The patient with an overactive bladder--symptoms and quality-of-life issues.

作者: Simn Jackson

DOI: 10.1016/S0090-4295(97)00580-3

关键词: SurgeryDiseaseMedicineSexual dysfunctionIntensive care medicinePsychosocialLower urinary tract symptomsOveractive bladderCystometryQuality of lifeUrinary incontinence

摘要: Abstract Objectives Psychosocial adjustment to illness is as important the status of physical disease itself; focusing on this necessitates some measurement abstract, subjective feelings “quality life” (QOL). Assessments QOL are particularly for conditions such urinary incontinence (UI) that have little or no impact mortality. Methods This presentation describes reasons for, and methods of, measuring lower tract symptoms impact. Validated instruments available measurements reviewed, published studies address UI (and urge in particular) QOL. Potential applications these new measures discussed. Results The bladder an unreliable witness, symptom assessment diagnostically disappointing; cystometry essential if a definitive diagnosis required. However, objective tests take account patient's perception problem. General health questionnaires been used show associated with emotional problems, reduced social recreational activity, sexual dysfunction. Newly developed, condition-specific greater specificity and, hence, improved sensitivity its These potential monitoring progression evaluating treatment outcome. Conclusions In proportion people overactivity, disorder has profound developed may allow identification group individuals while also improving efficacy. science infancy dimensions await further exploration.

参考文章(39)
J F Wyman, S W Harkins, J R Taylor, S C Choi, J A Fantl, Psychosocial impact of urinary incontinence in women Obstetrics & Gynecology. ,vol. 70, pp. 378- 381 ,(1987)
Kathryn L. Burgio, Karen A. Matthews, Bernard T. Engel, Prevalence, Incidence and Correlates of Urinary Incontinence in Healthy, Middle-Aged Women The Journal of Urology. ,vol. 146, pp. 1255- 1259 ,(1991) , 10.1016/S0022-5347(17)38063-1
S. A. Shumaker, J. F. Wyman, J. S. Uebersax, D. McClish, J. A. Fantl, , Health-related quality of life measures for women with urinary incontinence: the Incontinence Impact Questionnaire and the Urogenital Distress Inventory Quality of Life Research. ,vol. 3, pp. 291- 306 ,(1994) , 10.1007/BF00451721
AGNETA GRIMBY, IAN MILSOM, ULLA MOLANDER, INGELA WIKLUND, PETER EKELUND, The Influence of Urinary Incontinence on the Quality of Life of Elderly Women Age and Ageing. ,vol. 22, pp. 82- 89 ,(1993) , 10.1093/AGEING/22.2.82
Marilyn Bergner, Ruth A. Bobbitt, William B. Carter, Betty S. Gilson, The Sickness Impact Profile: development and final revision of a health status measure. Medical Care. ,vol. 19, pp. 787- 805 ,(1981) , 10.1097/00005650-198108000-00001
Paul Kind, Roy Carr-Hill, The Nottingham health profile: A useful tool for epidemiologists? Social Science & Medicine. ,vol. 25, pp. 905- 910 ,(1987) , 10.1016/0277-9536(87)90260-7
Paul S. Lee, David W. Reid, Anita Saltmarche, Lyn Linton, Measuring the Psychosocial Impact of Urinary Incontinence: The York Incontinence Perceptions Scale (YIPS) Journal of the American Geriatrics Society. ,vol. 43, pp. 1275- 1278 ,(1995) , 10.1111/J.1532-5415.1995.TB07406.X
A J Macaulay, R S Stern, D M Holmes, S L Stanton, Micturition and the mind: psychological factors in the aetiology and treatment of urinary symptoms in women. BMJ. ,vol. 294, pp. 540- 543 ,(1987) , 10.1136/BMJ.294.6571.540
Ian R. Gough, Quality of life as an outcome variable in oncology and surgery. Australian and New Zealand Journal of Surgery. ,vol. 64, pp. 227- 235 ,(1994) , 10.1111/J.1445-2197.1994.TB02190.X
J. R. Sutherst, SEXUAL DYSFUNCTION AND URINARY INCONTINENCE British Journal of Obstetrics and Gynaecology. ,vol. 86, pp. 387- 388 ,(1979) , 10.1111/J.1471-0528.1979.TB10616.X