Self-management of stress urinary incontinence via a mobile app: two-year follow-up of a randomized controlled trial.
Self-management of stress urinary incontinence via a mobile app: two-year follow-up of a randomized controlled trial.
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DOI：
10.1111/aogs.13192
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发表时间：
2017-10
影响因子：
4.3
通讯作者：
Samuelsson E
中科院分区：
文献类型：
--
作者：
Hoffman V;Söderström L;Samuelsson E
我们研究了使用移动的应用程序治疗压力性尿失禁的长期影响，重点关注盆底肌肉训练。之前的一项针对123名年龄在27-72岁之间的女性的随机对照试验发现，在Tät®应用程序的支持下，三个月的自我管理压力性尿失禁是有效的。我们在初始试验后两年对应用组（n = 62）中的女性进行了随访，症状严重程度（国际咨询调查问卷简表）和特定条件生活质量（ICIQ-下尿路症状生活质量）的主要结局相同，并将评分与基线进行了比较。在62名女性中，分别有61名和46名（75.4%）参与了3个月和2年的随访。随访时，应答者和非应答者的基线数据无差异。两年后，国际咨询调查问卷简表和ICIQ-下尿路症状生活质量评分的平均下降分别为3.1（95%置信区间2.0-4.2）和4.0（95%置信区间2.1-5.9）。在46名女性中，4名（8.7%）认为自己好多了，9名（19.6%）认为好多了，16名（34.8%）认为稍微好一点。失禁保护产品的使用显著减少（p = 0.04），感觉自己可以正确收缩骨盆肌肉的女性比例从基线时的14/46（30.4%）增加到随访时的31/46（67.4%）（p < 0.001）。在Tät®应用程序的支持下，压力性尿失禁的自我管理具有显著的临床相关长期效果，可作为一线治疗。
We investigated the long‐term effects of using a mobile app to treat stress urinary incontinence with a focus on pelvic floor muscle training. A previous randomized controlled trial of 123 women aged 27–72 years found that three months of self‐managing stress urinary incontinence with support from the Tät® app was effective. We followed up the women in the app group (n = 62) two years after the initial trial with the same primary outcomes for symptom severity (International Consultation on Incontinence Questionnaire Short Form) and condition‐specific quality of life (ICIQ‐Lower Urinary Tract Symptom Quality of Life) and compared the scores with those at baseline. Of the 62 women, 61 and 46 (75.4%), respectively, participated in three‐month and two‐year follow‐ups. Baseline data did not differ between responders and non‐responders at follow‐up. The mean decreases in International Consultation on Incontinence Questionnaire Short Form and ICIQ‐Lower Urinary Tract Symptom Quality of Life scores after two years were 3.1 (95% confidence interval 2.0–4.2) and 4.0 (95% confidence interval 2.1–5.9), respectively. Of the 46 women, four (8.7%) rated themselves as very much better, nine (19.6%) as much better, and 16 (34.8%) as a little better. The use of incontinence protection products decreased significantly (p = 0.04), and the proportion of women who felt they could contract their pelvic muscles correctly increased from 14/46 (30.4%) at baseline to 31/46 (67.4%) at follow‐up (p < 0.001). Self‐management of stress urinary incontinence with support from the Tät® app had significant and clinically relevant long‐term effects and may serve as first‐line treatment.
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影响因子：
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