Low Lisa Kane, Williams Beverly Rosa, Newman Diane K, Hebert-Beirne Jeni, Brady Sonya S, Camenga Deepa R, James Aimee S, Wyman Jean F, Lacoursiere D Yvette, Burgio Kathryn L
Departments of Nursing, Women's and Gender Studies, and Obstetrics and Gynecology, University of Michigan, 400 N. Ingalls St. Ann Arbor, MI 48109, USA.
Department of Medicine, Division of Gerontology, Geriatrics and Palliative Care, University of Alabama at Birmingham (UAB), 510 20th Street South, Birmingham, AL 35294, USA.
Continence (Amst). 2025 Mar;13. doi: 10.1016/j.cont.2024.101726. Epub 2024 Nov 5.
Qualitative studies exploring bladder health are rare compared to research focusing on lower urinary tract symptoms (LUTS). Our aim was to explore adolescent and adult women's perceptions about what constitutes a healthy bladder.
We conducted a 7-site focus group study of bladder health with adolescent and adult women across six age categories (11-14 to 65+ years). Transcripts were analyzed using transdisciplinary, directed content analysis and an iterative interpretive consensus building approach to identify key constructs, focusing on "healthy bladder" and "unhealthy bladder" codes.
Forty-four focus groups with 360 participants were completed. Three thematic categories were identified: (1) concept of a healthy bladder (conceptual abstraction); (2) experience of a healthy bladder (subjective experience); and (3) lifestyle and life course considerations (bladder health in context). Participants struggled to define the unfamiliar concept of healthy bladder and relied on contextualized experiences and behaviors for characterizing bladder health. They described the concept of a healthy bladder as something that you did not need to think about but did require attention to healthy habits to maintain. Other features of a healthy bladder discussed include having bladder control despite urgency and environmental constraints on voiding, normal voiding frequency, and qualities of urine and urination. Participants struggled with lack of information about healthy bladder habits and noted absence of routine bladder health screening.
Findings identify need to promote public education and information sharing in health care visits about bladder health. Further they can inform bladder health promotion and clinical research on LUTS prevention.
与关注下尿路症状（LUTS）的研究相比，探索膀胱健康的定性研究较少。我们的目的是探讨青少年和成年女性对健康膀胱构成要素的看法。
我们对六个年龄组（11 - 14岁至65岁以上）的青少年和成年女性进行了一项关于膀胱健康的7个地点的焦点小组研究。使用跨学科、定向内容分析和迭代解释性共识构建方法对转录本进行分析，以识别关键结构，重点关注“健康膀胱”和“不健康膀胱”代码。
完成了44个焦点小组，共有360名参与者。确定了三个主题类别：（1）健康膀胱的概念（概念抽象）；（2）健康膀胱的体验（主观体验）；（3）生活方式和生命历程考量（背景中的膀胱健康）。参与者难以定义健康膀胱这个不熟悉的概念，而是依靠情境化的经历和行为来描述膀胱健康。他们将健康膀胱的概念描述为不需要刻意去想，但确实需要关注健康习惯来维持的东西。讨论的健康膀胱的其他特征包括尽管有尿急和排尿的环境限制仍能控制膀胱、正常的排尿频率以及尿液和排尿的质量。参与者因缺乏关于健康膀胱习惯的信息而感到困扰，并指出缺乏常规的膀胱健康筛查。
研究结果表明需要在医疗就诊中促进关于膀胱健康的公众教育和信息共享。此外，它们可为膀胱健康促进和LUTS预防的临床研究提供信息。
