根治性前列腺切除术后控制下尿路症状的认知行为方案：一项随机临床试验。
Cognitive-behavioral program to control lower urinary tract symptoms after radical prostatectomy: a randomized clinical trial.
机构信息
Universidade Federal de Goiás. Goiânia, Goiás, Brazil.
Universidade Federal de Minas Gerais. Belo Horizonte, Minas Gerais, Brazil.
出版信息
Rev Bras Enferm. 2022 Jul 29;75(5):e20210818. doi: 10.1590/0034-7167-2021-0818. eCollection 2022.
OBJECTIVE
to assess the effectiveness of a cognitive-behavioral program to control lower urinary tract symptoms after radical prostatectomy.
METHODS
a randomized clinical trial study, with 41 participants randomized into intervention (n=20) and control (n=21), for three months. The intervention group received the cognitive-behavioral program, while the control group received routine guidance from the service. Outcome variables were urinary incontinence intensity and lower urinary tract symptoms, assessed by the Pad-Test and Urinary Incontinence Scale of Radical Prostatectomy and King's Health Questionnaire.
RESULTS
at the end of the study, the intervention group had a lower urinary incontinence intensity (p≤0.001), and there were less chances of presenting changes in urinary frequency (p≤0.001), urinary urgency (p≤0.001), nocturia (p=0.005), stress urinary incontinence (p≤0.001) and urge incontinence (p≤0.045).
CONCLUSION
the cognitive-behavioral program was effective in reducing lower urinary tract symptoms after radical prostatectomy. Brazilian Clinical Trial Registry: RBR-3sstqg.
目的
评估认知行为方案对根治性前列腺切除术后控制下尿路症状的效果。
方法
这是一项随机临床试验研究，共有 41 名参与者被随机分为干预组（n=20）和对照组（n=21），干预组接受认知行为方案，对照组接受常规服务指导，持续三个月。采用垫试验和根治性前列腺切除术尿失禁量表和 King 健康问卷评估尿失禁强度和下尿路症状作为结局变量。
结果
研究结束时，干预组尿失禁强度较低（p≤0.001），且发生尿频率变化（p≤0.001）、尿急（p≤0.001）、夜尿（p=0.005）、压力性尿失禁（p≤0.001）和急迫性尿失禁（p≤0.045）的可能性较小。
结论
认知行为方案对根治性前列腺切除术后下尿路症状的控制有效。巴西临床试验注册处：RBR-3sstqg。
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