Health-related quality of life of patients using clean intermittent catheterization for neurogenic bladder secondary to spinal cord injury
Health-related quality of life of patients using clean intermittent catheterization for neurogenic bladder secondary to spinal cord injury
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DOI：
10.1016/j.urology.2004.09.032
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发表时间：
2005-02-01
期刊：
影响因子：
2.1
通讯作者：
Yoo, T
中科院分区：
文献类型：
--
作者：
Oh, SJ;Ku, JH;Yoo, T
目标。根据健康相关生活质量（HRQOL）评价神经源性膀胱清洁间歇置管患者的心理和社会状况。我们进行了一项前瞻性试验，涉及132例患者（81名男性和51名女性，平均年龄41.8岁，年龄范围18至80岁），因继发于脊髓损伤的神经源性膀胱使用清洁间歇导尿。150名对照者（90名男性和60名女性）与患者生活在同一地区，并进行频率匹配，以确保年龄和性别分布相同。HRQOL采用医学结果研究36项简短一般健康调查（SF-36）进行测量。SF-36评分在患者组中没有显示出男性和女性之间的任何显著差异。患者的SF-36评分明显低于普通人群。将患者和对照组按性别和年龄分为两组，除能量和活力量表外，患者的SF-36评分在性别和各年龄组均显著低于对照组，女性和年龄小于50岁者的SF-36评分差异无统计学意义。我们的研究结果表明，在SF-36评估的所有健康领域中，由于继发于脊髓损伤的神经源性膀胱而使用清洁间歇导尿的患者通常表现出生活质量下降。(C) 2005爱思唯尔公司
Objectives. To determine the psychological and social status of patients using clean intermittent catheterization for neurogenic bladder according to health-related quality of life (HRQOL).Methods. We conducted a prospective trial involving 132 patients (81 men and 51 women, mean age 41.8 years, range 18 to 80 years) using clean intermittent catheterization because of neurogenic bladder secondary to spinal cord injury. The 150 controls (90 men and 60 women) lived in the same region as the patients and were frequency matched to ensure equal age and sex distributions. HRQOL was measured using the Medical Outcomes Study 36-Item Short-Form General Health Survey (SF-36).Results. The SF-36 scores did not reveal any significant differences between the men and women in the patient group. The SF-36 scores of the patients were significantly lower than those of the general population. When patients and controls were divided into two groups according to sex and age, the SF-36 scores of the patients were significantly lower than the controls across both sex and all age groups, other than the energy and vitality scale, the differences for which were not statistically significant in women and those younger than 50 years.Conclusions. Our findings suggest that patients using clean intermittent catheterization because of neurogenic bladder secondary to spinal cord injury generally exhibit a reduced quality of life in all health domains as assessed by the SF-36. (C) 2005 Elsevier Inc.