Hunterdon Urological Associates, Flemington, New Jersey, USA.
Department of Urology, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Neurourol Urodyn. 2021 Feb;40(2):728-734. doi: 10.1002/nau.24603.
Certain occupations may predispose individuals to develop lower urinary tract symptoms presumably through the adoption of unhealthy toileting behaviors. This study aimed to pilot the feasibility of recording healthcare workers' perceptions of daily, work-related interference with toilet use using a cellular, text-based survey tool.
A cohort study of adult healthcare professionals completed a baseline questionnaire, a daily survey for fourteen consecutive days regarding their restroom use for the current workday, and a posttest survey providing feedback on study design and participation. Contributors to daily toilet use were analyzed in a linear mixed effects model that allowed for modeling effects within a given day. A backward stepwise regression was performed to assess for the presence of the effect of toilet use among control variables.
Increased work burden (i.e., increased inconvenience for using the restroom at work) was provisionally found to be associated with fewer voids per day. The number of voids at work was also associated with the number of breaks, urinary urgency, and limiting fluids. Subjects reported that participation in the study was easy, did not interfere with work, and that they would be willing to participate again in a similar study.
The utilization of a daily text message survey is a feasible way to study healthcare workers and their toileting behaviors at work. A larger similarly designed study could potentially confirm that limitations to restroom use may result in toileting behaviors that could predispose healthcare workers to develop bothersome urinary symptoms. Further investigation is warranted.
某些职业可能会使个体更容易出现下尿路症状，这可能是由于采用了不健康的如厕行为。本研究旨在试用基于细胞的文本调查工具记录医护人员对日常工作相关如厕干扰的感知，以评估其可行性。
一项针对成年医护专业人员的队列研究完成了基线问卷调查，连续 14 天对当前工作日的如厕情况进行每日调查，并在完成后测试调查中提供了对研究设计和参与情况的反馈。使用线性混合效应模型对每日如厕的影响因素进行了分析，该模型允许对给定日内的影响进行建模。采用向后逐步回归来评估是否存在与控制变量相关的如厕影响。
工作负担增加（即使用工作场所厕所更不方便）与每日排尿次数减少有关。工作时的排尿次数也与休息次数、尿急和限制液体摄入有关。研究对象报告称，参与该研究很容易，不会干扰工作，并且他们愿意再次参与类似的研究。
使用每日短信调查是研究医护人员和他们在工作中的如厕行为的一种可行方法。一项更大的类似设计的研究可能可以证实，限制厕所使用可能会导致如厕行为，使医护人员更容易出现烦人的尿症状。有必要进行进一步的调查。
