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复发性尿路感染女性患者的痛苦:医生如何更好地满足患者需求?

Patient Distress in Women with Recurrent Urinary Tract Infections: How Can Physicians Better Meet Patients Needs?

作者信息

Moskowitz Dena, Lee Una

机构信息

Section of Urology and Renal Transplantation, Virginia Mason Medical Center, Seattle, WA, USA.

出版信息

Curr Urol Rep. 2018 Oct 18;19(12):97. doi: 10.1007/s11934-018-0849-1.

DOI:10.1007/s11934-018-0849-1
PMID:30338430
Abstract

PURPOSE OF REVIEW

Recurrent urinary tract infections are a common condition that can impact patients' quality of life. The purpose of this review is to summarize and analyze the literature regarding the distress that these infections can cause to patients and provide guidance to clinicians on how to improve care of these patients.

RECENT FINDINGS

The current literature on patient perspectives in urinary tract infections shows an emotional symptom experience that is not consistent with the typical symptoms expected by clinicians. The infections can impact all aspects of quality of life, including social, emotional, and financial domains. Women with recurrent urinary tract infections experience a significant amount of distress. They have a strong desire for validation of their experiences by their physicians. Clinicians can best serve these patients by understanding the true impact of their condition and creating treatment strategies that include shared decision making to meet patients' goals.

摘要

综述目的

复发性尿路感染是一种常见疾病,会影响患者的生活质量。本综述的目的是总结和分析有关这些感染给患者带来的困扰的文献,并为临床医生提供如何改善对这些患者护理的指导。

最新发现

目前关于尿路感染患者观点的文献显示,其情感症状体验与临床医生预期的典型症状不一致。这些感染会影响生活质量的各个方面,包括社会、情感和经济领域。复发性尿路感染的女性会经历大量困扰。她们强烈希望医生认可她们的经历。临床医生若能理解病情的真正影响并制定包括共同决策以实现患者目标的治疗策略,就能最好地为这些患者服务。

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Patient Distress in Women with Recurrent Urinary Tract Infections: How Can Physicians Better Meet Patients Needs?复发性尿路感染女性患者的痛苦:医生如何更好地满足患者需求?
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Front Urol. 2023 Sep 20;3:1264299. doi: 10.3389/fruro.2023.1264299. eCollection 2023.
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The emotional impact of uncomplicated urinary tract infections in women in China and Japan: a qualitative study.中国和日本单纯性尿路感染女性患者的情绪影响:一项定性研究。
BMC Womens Health. 2024 Feb 6;24(1):94. doi: 10.1186/s12905-023-02675-8.
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Recurrent cystitis: patients' needs, expectations and contribution to developing an information leaflet - a qualitative study.

本文引用的文献

1
Treatment and Prevention of Recurrent Lower Urinary Tract Infections in Women: A Rapid Review with Practice Recommendations.女性复发性下尿路感染的治疗和预防:快速综述及实践推荐。
J Urol. 2018 Dec;200(6):1174-1191. doi: 10.1016/j.juro.2018.04.088. Epub 2018 Jun 22.
2
Premenopausal women with recurrent urinary tract infections have lower quality of life.患有复发性尿路感染的绝经前女性生活质量较低。
Int J Urol. 2018 Jul;25(7):684-689. doi: 10.1111/iju.13698. Epub 2018 May 22.
3
Participant experiences of clean intermittent self-catheterisation, urinary tract infections and antibiotic use on the ANTIC trial - A qualitative study.
复发性膀胱炎:患者的需求、期望和对信息传单开发的贡献 - 一项定性研究。
BMJ Open. 2022 Nov 22;12(11):e062852. doi: 10.1136/bmjopen-2022-062852.
4
Urinary tract infection is associated with hypokalemia: a case control study.尿路感染与低钾血症相关:一项病例对照研究。
BMC Urol. 2020 Jul 20;20(1):108. doi: 10.1186/s12894-020-00678-3.
ANTIC 试验中清洁间歇自我导尿、尿路感染和抗生素使用的参与者体验——一项定性研究。
Int J Nurs Stud. 2018 May;81:1-7. doi: 10.1016/j.ijnurstu.2018.01.012. Epub 2018 Jan 31.
4
Social and economic burden of recurrent urinary tract infections and quality of life: a patient web-based study (GESPRIT).复发性尿路感染的社会和经济负担及生活质量:一项基于患者网络的研究(GESPRIT)
Expert Rev Pharmacoecon Outcomes Res. 2018 Feb;18(1):107-117. doi: 10.1080/14737167.2017.1359543. Epub 2017 Jul 31.
5
Nitrofurantoin's efficacy and safety as prophylaxis for urinary tract infections: a systematic review of the literature and meta-analysis of controlled trials.呋喃妥因预防尿路感染的疗效和安全性:文献系统评价和对照试验的荟萃分析。
Clin Microbiol Infect. 2017 Jun;23(6):355-362. doi: 10.1016/j.cmi.2016.08.003. Epub 2016 Aug 17.
6
The challenges of treating women with recurrent urinary tract infections in primary care: a qualitative study of GPs' experiences of conventional management and their attitudes towards possible herbal options.基层医疗中治疗复发性尿路感染女性患者面临的挑战:一项关于全科医生传统管理经验及其对可能的草药治疗方案态度的定性研究
Prim Health Care Res Dev. 2015 Nov;16(6):597-606. doi: 10.1017/S1463423615000201. Epub 2015 Mar 16.
7
How women manage recurrent urinary tract infections: an analysis of postings on a popular web forum.女性如何应对复发性尿路感染:对一个热门网络论坛上帖子的分析
BMC Fam Pract. 2014 Sep 26;15:162. doi: 10.1186/1471-2296-15-162.
8
Cranberry products and prevention of urinary tract infections.蔓越莓产品与泌尿道感染的预防。
JAMA. 2013 Oct 2;310(13):1395-6. doi: 10.1001/jama.2013.277509.
9
D-mannose powder for prophylaxis of recurrent urinary tract infections in women: a randomized clinical trial.用于预防女性复发性尿路感染的D-甘露糖粉:一项随机临床试验。
World J Urol. 2014 Feb;32(1):79-84. doi: 10.1007/s00345-013-1091-6. Epub 2013 Apr 30.
10
Methenamine hippurate for preventing urinary tract infections.马尿酸乌洛托品用于预防尿路感染。
Cochrane Database Syst Rev. 2012 Oct 17;10(10):CD003265. doi: 10.1002/14651858.CD003265.pub3.