通过健康亭提供的膀胱控制自我管理计划的效果。
Effect of a Bladder Control Self-Management Program Delivered Through a Health Kiosk.
机构信息
Yuchen Zhang, BSN-H, RN , School of Nursing, University of Pittsburgh, Pittsburgh, Pennsylvania.
Sandra J. Engberg, PhD, RN, CRNP, FAAN , School of Nursing, University of Pittsburgh, Pittsburgh, Pennsylvania.
出版信息
J Wound Ostomy Continence Nurs. 2024;51(3):213-220. doi: 10.1097/WON.0000000000001073. Epub 2024 May 27.
PURPOSE
The purpose of this study was to examine the feasibility of delivering a bladder control self-management program through a multiuser health kiosk and to evaluate the program's effect on urinary incontinence (UI) and incontinence-specific quality of life (QoL).
DESIGN
Secondary analysis of data collected during participants' interactions with the Bladder Control Module (BCM) from the parent study.
SUBJECTS AND SETTING
One hundred eleven participants from the parent study were eligible to be included in this secondary analysis. Their mean age was 72.8 years, and most were female (n = 95, 85.6%); 81 (75.7%) identified themselves as Caucasian. Each participant could access the BCM at a health kiosk situated at one of several sites: senior centers, subsidized senior housing, retirement communities, and a public library.
METHODS
The BCM comprised 6 sessions self-administered at least 1 week apart. The content focused on lifestyle modification, pelvic floor muscle training, and bladder (habit) retraining, with encouragement of behavioral self-monitoring between sessions. The feasibility of delivering the intervention was measured by the proportion of participants completing each session. The effect of the BCM on incontinence episodes and incontinence-specific QoL was measured, respectively, by a 7-day bladder diary and the Incontinence Impact Questionnaire Short Form.
RESULTS
Sixty-one of the 111 eligible participants accessed the BCM. Participants recording incontinence episodes in their baseline bladder diary and completing at least 3 BCM sessions experienced significant decreases in median total UI (P = .01), urge UI (P < .001), and stress UI (P = .02) episodes per day. Incontinence-related QoL significantly improved (P = .03).
CONCLUSIONS
Our findings support the potential effectiveness of providing community-based, kiosk-enabled access to a conservative behavioral intervention designed to improve incontinence-related outcomes among older adults with UI. Additional research with a larger sample is warranted.
目的
本研究旨在探讨通过多用户健康亭为患者提供膀胱控制自我管理方案的可行性，并评估该方案对尿失禁（UI）和失禁相关生活质量（QoL）的影响。
设计
对来自母研究中参与者与膀胱控制模块（BCM）互动期间收集的数据进行二次分析。
研究对象和设置
母研究中有 111 名符合条件的参与者可参与本次二次分析。他们的平均年龄为 72.8 岁，大多数为女性（n=95，85.6%）；81 名参与者（75.7%）为白种人。每位参与者都可以在位于多个地点（老年中心、补贴性老年住房、退休社区和公共图书馆）之一的健康亭中使用 BCM。
方法
BCM 由 6 个课程组成，至少间隔 1 周完成 1 次。课程内容侧重于生活方式改变、骨盆底肌肉训练和膀胱（习惯）再训练，并鼓励在各次课程之间进行行为自我监测。通过参与者完成各课程的比例来衡量干预措施的可行性。通过 7 天的膀胱日记和失禁影响问卷简表分别衡量 BCM 对失禁发作和失禁特异性 QoL 的影响。
结果
在 111 名符合条件的参与者中，有 61 名参与者访问了 BCM。在基线膀胱日记中记录失禁发作并完成至少 3 次 BCM 课程的参与者，每日失禁总发作（P = 0.01）、急迫性失禁发作（P < 0.001）和压力性失禁发作（P = 0.02）的中位数显著减少。与失禁相关的生活质量显著改善（P = 0.03）。
结论
我们的研究结果支持在社区中提供基于健康亭的、可供使用的保守性行为干预措施，以改善患有 UI 的老年人的失禁相关结局，这具有潜在的有效性。需要进行更大样本量的进一步研究。
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