Brown Jeanette S, McNaughton Kristin S, Wyman Jean F, Burgio Kathryn L, Harkaway Richard, Bergner Donald, Altman David S, Kaufman Joel, Kaufman Keith, Girman Cynthia J
Department of Obstetrics, Gynecology, UCSF Women's Continence Center, University of California at San Francisco, UCSF/Mt. Zion Women's Health Clinical Research Center, 94115, USA.
Urology. 2003 Apr;61(4):802-9. doi: 10.1016/s0090-4295(02)02505-0.
To examine the test-retest reliability and the validity of a voiding diary designed to assess the symptoms of frequency, urgency, and urge urinary incontinence (UI).
Voiding diaries serve as the primary tool to assess symptoms of overactive bladder in clinical settings and in clinical trials of treatment for overactive bladder. Despite the widespread use of these instruments, few studies have documented their measurement properties or investigated the number of days required to assess symptoms accurately. Study participants included 21 men and 133 women at least 20 years of age recruited from urogynecology and urology clinics. All had a history of urge incontinence or mixed incontinence with urge as the primary component. Participants completed a 7-day voiding diary on two occasions, separated by at least 1 week.
Men and women reported a daily average of approximately 10 micturitions, 7 occurrences of strong urge, and 2 episodes of urge urinary incontinence. The diary exhibited good to excellent reliability, with estimated intraclass correlation coefficients (ICCs) ranging from 0.81 to 0.86 for the symptoms of strong urge, diurnal and nocturnal micturitions, total incontinence, and urge incontinence episodes. Estimates did not differ appreciably between men and women. Moderate correlations with global questions on micturition frequency and UI episodes supported the validity of the diary. Diaries completed for 3 and 4 days were similar, with only slightly lower estimates of reliability (ICC 0.79 to 0.84).
The voiding diary completed for 7 days, following detailed instruction, is reliable and appears to be valid for documenting the change in symptoms of overactive bladder in men and women with predominantly urge incontinence. Because of comparable reliability and reduced patient burden, diaries of shorter duration may also be acceptable to assess the symptoms of overactive bladder, depending on the degree of precision required.
检验用于评估尿频、尿急和急迫性尿失禁（UI）症状的排尿日记的重测信度和效度。
排尿日记是临床环境和膀胱过度活动症治疗临床试验中评估膀胱过度活动症症状的主要工具。尽管这些工具被广泛使用，但很少有研究记录其测量特性或调查准确评估症状所需的天数。研究参与者包括从泌尿妇科和泌尿外科诊所招募的21名男性和133名年龄至少20岁的女性。所有人都有急迫性尿失禁或混合性尿失禁病史，且以急迫性尿失禁为主。参与者分两次完成了一份为期7天的排尿日记，两次之间间隔至少1周。
男性和女性报告的日均排尿次数约为10次，强烈尿意出现7次，急迫性尿失禁发作2次。该日记表现出良好至优秀的信度，强烈尿意、日间和夜间排尿、总失禁和急迫性尿失禁发作症状的组内相关系数（ICC）估计值在0.81至0.86之间。男性和女性的估计值没有明显差异。与排尿频率和尿失禁发作的总体问题的中度相关性支持了该日记的效度。完成为期3天和4天的日记结果相似，信度估计值仅略低（ICC为0.79至0.84）。
按照详细说明完成的7天排尿日记是可靠的，对于记录以急迫性尿失禁为主的男性和女性膀胱过度活动症症状的变化似乎是有效的。由于信度相当且减轻了患者负担，根据所需的精确程度，较短时长的日记也可能可用于评估膀胱过度活动症症状。
