Noguchi Kazumi, Yamagishi Takuya, Suzuki Kotaro, Kondo Keiichi, Kishida Takeshi, Saito Kazuo, Sekiguchi Yuki, Nakaigawa Noboru, Ogawa Takehiko, Uemura Hiroji, Yao Masahiro, Kubota Yoshinobu, Kawai Masaki, Okajima Kazuto, Kobayashi Kazuki, Moriyama Masatoshi, Kinoshita Yuzo, Mikata Kunihisa, Kitami Kazuo, Masuda Mitsunobu, Saito Ryuichi, Murai Tetsuo, Tomoda Takeshi, Noguchi Sumio, Sakai Naoki, Hamano Atsushi, Nomura Sakae, Sato Kazuhiko
The Department of Urology, Yokohama City University, Medical Center.
Hinyokika Kiyo. 2006 May;52(5):343-8.
To investigate how urinary frequency and incontinence affect the patient's subjective quality of life (QOL) and whether an improvement in objective findings by medical treatment affects his/her subjective QOL, a voiding diary using the King's Health Questionnaire (KHQ) and International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF) was delivered to patients with urinary frequency and/or incontinence before and after treatment with propiverine hydrochloride for 8 weeks. Sixty-eight patients completed the diary and the questionnaires. Objective symptoms decreased significantly with respect to the mean frequency of urination and to the mean incidence of urinary incontinence. The KHQ and ICIQ-SF scores improved significantly with respect to all domains except personal relationships in the KHQ. In the KHQ, furthermore, a significant correlation was found between decreased incidence of urinary incontinence and improvement in role limitations and between decreased incidence of urinary incontinence and improvement in emotional problems. In the ICIQ-SF, a significant correlation was found between decreased incidence of urinary frequency and subjective improvement in quantity of leakage, between decreased incidence of urinary frequency and improvement in subjective QOL scores, between decreased incidence of urinary frequency and improvement in the total ICIQ-SF score, and between decreased incidence of urinary incontinence and improvement in subjective QOL scores. Thirty-two episodes of adverse reactions were observed. None of them were serious. These results suggest that an improvement in objective symptoms with propiverine hydrochloride favorably improves subjective QOL of the patient, and provide further evidence about the safety and efficacy of propiverine hydrochloride.
为了研究尿频和尿失禁如何影响患者的主观生活质量(QOL),以及药物治疗使客观症状改善是否会影响其主观生活质量,在使用盐酸丙哌维林治疗8周前后,向尿频和/或尿失禁患者发放了采用国王健康问卷(KHQ)和国际尿失禁咨询问卷简表(ICIQ-SF)的排尿日记。68名患者完成了日记和问卷。客观症状在平均排尿频率和尿失禁平均发生率方面显著下降。KHQ和ICIQ-SF评分在KHQ中除人际关系外的所有领域均显著改善。此外,在KHQ中,发现尿失禁发生率降低与角色限制改善之间以及尿失禁发生率降低与情绪问题改善之间存在显著相关性。在ICIQ-SF中,发现尿频发生率降低与漏尿量主观改善之间、尿频发生率降低与主观生活质量评分改善之间、尿频发生率降低与ICIQ-SF总分改善之间以及尿失禁发生率降低与主观生活质量评分改善之间存在显著相关性。观察到32例不良反应事件。均不严重。这些结果表明,盐酸丙哌维林使客观症状改善可有效改善患者的主观生活质量,并为盐酸丙哌维林的安全性和有效性提供了进一步证据。