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一种使24小时尿液收集更便捷的新方法:一项效度研究。

A new method to make 24-hour urine collection more convenient: a validity study.

作者信息

Nabavizadeh Pooneh, Ghadermarzi Shadi, Fakhri Mohammad

机构信息

School of Medicine, Shahid Beheshti University of Medical Science, Tehran, Iran.

出版信息

Int J Nephrol. 2014;2014:718147. doi: 10.1155/2014/718147. Epub 2014 May 20.

Abstract

Background and Objectives. This study proposes a novel urine collection device that can divide each urine collection into 20 parts and store and cool just one part. The aim of the current study is to compare measured biomarkers from the proposed urine collection device to those of conventional 24-hour sampling method. We also hypothesized that the new method would significantly increase patients' adherence to the timed urine collection. Methods. Two 24-hour urine samples with the conventional method and with the new automated urine collection device that uses just one-twentieth of each void were obtained from 40 healthy volunteers. Urine parameters including volume, creatinine, and protein levels were compared between the two methods and the agreement of two measurements for each subject was reported through Bland-Altman plots. Results. Our results confirmed that for all three variables, there is a positive correlation (P < 0.001) between the two measurements and high degree of agreement could be seen in Bland-Altman plots. Moreover, more subjects reported the new method as "more convenient" for 24-hour urine collection. Conclusions. Our results clearly indicate that a fixed proportion of each void may significantly reduce the urine volume in timed collections and this, in turn, may increase subjects' adherence to this difficult sampling.

摘要

背景与目的。本研究提出了一种新型尿液收集装置,该装置可将每次尿液收集分为20份,并仅储存和冷却其中一份。本研究的目的是比较该新型尿液收集装置测得的生物标志物与传统24小时采样方法测得的生物标志物。我们还假设新方法将显著提高患者对定时尿液收集的依从性。方法。从40名健康志愿者那里分别采用传统方法和使用每次排尿量的二十分之一的新型自动尿液收集装置获取两份24小时尿液样本。比较两种方法之间的尿液参数,包括尿量、肌酐和蛋白质水平,并通过布兰德-奥特曼图报告每个受试者两次测量的一致性。结果。我们的结果证实,对于所有三个变量,两次测量之间存在正相关(P < 0.001),并且在布兰德-奥特曼图中可以看到高度一致性。此外,更多受试者报告新方法对于24小时尿液收集“更方便”。结论。我们的结果清楚地表明,每次排尿的固定比例可能会显著减少定时收集的尿量,进而可能提高受试者对这种困难采样的依从性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d35/4055097/41200627aefb/IJN2014-718147.001.jpg

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