Women's Experiences of Internet- Based or Postal Treatment for Stress Urinary Incontinence
Women's Experiences of Internet- Based or Postal Treatment for Stress Urinary Incontinence
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DOI：
10.1177/1049732314524486
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发表时间：
2014-04-01
影响因子：
3.2
通讯作者：
Umefjord, Goran
中科院分区：
文献类型：
--
作者：
Bjork, Anna-Bell;Sjostrom, Malin;Umefjord, Goran
压力性尿失禁是常见的，有时令人尴尬。需要新的、简单的、容易获得的治疗方法。我们电话采访了21名参与随机对照研究的妇女，他们根据骨盆底肌肉训练的指导比较了两种治疗方案。一个程序是基于互联网的，包括由泌尿治疗师提供的电子邮件支持;另一个程序是通过邮寄发送的。两个项目都没有面对面的接触。我们的主要目的是探讨妇女的经验，基于互联网的治疗。扎根理论分析揭示了三种类型：隐藏但存在，在距离但接近，我自己但不孤单。这些问题被纳入一个核心类别：承认但不暴露。泄漏通常是一个隐藏得很好的秘密，但研究治疗降低了寻求治疗的障碍。在互联网组中，尽管缺乏面对面的接触，但仍建立了支持性的患者-提供者关系。基于互联网的治疗方案可以增加获得护理的机会，并赋予妇女权力。
Stress urinary incontinence is common and sometimes embarrassing. New, simple, and easily accessible treatments are needed. We telephone interviewed 21 women who participated in a randomized controlled study comparing two treatment programs based on instructions for pelvic floor muscle training. One program was Internet-based and included email support by a urotherapist; the other was sent by post. There was no face-to-face contact in either program. Our main aim was to explore the women's experiences of the Internet-based treatment. Grounded theory analysis revealed three categories: hidden but present, at a distance but close, and by myself but not alone. These were incorporated in a core category: acknowledged but not exposed. The leakage was often a well-hidden secret, but the study treatments lowered the barrier for seeking care. In the Internet group, a supportive patient-provider relationship developed despite the lack of face-to-face contact. Internet-based treatment programs can increase access to care and empower women.