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“Compu-Void II”:电脑化排尿日记

"Compu-Void II": the computerized voiding diary.

作者信息

Rabin J M, McNett J, Badlani G H

机构信息

Long Island Jewish Medical Center, New Hyde Park, New York 11040, USA.

出版信息

J Med Syst. 1996 Feb;20(1):19-34. doi: 10.1007/BF02260871.

Abstract

OBJECTIVE

We have previously described an electronic voiding diary, "Compu-Void" (Copyright, 1990) developed to automate recording of bladder symptoms (Rabin et al., 1993). Our objectives in this, the second phase of this study, were to examine a group of subject and control patients' preference and compliance with regard to the "Compu-Void" (CV) compared to the standard written voiding diary (WD), to compare the two methods with respect to the amount and type of information obtained and to determine whether or not the order of use of each recording method influenced results in the subject group.

METHODS

Thirty-six women between the ages of 20 and 84 with bladder symptomatology were compared to a group 36 age-matched women.

RESULTS

In 100% of subjects and 95% of control patients, CV entries exceeded the number made with the WD in voiding events and in subjects, in incontinent episodes recorded (P < 0.0005 and P < 0.005, respectively). Over 98% of subjects and over 80% of control patients preferred CV over the WD (p < 0.0005). The order of use of each recording method in subjects made no significant difference with regard to the volume of information obtained (p < 0.407), number of urinary leakage events recorded (p < 0.494), and fluid intake patterns (p < 0.410). Patient impressions of, and compliance with each method were not affected by order of use. The only difference regarding order of use was that most subjects who used the CV first also found the WD to be tedious (61% vs 14%).

CONCLUSIONS

Our results suggest increased volume of data and of patient compliance in reporting bladder symptoms and events using CV, and that order of use is not an important factor in determining patient impressions of the two methods. The majority of subject and control patients preferred CV over traditional methods. An updated version of the software and hardware is also included.

摘要

目的

我们之前描述过一种电子排尿日记“Compu-Void”(版权所有,1990年),其旨在实现膀胱症状记录的自动化(拉宾等人,1993年)。在本研究的第二阶段,我们的目标是考察一组受试患者和对照患者对“Compu-Void”(CV)相较于标准书面排尿日记(WD)的偏好及依从性,比较这两种方法在获取信息的数量和类型方面的差异,并确定每种记录方法的使用顺序是否会影响受试组的结果。

方法

将36名年龄在20至84岁之间有膀胱症状的女性与36名年龄匹配的女性进行比较。

结果

在100%的受试患者和95%的对照患者中,CV记录的排尿事件数量超过了WD,在受试患者中,CV记录的尿失禁发作次数也超过了WD(分别为P<0.0005和P<0.005)。超过98%的受试患者和超过80%的对照患者更喜欢CV而非WD(p<0.0005)。受试患者中每种记录方法的使用顺序在获取信息的量(p<0.407)、记录的尿失禁事件数量(p<0.494)和液体摄入模式(p<0.410)方面没有显著差异。患者对每种方法的印象和依从性不受使用顺序的影响。关于使用顺序的唯一差异是,大多数先使用CV的受试患者也觉得WD很繁琐(61%对14%)。

结论

我们的结果表明,使用CV报告膀胱症状和事件时,数据量和患者依从性有所增加,并且使用顺序不是决定患者对这两种方法印象的重要因素。大多数受试患者和对照患者更喜欢CV而非传统方法。还包括该软件和硬件的更新版本。

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