Sander P, Thyssen H H, Lose G, Andersen J T
H:S Hvidovre Hospital, urologisk afdeling.
Ugeskr Laeger. 2000 May 22;162(21):3038-41.
The aim of this study was to assess the effect of a vaginal device (Continence Guard) on urine leakage and its impact on quality of life (QoL). Fifty-five women participated in a three month study using the Continence Guard. QoL was assessed by an incontinence specific questionnaire (IIQ), two incontinence specific questions and the generic SF-36 health questionnaire. A total of 41 (74.5%) women completed the study. Use of the vaginal device was associated with subjective cure in 11 women (27%) and improvement in 27 (66%). The mean 24-hour pad test leakage decreased significantly. QoL measured by the IIQ and the two incontinence specific questions showed highly significant improvements. The SF-36 questionnaire showed no significant changes. In conclusion treatment with the Continence Guard significantly decreases leakage and improves QoL in women with the symptom of urinary stress incontinence. The SF-36 questionnaire was not sensitive enough to detect alterations in QoL in patients with stress urinary incontinence.
本研究的目的是评估一种阴道装置（尿失禁防护器）对尿液泄漏的影响及其对生活质量（QoL）的影响。55名女性参与了一项为期三个月使用尿失禁防护器的研究。通过一份尿失禁特异性问卷（IIQ）、两个尿失禁特异性问题以及通用的SF-36健康问卷对生活质量进行评估。共有41名（74.5%）女性完成了研究。使用该阴道装置后，11名女性（27%）实现主观治愈，27名（66%）有改善。24小时护垫试验的平均漏尿量显著减少。通过IIQ和两个尿失禁特异性问题测得的生活质量有非常显著的改善。SF-36问卷显示无显著变化。总之，使用尿失禁防护器治疗可显著减少压力性尿失禁女性的漏尿并改善其生活质量。SF-36问卷对检测压力性尿失禁患者生活质量的改变不够敏感。
