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远程医疗对女性尿失禁患者失禁严重程度的影响:一项随机对照试验的系统评价和荟萃分析。

The effect of telehealth on incontinence severity given to women with urinary incontinence: A systematic review and meta-analysis of randomized controlled trials.

机构信息

Departamento de Partería, Facultad de Ciencias de la Salud, Universidad de Haliç, Estambul, Turkey.

Departamento de Partería, Facultad de Ciencias de la Salud, Universidad de Haliç, Estambul, Turkey.

出版信息

Actas Urol Esp (Engl Ed). 2024 Jun;48(5):384-391. doi: 10.1016/j.acuroe.2024.02.002. Epub 2024 Feb 13.

DOI:10.1016/j.acuroe.2024.02.002
PMID:38360107
Abstract

INTRODUCTION

Although urinary incontinence does not cause mortality, it is a global health problem that adversely affects the quality of life and health of women.

OBJECTIVE

The aim of this study was to conduct a systematic review and meta-analysis of the studies investigating the effect of telehealth given to women with urinary incontinence (UI) on the severity of incontinence.

METHODS

The literature review for this systematic review was conducted between August-Semptember 2023 using four electronic databases. Y-based articles were scanned using MeSH-based keywords. Randomized Controlled Trials conducted over the last decade were included in the screening.

RESULTS

The analysis included six studies involving 826 women with UI. After telehealth intervention, there was a significant difference in UI symptom severity (MD: -2.14 95% CI: -2.67 to -1.62, Z=8.03, p<0.00001) and quality of life (SMD: -2.14 95% CI: -2.67 to -1.62, Z=8.03, p<0.00001) compared to the control groups. It had no effect on sexuality (MD: -4.65 95% CI: -9.60 to 0.30, Z=1.84, p=0.07), and anxiety (SMD: -0.15, 95% CI: -0.38 to 0.08, Z=1.27, p=0.21).

CONCLUSION

In this analysis, it was found that telehealth interventions performed on women with UI increased the quality of life while reducing the severity of incontinence in women, but had no effect on sexuality, and anxiety.

摘要

介绍

尽管尿失禁不会导致死亡,但它是一个全球性的健康问题,严重影响女性的生活质量和健康。

目的

本研究旨在对针对尿失禁(UI)女性进行远程医疗干预以评估其对失禁严重程度影响的研究进行系统回顾和荟萃分析。

方法

本系统评价的文献检索于 2023 年 8 月至 9 月期间在四个电子数据库中进行。使用基于 MeSH 的关键字扫描 Y 型文章。纳入过去十年中进行的随机对照试验。

结果

分析纳入了 6 项涉及 826 例 UI 女性的研究。在远程医疗干预后,UI 症状严重程度(MD:-2.14 95% CI:-2.67 至-1.62,Z=8.03,p<0.00001)和生活质量(SMD:-2.14 95% CI:-2.67 至-1.62,Z=8.03,p<0.00001)与对照组相比有显著差异。它对性生活(MD:-4.65 95% CI:-9.60 至 0.30,Z=1.84,p=0.07)和焦虑(SMD:-0.15,95% CI:-0.38 至 0.08,Z=1.27,p=0.21)没有影响。

结论

在这项分析中,发现远程医疗干预可提高女性 UI 患者的生活质量,同时减轻女性尿失禁的严重程度,但对性生活和焦虑没有影响。

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