通过远程健康服务进行盆底肌肉训练,治疗妇科癌症手术后的尿失禁和/或大便失禁:一项单组可行性研究。
Pelvic floor muscle training delivered via telehealth to treat urinary and/or faecal incontinence after gynaecological cancer surgery: a single cohort feasibility study.
发表日期:2023 Sep 23
作者:
Robyn Brennen, Sze-Ee Soh, Linda Denehy, Kuan Yin Lin, Thomas Jobling, Orla M McNally, Simon Hyde, Jenny Kruger, Helena Frawley
来源:
PHYSICAL THERAPY & REHABILITATION JOURNAL
摘要:
为了评估通过遥控健康提供的盆底肌肉训练(PFMT)对妇科癌症手术后的尿失禁(UI)和/或肠失禁(FI)的可行性和临床结果,在这次前后研究中,患有术后失禁的妇科癌症手术患者接受了为期12周的物理治疗师监督下的遥控健康提供的PFMT计划。介入方案包括七个视频会议,使用阴道内生物反馈设备提供实时反馈,并进行每日家庭PFMT计划。可行性结果包括招募、保持、参与和遵循率。在基线、干预后立即和干预后的3个月内使用尿失禁(ICIQ-UI-SF)和肠功能(ICIQ-B)以及阴道内生物反馈设备进行临床结果评估。使用自助样本生成方法分析各个时间点的平均值和95%置信区间。在63名符合条件的患者中,39名(62%)同意参加研究。三名参与者未完成基线评估,未被纳入试验。在36名纳入试验的参与者中,32名(89%)接受了干预。保持率为89%(n=32/36)。大多数参与者(n=30,94%)表现出高度参与,至少出席了六次视频会议。在干预期间,每周完成五至七次PFMT的参与者为24名(75%),对每日PFMT计划的遵循程度为中等。所有临床结果在干预后立即有所改善,但改善的幅度较小。遥控健康提供的PFMT可能适用于治疗妇科癌症手术后的失禁。(ClinicalTrials.gov标识符:ACTRN12621000880842)。© 2023. 作者。
To assess the feasibility and clinical outcomes of telehealth-delivered pelvic floor muscle training (PFMT) for urinary incontinence (UI) and/or faecal incontinence (FI) after gynaecological cancer surgery.In this pre-post cohort clinical trial, patients with incontinence after gynaecological cancer surgery underwent a 12-week physiotherapist-supervised telehealth-delivered PFMT program. The intervention involved seven videoconference sessions with real-time feedback from an intra-vaginal biofeedback device and a daily home PFMT program. Feasibility outcomes included recruitment, retention, engagement and adherence rates. Clinical outcomes were assessed at baseline, immediately post-intervention and a 3-month post-intervention using International Consultation on Incontinence questionnaires for UI (ICIQ-UI-SF) and Bowel function (ICIQ-B) and the intra-vaginal biofeedback device. Means and 95%CIs for all time points were analysed using bootstrapping methods.Of the 63 eligible patients, 39 (62%) consented to the study. Three participants did not complete baseline assessment and were not enrolled in the trial. Of the 36 participants who were enrolled, 32 (89%) received the intervention. Retention was 89% (n=32/36). The majority of participants (n=30, 94%) demonstrated high engagement, attending at least six videoconference sessions. Adherence to the daily PFMT program was moderate, with 24 participants (75%) completing five-to-seven PFMT sessions per week during the intervention. All clinical outcomes improved immediately post-intervention; however, the magnitude of these improvements was small.Telehealth-delivered PFMT may be feasible to treat incontinence after gynaecological cancer surgery.ClinicalTrials.gov Identifier: ACTRN12621000880842).© 2023. The Author(s).