Self-management of incontinence using a free mobile app: factors associated with improvement.
Self-management of incontinence using a free mobile app: factors associated with improvement.
复制标题
DOI：
10.1007/s00192-021-04755-5
复制
发表时间：
2022-04
影响因子：
1.8
通讯作者：
Samuelsson, Eva
中科院分区：
文献类型：
--
作者：
Nystrom, Emma;Soderstrom, Lars;Samuelsson, Eva
骨盆底肌肉训练（PFMT）是女性尿失禁（UI）的一线治疗方法。通过移动的应用程序进行自我管理是一种新的具有成本效益的PFMT交付方法。这项研究分析了与应用程序用户的改进相关的因素。在社区环境中进行的一项实用观察研究。在下载应用程序Tät®后，用户回答了有关他们的年龄，教育，居住地和UI症状的问题。3个月后，用户回答了有关症状和培训频率和应用程序使用的随访问题，以及经验证的患者改善总体印象（PGI-I）问卷。仅纳入回答PGI-I问卷的非妊娠、非产后UI成年女性。采用多变量逻辑回归分析这些因素与PGI-I的任何改善和显著改善之间的可能关联。模型根据年龄进行了调整。该研究包括2，153名完成自我管理的参与者，即完成基线问卷的合格女性的11.5%。在这些参与者中，65.6%的人报告UI改善。任何改善均与年龄、PFMT频率和应用程序使用相关，占变异性的27.9%（Nagelkerke R2）。较低的尿失禁严重程度、PFMT频率和应用程序使用与极大的改善相关。尿失禁的自我管理是很容易获得许多妇女和改善率与其他形式的PFMT。人口统计学因素和尿失禁严重程度没有显示出或不一致的关联，而定期PFMT和应用程序的使用预测任何和很大的改善。应用程序的使用显示出超出培训频率的额外影响。
Pelvic floor muscle training (PFMT) is first-line treatment for urinary incontinence (UI) in women. Self-management via a mobile app is a new cost-effective method for PFMT delivery. This study analyzes factors associated with improvement among app users. A pragmatic observational study in a community setting. Upon downloading the app Tät®, users answered questions regarding their age, education, residence, and UI symptoms. After 3 months, users answered follow-up questions regarding symptoms and frequency of training and app usage, and the validated Patient Global Impression of Improvement (PGI-I) questionnaire. Only non-pregnant, non-postpartum adult women with UI who answered the PGI-I questionnaire were included. Multivariate logistic regression was used to analyze possible associations between these factors with any improvement and with great improvement according to the PGI-I. The models were adjusted for age. The study included 2,153 participants who had completed self-management, that is, 11.5% of eligible women who completed the baseline questionnaire. Of these participants, 65.6% reported improvement of UI. Any improvement was associated with age, frequency of PFMT, and app use, accounting for 27.9% of variability (Nagelkerke R2). Lower incontinence severity, frequency of PFMT, and app use were associated with great improvement. Self-management of urinary incontinence is easily accessible to many women and improvement rates are comparable with other forms of PFMT. Demographic factors and incontinence severity showed no or incongruent association, whereas regular PFMT and app use predicted any and great improvement. App use showed an additional effect beyond frequency of training.
登录
查看更多内容
影响因子：
2.9
作者：
Rygh P;Asklund I;Samuelsson E
通讯作者：
Samuelsson E
影响因子：
3.2
作者：
Bjork, Anna-Bell;Sjostrom, Malin;Umefjord, Goran
通讯作者：
Umefjord, Goran
影响因子：
7.4
作者：
Asklund, Ina;Samuelsson, Eva;Sjostrom, Malin
通讯作者：
Sjostrom, Malin
影响因子：
1.8
作者：
Obloza, Aneta;Teo, Roderick;Tincello, Douglas
通讯作者：
Tincello, Douglas
影响因子：
1.8
作者：
Nyström E;Asklund I;Sjöström M;Stenlund H;Samuelsson E
通讯作者：
Samuelsson E