Do patients with OAB experience bladder sensations in the same way as healthy volunteers? A focus group investigation
Do patients with OAB experience bladder sensations in the same way as healthy volunteers? A focus group investigation
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DOI：
10.1002/nau.21232
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发表时间：
2012-04-01
影响因子：
2
通讯作者：
de Wachter, S. G. G.
中科院分区：
文献类型：
--
作者：
Heeringa, R.;van Koeveringe, G. A.;de Wachter, S. G. G.
目的：描述OAB患者在受控环境中进行无创快速膀胱充盈期间所经历的膀胱感觉的术语和模式，并将这些结果与之前在健康志愿者中进行的研究进行比较。方法：三组OAB患者，共10例，参加了连续三个焦点小组会议。在每次会话之前，给出严格的水加载协议。在前两次会议期间，参与者描述了他们在日常生活中以及在非侵入性膀胱充盈期间如何体验膀胱感觉，并持续关注膀胱。第三次会议的重点是验证收集的数据的解释和描述的感觉模式。结果如下：患者将他们的膀胱感觉描述为压力或刺痛感，并且该模式可以通过从没有感觉到绝对需要排尿的术语来描述。绝对的排泄需要可能会突然出现，也可能会逐渐发展。患者和健康志愿者之间的膀胱感觉的平均发育以及他们的平均利尿量显著不同。结论：OAB患者将其膀胱感觉描述为压力或刺痛感。似乎有两种类型的紧迫性：突然绝对需要清空和缓慢发展的绝对需要清空。此外，膀胱感觉的发展显着不同的志愿者比OAB患者。Neurorol。Urodynam。31：521-525，2012. (C)2012 Wiley Periodicals，Inc.
Aims To describe the terminology and pattern of bladder sensations experienced during non-invasive rapid bladder filling in a controlled setting in patients with OAB and to compare these results with a previous study conducted in healthy volunteers. Methods: Three groups of patients with OAB, in total 10 patients, participated in three consecutive focus group sessions. Before each session a strict water loading protocol was given. During the first two sessions, participants described how they experienced their bladder sensations in daily life and during a non-invasive bladder filling with constant focus on their bladder. The third session focused on verifying the interpretation of the data gathered and describing the pattern of sensations. Results: Patients describe their bladder sensations as a pressure or a tingling sensation and the pattern can be described by terms ranging from no sensation to an absolute need to void. The absolute need to void may develop suddenly or more slowly progressive. The mean development of bladder sensation is significantly different between patients and healthy volunteers as well as their average diuresis. Conclusions: Patients with OAB describe their bladder sensations as a pressure or a tingling sensation. There appear to be two types of urgency: a sudden absolute need to void and a slowly developing absolute need to void. Furthermore bladder sensation develops significantly different in volunteers than in OAB patients. Neurourol. Urodynam. 31: 521-525, 2012. (C) 2012 Wiley Periodicals, Inc.