两种非药物治疗对夜尿症女性睡眠质量的影响：一项随机对照临床试验
Effects of two nonpharmacological treatments on the sleep quality of women with nocturia: a randomized controlled clinical trial.
作者信息
Furtado-Albanezi Daniele, Jürgensen Soraia Pilon, Avila Mariana Arias, Correia Grasiela Nascimento, Driusso Patricia
机构信息
Physical Therapy Graduate Program, Federal University of São Carlos, Rodovia Washington Luis, Km 235, São Carlos, SP, 13565-905, Brazil.
Physical Therapy Department, Federal University of São Carlos, São Carlos, SP, Brazil.
出版信息
Int Urogynecol J. 2019 Feb;30(2):279-286. doi: 10.1007/s00192-018-3584-8. Epub 2018 Mar 6.
INTRODUCTION AND HYPOTHESIS
The objective was to check the effects of two nonpharmacological treatments on the sleep quality of women with nocturia.
METHODS
A randomized controlled clinical trial in which 40 women with nocturia were randomized into two groups; one was subjected to tibial nerve stimulation (GTNS) and the other received pelvic floor muscle training associated with behavioral therapy (GPFMT). Both groups were followed for 12 weeks, with one session/week; evaluated by the Pittsburgh Sleep Quality Index (PSQI), King's Heath Questionnaire (KHQ), and Epworth Sleepiness Scale (ESS). The Wilcoxon test was used to compare intra-group data and the Mann-Whitney test for intergroup results. Effect size and confidence interval were calculated, and the level of significance was set at 5%.
RESULTS
Both groups showed improvements in quality of sleep, observed by the PSQI total score (GTNS from 9 ± 0.88 to 7 ± 0.94, p = 0.002; GPFMT from 8 ± 0.80 to 5 ± 0.94, p < 0.001) and the sleep/energy domain of the KHQ (GTNS from 66.66 ± 9.03 to 16.66 ± 7.20, p = 0.002; GPFMT from 66.66 ± 9.30 to 0.00 ± 7.26, p = 0.001).
CONCLUSIONS
Both nonpharmacological treatments proposed (TNS or PFMT) were equally able to improve quality of sleep of women with nocturia.
引言与假设
目的是检验两种非药物治疗对夜尿症女性睡眠质量的影响。
方法
一项随机对照临床试验，40名夜尿症女性被随机分为两组；一组接受胫神经刺激（GTNS），另一组接受盆底肌肉训练联合行为疗法（GPFMT）。两组均随访12周，每周一次；通过匹兹堡睡眠质量指数（PSQI）、国王健康问卷（KHQ）和爱泼华嗜睡量表（ESS）进行评估。采用Wilcoxon检验比较组内数据，采用Mann-Whitney检验比较组间结果。计算效应量和置信区间，显著性水平设定为5%。
结果
两组睡眠质量均有改善，通过PSQI总分（GTNS组从9±0.88降至7±0.94，p = 0.002；GPFMT组从8±0.80降至5±0.94，p < 0.001）以及KHQ的睡眠/精力领域（GTNS组从66.66±9.03降至16.66±7.20，p = 0.002；GPFMT组从66.66±9.30降至0.00±7.26，p = 0.001）得以观察。
结论
所提出的两种非药物治疗方法（TNS或PFMT）均能同等程度地改善夜尿症女性的睡眠质量。
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