Interstitial Cystitis Chatter: A Qualitative Evaluation of Bladder Instillation Online.

IF 2.1 3区 医学 Q2 UROLOGY & NEPHROLOGY
Urology Pub Date : 2025-01-01 Epub Date: 2024-10-22 DOI:10.1016/j.urology.2024.10.051
Ryan Wong, Leslie Claire Licari, Eugenio Bologna, Sarah Adelstein
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引用次数: 0

Abstract

Objective: To qualitatively assess the perception and experiences of bladder instillation for interstitial cystitis among women on Reddit, a widely used anonymous social media platform.

Methods: "r/interstitialcystitis," a Subreddit with >27,000 subscribers, was queried for bladder instillation among women with interstitial cystitis in November 2023. Posts were analyzed qualitatively by 3 independent researchers. Grounded theory principles were applied to derive preliminary themes. These themes were then used to develop emergent themes.

Results: Sixty-three posts with 637 responses published between 2022-2023 were analyzed. Qualitative analysis yielded 4 themes: (1) IC/BPS anxiety and depression, (2) limited treatment options for IC/BPS pain, (3) exhausting all IC/BPS treatment options before bladder instillation, (4) bladder instillation ineffectiveness for IC/BPS pain. Three emergent concepts were derived: (1) a prevailing sense of desperation for relief among women with IC/BPS, (2) women are fearful and apprehensive about bladder instillation, (3) a perception of bladder instillation as the final recourse for women suffering from IC/BPS.

Conclusion: This study represents the first evaluation of bladder instillation as a therapeutic from a social media community focused exclusively on IC/BPS. These results capture patient's experiences with nonurological associated syndromes and indicate a role for physicians to address mental health concerns in patients with IC/BPS, in addition to opportunities to improve patient education on bladder instillations.

间质性膀胱炎唠叨:膀胱灌注在线定性评估。
目的在广泛使用的匿名社交媒体平台 Reddit 上定性评估女性对膀胱灌注治疗间质性膀胱炎的看法和经验:对 2023 年 11 月间患有间质性膀胱炎女性的膀胱灌注情况进行了查询,"r/interstitialcystitis "是一个拥有超过 27,000 名用户的 Subreddit。三名独立研究人员对帖子进行了定性分析。应用基础理论原则得出初步主题。这些主题随后被用于发展新出现的主题:对 2022-2023 年间发表的 63 篇帖子和 637 条回复进行了分析。定性分析得出了四个主题:(1)IC/BPS 焦虑和抑郁;(2)IC/BPS 疼痛的治疗方案有限;(3)膀胱灌注前用尽所有 IC/BPS 治疗方案;(4)膀胱灌注对 IC/BPS 疼痛无效。研究得出了三个新概念:(1) 患有 IC/BPS 的妇女普遍存在绝望感,(2) 妇女对膀胱灌注感到恐惧和担忧,(3) 认为膀胱灌注是 IC/BPS 妇女的最后求助手段:本研究是首次通过社交媒体社区对膀胱灌注疗法进行评估,该社区专门关注 IC/BPS。这些结果反映了患者在非泌尿系统相关综合征方面的经历,并表明医生在解决 IC/BPS 患者的心理健康问题方面扮演着重要角色,同时也为改善膀胱灌注的患者教育提供了机会。
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来源期刊
Urology
Urology 医学-泌尿学与肾脏学
CiteScore
3.30
自引率
9.50%
发文量
716
审稿时长
59 days
期刊介绍: Urology is a monthly, peer–reviewed journal primarily for urologists, residents, interns, nephrologists, and other specialists interested in urology The mission of Urology®, the "Gold Journal," is to provide practical, timely, and relevant clinical and basic science information to physicians and researchers practicing the art of urology worldwide. Urology® publishes original articles relating to adult and pediatric clinical urology as well as to clinical and basic science research. Topics in Urology® include pediatrics, surgical oncology, radiology, pathology, erectile dysfunction, infertility, incontinence, transplantation, endourology, andrology, female urology, reconstructive surgery, and medical oncology, as well as relevant basic science issues. Special features include rapid communication of important timely issues, surgeon''s workshops, interesting case reports, surgical techniques, clinical and basic science review articles, guest editorials, letters to the editor, book reviews, and historical articles in urology.
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