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诀窍手法对尿失禁女性的影响:一项准实验研究。

Impact of Knack Manoeuvre Among Women with Urinary Incontinence: A Quasi Experimental Study.

作者信息

Jagadeeswari J, Kalabarathi S, Bhuvaneswari G

机构信息

Ph.D Scholar, Department of Obstetrics and Gynecology, Saveetha College of Nursing, Saveetha Institute of Medical and Technical Sciences, Thandalam, Chennai, Tamil Nadu, India.

Department of Obstetrics and Gynecology, Saveetha College of Nursing, Saveetha Institute of Medical and Technical Sciences, Thandalam, Chennai, Tamil Nadu, India.

出版信息

J Pharm Bioallied Sci. 2024 Jul;16(Suppl 3):S2000-S2002. doi: 10.4103/jpbs.jpbs_533_24. Epub 2024 Jul 5.

DOI:10.4103/jpbs.jpbs_533_24
PMID:39346196
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11426615/
Abstract

OBJECTIVE

The Objective of the study is to assess the effectiveness of Knack manoeuvre among women with urinary incontinence.

METHODS

A quasi-experimental study with a repeated measures design was used to conduct study at Saveetha Medical College Hospital. Experimental group received Knack manoeuvre for 6 months and control group received routine care. The sample size was 100, which was recruited by purposive sampling technique. The data were collected with structured questionnaire, and questionnaire for urinary incontinence diagnosis and biophysiological parameters were assessed by abdominal leak peak pressure (ALPP).

RESULTS

The study results depict that frequency and percentage distribution of pretest and post-test level of ALPP. Between group comparison of post-test at 6 months of control and experimental showed significance ( < 0.001). There was a progressive decrease in ALPP of control and experimental groups.

CONCLUSION

To our knowledge, this is the first prospective nonrandomized study that assesses the efficacy of the Knack manoeuvre on urine incontinence by assessing biophysiological parameters.

摘要

目的

本研究的目的是评估凯克手法对尿失禁女性的有效性。

方法

采用重复测量设计的准实验研究,在萨维塔医学院医院进行研究。实验组接受凯克手法治疗6个月,对照组接受常规护理。样本量为100,采用目的抽样技术招募。通过结构化问卷收集数据,并通过腹压漏尿峰值压力(ALPP)评估尿失禁诊断问卷和生物生理参数。

结果

研究结果描述了ALPP测试前和测试后水平的频率和百分比分布。对照组和实验组6个月后测试的组间比较显示有显著性差异(<0.001)。对照组和实验组的ALPP均呈逐渐下降趋势。

结论

据我们所知,这是第一项通过评估生物生理参数来评估凯克手法对尿失禁疗效的前瞻性非随机研究。

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本文引用的文献

1
Effectiveness of Pelvic Floor Muscle Training on Quality of Life in Women with Urinary Incontinence: A Systematic Review and Meta-Analysis.盆腔底肌肉训练对女性尿失禁患者生活质量的影响:系统评价和荟萃分析。
Medicina (Kaunas). 2023 May 23;59(6):1004. doi: 10.3390/medicina59061004.
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One in four women with stress urinary incontinence who are taught "the knack" maneuver adopt this motor pattern while coughing: A prospective interventional cohort study.四分之一压力性尿失禁的女性在学习“诀窍”动作时,会在咳嗽时采用这种运动模式:一项前瞻性干预队列研究。
Neurourol Urodyn. 2023 Aug;42(6):1290-1298. doi: 10.1002/nau.25196. Epub 2023 May 2.
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Effect of Behavioral and Pelvic Floor Muscle Therapy Combined With Surgery vs Surgery Alone on Incontinence Symptoms Among Women With Mixed Urinary Incontinence: The ESTEEM Randomized Clinical Trial.行为和盆底肌治疗联合手术与单纯手术治疗混合性尿失禁女性患者的尿失禁症状的效果:ESTEEM 随机临床试验。
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Pelvic floor muscle training versus no treatment, or inactive control treatments, for urinary incontinence in women.盆底肌训练与不治疗或非积极对照治疗对女性尿失禁的效果比较
Cochrane Database Syst Rev. 2018 Oct 4;10(10):CD005654. doi: 10.1002/14651858.CD005654.pub4.
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Urinary incontinence in women.女性尿失禁。
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The effect of pelvic muscle exercises on urinary incontinency and self-esteem of elderly females with stress urinary incontinency, 2013.盆底肌锻炼对老年压力性尿失禁女性尿失禁及自尊的影响,2013年
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J Phys Ther Sci. 2014 Sep;26(9):1493-9. doi: 10.1589/jpts.26.1493. Epub 2014 Sep 17.
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Nonsurgical management of urinary incontinence in women: a clinical practice guideline from the American College of Physicians.女性尿失禁的非手术治疗:美国医师学院临床实践指南。
Ann Intern Med. 2014 Sep 16;161(6):429-40. doi: 10.7326/M13-2410.
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