在接受尿动力学研究的患者中减少疼痛和焦虑的干预措施:有没有明确的证据? 一个系统的审查和元分析.
Albert Ciam1, Zola Wijayanti1, M Garidya Bestari1
1Urology Department, Hasan Sadikin Academic Medical Center, Universitas Padjadjaran Bandung, Indonesia.
Arab journal of urology
|January 9, 2026
概括
为患者提供详细信息可以显著减少尿动力学研究 (UDS) 期间的疼痛. 虽然焦虑减轻的程度很小,但其他干预措施的证据仍然不一致,需要进一步研究UDS期间患者的舒适性.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 医疗干预 医疗干预
- 患者的舒适性 患者的舒适性
背景情况:
- 尿动力学研究 (UDS) 对于诊断下尿路症状至关重要.
- 侵袭性UDS的性质往往会导致患者疼痛和焦虑.
- 需要有效的策略来减轻UDS期间患者的不适.
研究的目的:
- 系统地审查和分析旨在减少UDS期间疼痛和焦虑的干预措施.
- 评估各种方法的有效性,以改善尿动力学手术期间的患者体验.
主要方法:
- 在主要数据库 (PubMed,ScienceDirect,EMBASE,EBSCO) 进行全面的文献搜索,截至2024年10月.
- 包括22项研究 (RCT和观察性研究) 进行偏差风险评估.
- 使用Review Manager 5.3进行的元分析,以聚合效应大小.
主要成果:
- 为患者提供详细信息显著减少疼痛 (SMD:0.84).
- 音乐治疗和麻醉剂没有显著减轻疼痛.
- 观察到焦虑的适度但显著减少 (SMD:0.57),具有很高的异质性.
- 其他干预措施,如正念和芳香疗法在单个研究中显示出潜力,但缺乏足够的数据进行元分析.
结论:
- 术前患者教育是减少UDS期间疼痛的有效策略.
- 目前关于其他干预措施在UDS期间减少疼痛和焦虑的证据是不一致的.
- 需要进行进一步的大规模,精心设计的试验,以建立标准化的方法来提高UDS期间的患者舒适度.
相关概念视频
Urodynamic Studies: Uroflowmetry
3.3K
Uroflowmetry is a non-invasive urodynamic test designed to measure various aspects of urination, including volume, flow rate, and the time to void. This test is crucial for diagnosing and assessing conditions such as bladder outlet obstruction, bladder dysfunction, incomplete bladder emptying, incontinence, and urinary tract blockages caused by benign prostatic hyperplasia (BPH) and urethral strictures.Pre-Test Instructions:Before a uroflowmetry test, patients are typically advised to drink...
3.3K
Urinary Tract Calculi V: Nursing Management
262
AssessmentSubjective Data: Obtain a detailed health history, including any recent or chronic urinary tract infections, periods of immobilization, previous episodes of renal calculi, and medical conditions such as gout, benign prostatic hyperplasia, or hyperparathyroidism. Review the medication history for drugs that may influence stone formation, including allopurinol, analgesics, loop diuretics, or thiazide diuretics. Document the use of long-term indwelling catheters and any past surgical...
262
Urinary Tract Infection IV: Nursing Management
426
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...
426
Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care
246
A healthcare provider can diagnose a urinary tract infection (UTI) through several methods:Medical History and Symptoms: The provider will take a detailed medical history and ask about symptoms such as frequent urination, burning sensation during urination, and lower abdominal pain.Urinalysis: A clean-catch urine sample is collected in a sterile container and tested for the presence of bacteria, white blood cells (leukocytes), nitrites, blood, and protein. The presence of leukocytes and...
246
Imaging Studies I: Kidney, Ureter, and Bladder Studies
272
Kidney, Ureter, and Bladder (KUB) StudiesKidney, Ureter, and Bladder (KUB) studies are standard diagnostic imaging procedures used to assess the anatomy of the urinary system. They are commonly utilized for patients experiencing abdominal pain or urinary symptoms. By using a simple X-ray of the abdomen, KUB studies can reveal structural and pathological abnormalities within the kidneys, ureters, and bladder. These studies are particularly valuable in diagnosing kidney stones, urinary...
272
Urinary Tract Calculi VI: Surgical Management
366
Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
366


