Department of Obstetrics and Gynecology, School of Medical Sciences, University of Campinas (UNICAMP), Rua Alexander Fleming, 101, Cidade Universitária Zeferino Vaz, Campinas, SP, 13083-881, Brazil.
Int Urogynecol J. 2024 Mar;35(3):589-598. doi: 10.1007/s00192-023-05714-y. Epub 2024 Jan 12.
This study was aimed at evaluating the impact of a mobile app-guided pelvic floor muscle training (PFMT) program on urinary symptoms and quality of life in women suffering from urinary incontinence.
The study included women with stress urinary incontinence (SUI), who underwent a structured interview and completed validated questionnaires, including the Questionnaire for Urinary Incontinence Diagnosis (QUID), the International Consultation on Incontinence Questionnaire - Short Form (ICIQ-SF), and the Incontinence Quality of Life Questionnaire (I-QOL). These women were randomly assigned to one of two groups: the app group, which received a visual depiction on the expected contraction pattern through a mobile app to support their PFMT exercises, and the control (paper) group. Both groups were instructed to perform PFMT exercises twice daily for 30 days. Data were collected at baseline and at 30, 60, 90, and 120 days after completing the exercises.
A total of 154 women participated, with 76 in the app group and 78 in the paper group. The mean ages were 61 (± 6.1) and 60.6 (± 6.8) in the app and paper groups respectively (p = 0.644). Both groups showed significant improvements in QUID SUI scores (p < 0.001), overactive bladder (OAB; p < 0.001), ICIQ-SF scores (p < 0.001), and quality-of-life scores (p < 0.001). When comparing the two groups, the app group exhibited a more substantial reduction in OAB (p = 0.017) as assessed by QUID and total (p = 0.042), psychosocial (p = 0.032) and social embarrassment (p = 0.006) I-QOL scores.
The study findings suggest that PFMT guided by a mobile app with visual guidance leads to greater improvements in storage symptoms and quality of life than the home-based PFMT guidance.
本研究旨在评估一款手机应用指导下的盆底肌训练（PFMT）程序对患有尿失禁的女性的尿失禁症状和生活质量的影响。
本研究纳入了患有压力性尿失禁（SUI）的女性，她们接受了结构化访谈并完成了经过验证的问卷，包括尿失禁诊断问卷（QUID）、国际尿失禁咨询问卷-简短表（ICIQ-SF）和尿失禁生活质量问卷（I-QOL）。这些女性被随机分为两组：应用程序组，通过手机应用程序获得预期收缩模式的视觉描述以支持他们的 PFMT 练习；对照组（纸质），两组均被指导每天进行两次，持续 30 天。数据在基线以及完成练习后的 30、60、90 和 120 天收集。
共有 154 名女性参与，应用程序组 76 名，纸质组 78 名。应用程序组和纸质组的平均年龄分别为 61（±6.1）和 60.6（±6.8）（p=0.644）。两组的 QUID SUI 评分（p<0.001）、过度活动膀胱（OAB；p<0.001）、ICIQ-SF 评分（p<0.001）和生活质量评分（p<0.001）均显著改善。比较两组时，应用程序组在 QUID 和总评分（p=0.042）、心理社会评分（p=0.032）和社交尴尬评分（p=0.006）中 OAB 改善程度更大。
研究结果表明，与基于家庭的 PFMT 指导相比，具有视觉指导的手机应用程序指导的 PFMT 可导致储存症状和生活质量的更大改善。
