Getliffe Kathryn, Fader Mandy, Cottenden Alan, Jamieson Katharine, Green Nicholas
School of Nursing and Midwifery, University of Southampton, Highfield, Southampton, UK.
J Clin Nurs. 2007 Oct;16(10):1936-45. doi: 10.1111/j.1365-2702.2007.01812.x.
This study aimed to determine how the use and characteristics of absorbent products for incontinence impact on women's quality of life, and to examine the concept of 'treatment effects' in the context of pad use.
Key pad performance characteristics were identified from the literature and focus group work. Semi-structured interviews with 99 women with light incontinence were used to investigate the impact of pad use on women's quality of life, including both positive and negative 'treatment effects', and to rank pad characteristics by their importance.
Achieving effective and discrete containment of urine was the dominant factor impacting on women's lives. Sub-themes embraced physical effects, psychological impact and social functioning. The five pad characteristics ranked most important for day time use were: 'to hold urine, to contain smell, to stay in place, discreteness, and comfort when wet. For night use discreteness was replaced by to keep skin dry'. High levels of reported anxiety were associated with perceived risk of poor pad performance, lack of discreteness and need for complex regimes for pad management.
Insufficient attention has been paid to the balance between the beneficial and negative treatment effects of absorbent pads to date. Existing continence-related quality of life measures are not designed for conditions where change in symptoms is not an outcome measure. The study findings provide the basis for developing a more sensitive, patient-oriented, quality of life measure for pad-users which can aid product selection, new product development and inform future evaluative comparisons between products/products and treatments.
This paper illustrates the complex influence on quality of life caused by using absorbent pads to contain incontinence. It raises awareness of the importance of careful selection of the most appropriate pad for each individual to minimize unfavourable side effects, and the need for a new quality of life measure designed for pad-users.
本研究旨在确定失禁吸收性产品的使用及其特性如何影响女性的生活质量，并在使用卫生巾的背景下探讨“治疗效果”的概念。
从文献和焦点小组工作中确定关键的卫生巾性能特征。对99名轻度失禁女性进行半结构化访谈，以调查使用卫生巾对女性生活质量的影响，包括积极和消极的“治疗效果”，并按重要性对卫生巾特征进行排序。
实现尿液的有效和隐秘容纳是影响女性生活的主要因素。子主题包括身体影响、心理影响和社会功能。白天使用时最重要的五个卫生巾特征是：“容纳尿液、抑制气味、固定在位、隐秘性以及潮湿时的舒适度”。夜间使用时，隐秘性被“保持皮肤干燥”所取代。报告的高度焦虑与对卫生巾性能不佳、缺乏隐秘性以及复杂的卫生巾管理方案的感知风险有关。
迄今为止，对于吸收性卫生巾有益和消极治疗效果之间的平衡关注不足。现有的与尿失禁相关的生活质量测量方法并非针对症状变化不是结果测量指标的情况设计。研究结果为开发一种更敏感、以患者为导向的卫生巾使用者生活质量测量方法提供了基础，该方法可有助于产品选择、新产品开发，并为未来产品/产品与治疗之间的评估比较提供参考。
本文阐述了使用吸收性卫生巾控制失禁对生活质量的复杂影响。它提高了人们对为每个个体精心选择最合适的卫生巾以尽量减少不利副作用的重要性的认识，以及对为卫生巾使用者设计新的生活质量测量方法的需求的认识。
