究所的框架和PRISMA-ScR指南进行了范围审查.
- 搜索涵盖了主要的数据库 (PubMed,科学网,CINAHL,Scopus,ScienceDirect) 到2025年8月.
- 包括对成年多发性硬化症患者非药物治疗FI的实证研究,数据通过专题分析进行综合.
主要成果:
- 包括15项研究,重点关注过灌,生物反,神经刺激和物理治疗.
- 干预措施显示了减少FI症状和提高生活质量的潜力.
- 限制包括小样本大小,多样化的协议和非MS特异性结果措施.
结论:
- 在MS中非药物治疗FI是安全的,可行的和潜在的有效的.
- 未来的研究需要标准化的协议,MS特定的评估,以及更大,长期的研究.
- 整合数字和家庭战略可以提高干预的可持续性和可访问性.
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