Wiemer L, Bartelheimer T, Raschke R, Miller K
Pro Uro, Berlin, Deutschland.
Charité, Universitätsmedizin Berlin, Berlin, Deutschland.
Urologie. 2022 Sep;61(9):971-981. doi: 10.1007/s00120-022-01872-x. Epub 2022 Jun 20.
In a systematic data analysis, we evaluated the influence of a digital health app on erection scores as well as life quality and patient activation in a group of patients with erectile dysfunction.
In all, 44 participants took part in an evidence-based program for patients with erectile dysfunction. The in app 12-week program included pelvic floor exercises and physiotherapeutic and cardiovascular training. In addition, there where sessions on mindfulness and sexual therapy as well as useful information about erectile dysfunction and its causes, nutrition, and risk factors. The median age was 46 years (19-75 years). All patients answered IIEF‑5, PAM-13 and QoL-Med questionnaires at the beginning and the end of the program. A total of 27 questionnaires could be evaluated at both times.
The average improvement in IIEF‑5 score was 4.5 points (p < 0.0001). 96% of patients showed overall improvement of erection scores. Improvement in life quality was shown in 93% of participants. Moreover, there was a significant increase in patient activation scores.
We were able to show that a multimodal digital app for self-management of erectile dysfunction improved not only erection scores but also life quality and patient activation. We concluded that it is possible to reproduce results of analog studies in a digital setting. Digital solutions can help to include patients in their treatment and to put guideline suggestions into practice.
在一项系统的数据分析中,我们评估了一款数字健康应用程序对一组勃起功能障碍患者勃起评分、生活质量和患者积极性的影响。
共有44名参与者参加了一项针对勃起功能障碍患者的循证计划。应用程序中的12周计划包括盆底肌锻炼、物理治疗和心血管训练。此外,还有关于正念和性治疗的课程,以及有关勃起功能障碍及其病因、营养和风险因素的有用信息。中位年龄为46岁(19 - 75岁)。所有患者在计划开始和结束时均回答了国际勃起功能指数-5(IIEF-5)、患者激活量表-13(PAM-13)和生活质量-医学问卷(QoL-Med)。共有27份问卷在两个时间点均可进行评估。
IIEF-5评分的平均改善为4.5分(p < 0.0001)。96%的患者勃起评分总体有所改善。93%的参与者生活质量有所改善。此外,患者积极性得分显著提高。
我们能够证明,一款用于勃起功能障碍自我管理的多模式数字应用程序不仅改善了勃起评分,还提高了生活质量和患者积极性。我们得出结论,在数字环境中重现模拟研究的结果是可能的。数字解决方案有助于让患者参与到治疗中,并将指南建议付诸实践。