医学生和牙科学学生中膀胱过度活动症症状的流行情况及其对健康相关生活质量的影响：一项多中心横断面研究。
Prevalence of overactive bladder symptoms and their impact on health-related quality of life of medical and dentistry students: a multicenter cross-sectional study.
机构信息
Department of Physiology, Pharmacology and Toxicology, Faculty of Medicine and Health Sciences, An-Najah National University, New Campus, Building: 19, Office: 1340, P.O. Box 7, Nablus, Palestine.
An-Najah BioSciences Unit, Centre for Poison Control, Chemical and Biological Analysis, An-Najah National University, Nablus, Palestine.
出版信息
BMC Urol. 2021 Oct 8;21(1):142. doi: 10.1186/s12894-021-00909-1.
BACKGROUND
Overactive bladder (OAB) is a popular distressing health condition that has negative impact on health-related quality of life (HRQoL) of the inflicted individuals. This multicenter study was conducted to determine the prevalence of OAB symptoms and their impact on the HRQoL of medical and dentistry students.
METHODS
This study was conducted in a cross-sectional design in the 3 main universities in Palestine. In addition to the sociodemographic, health, and academic characteristics of the medical and dentistry students, the questionnaire also contained the OAB symptom bother (6-items) and HRQoL (13-items) Short-Form (OAB-q SF) scales. Kruskal-Wallis test, Mann-Whitney U test, Pearson Chi-Square/Fisher's Exact Test, Spearman's rank correlations, and a multiple linear regression model were used to analyze the data.
RESULTS
Responses were collected from medical and dentistry students (n = 402). The median OAB symptom bother score was 54.1 [44.8, 81.9] and the median HRQoL score was 94.4 [88.4, 94.4]. There was a strong negative correlation between the OAB and HRQoL scores (Spearman's rho = 64.4%, p value < 0.001). OAB scores were significantly higher among dentistry students, females, who had chronic disease, and those who reported stressful life. HRQoL scores were significantly higher among medicine students, those who reported less stressful life, and those who reported satisfaction with their social life. Dentistry students, female, and those who self-reported high stress were 1.94-fold (95% CI 1.05, 3.56), 1.91-fold (95% CI 1.16, 3.14), and 1.88-fold (95% CI 1.21, 2.91) more likely to report less than optimal HRQoL compared to medicine students, male, and those who self-reported low stress, respectively.
CONCLUSIONS
Our findings suggested that OAB symptoms were prevalent among medical and dentistry students across Palestinian universities. Decision makers in academia, healthcare authorities, and advocacy groups might need to design appropriate interventions to address health and wellbeing issues of medical and dentistry students. Using appropriate diagnostic procedures, reducing stress, and improving the social life might help in reducing the burden on OAB and improve the HRQoL of medical and dentistry students. More investigations should be conducted to investigate if such interventions are effective in reducing OAB symptoms and improving HRQoL.
背景
膀胱过度活动症（OAB）是一种常见的令人痛苦的健康问题，会对受影响个体的健康相关生活质量（HRQoL）产生负面影响。这项多中心研究旨在确定 OAB 症状的流行率及其对医学生和牙科学学生 HRQoL 的影响。
方法
本研究采用横断面设计，在巴勒斯坦的 3 所主要大学进行。除了医学生和牙科学学生的社会人口学、健康和学术特征外，问卷还包含 OAB 症状困扰（6 项）和 HRQoL（13 项）简短表格（OAB-q SF）量表。采用 Kruskal-Wallis 检验、Mann-Whitney U 检验、Pearson 卡方/Fisher 确切检验、Spearman 秩相关和多元线性回归模型分析数据。
结果
共收集了医学生和牙科学学生（n=402）的回复。OAB 症状困扰评分的中位数为 54.1[44.8, 81.9]，HRQoL 评分的中位数为 94.4[88.4, 94.4]。OAB 和 HRQoL 评分之间存在强烈的负相关（Spearman's rho=64.4%，p 值<0.001）。牙科学学生、女性、患有慢性病和报告生活压力大的学生 OAB 评分明显更高。医学生、报告生活压力较小和对社交生活满意的学生 HRQoL 评分明显更高。与牙科学学生、女性和自我报告压力较大的学生相比，医学生、男性和自我报告压力较小的学生报告 HRQoL 较差的可能性分别高出 1.94 倍（95%CI 1.05, 3.56）、1.91 倍（95%CI 1.16, 3.14）和 1.88 倍（95%CI 1.21, 2.91）。
结论
我们的研究结果表明，OAB 症状在巴勒斯坦各大学的医学生和牙科学学生中普遍存在。学术界、医疗保健当局和宣传团体的决策者可能需要设计适当的干预措施来解决医学生和牙科学学生的健康和福祉问题。使用适当的诊断程序、减轻压力和改善社交生活可能有助于减轻 OAB 的负担并提高医学生和牙科学学生的 HRQoL。应进行更多调查，以研究此类干预措施是否能有效减轻 OAB 症状和提高 HRQoL。
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