{"title":"利用自制超声波为成年妇女开发盆底肌肉训练生物反馈电子学习程序:一项观察性研究。","authors":"Miyako Muta, Toshiaki Takahashi, Nao Tamai, Hiromi Sanada, Gojiro Nakagami","doi":"10.1111/jjns.12609","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Introduction</h3>\n \n <p>Pelvic floor muscle training (PFMT) for urinary incontinence (UI) is recommended in combination with biofeedback to visualize pelvic floor muscles. The focus is on non-invasive hand-held ultrasound (US) measurement methods for PFMT, which can be performed at home. Recently, self-performed US measurements in which the patient applies the US to themself have gradually spreading. This study aimed to develop an educational program for the biofeedback method using self-performed US and to evaluate its feasibility.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>This study was an observational study. The ADDIE model (Analysis, Design, Development, Implementation, and Evaluation) was utilized to create an e-learning program for women aged ≥40 years with UI. Participants self-performed bladder US via e-learning, using a hand-held US device with a convex probe. The primary outcome was the number of times the bladder area was successfully extracted using an existing automatic bladder area extraction system. The secondary outcome was the total score of the technical evaluation of the self-performed US, which was evaluated across three proficiency levels. Descriptive statistics were conducted for participant characteristics, presenting categorical variables as percentages and continuous variables as means ± <i>SD</i>.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>We included 11 participants with a mean age of 56.2 years. Nine participants were able to record US videos, and two were unable to record bladder videos. Regarding the technical evaluation scores, all participants scored ≥80%; four had perfect scores.</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>This study showed that transabdominal self-performed bladder US can be performed in 81.8% of women with UI in their 40–60s by using an e-learning program.</p>\n </section>\n </div>","PeriodicalId":50265,"journal":{"name":"Japan Journal of Nursing Science","volume":null,"pages":null},"PeriodicalIF":1.7000,"publicationDate":"2024-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jjns.12609","citationCount":"0","resultStr":"{\"title\":\"Development of an e-learning program for biofeedback in pelvic floor muscle training for adult women using self-performed ultrasound: An observational study\",\"authors\":\"Miyako Muta, Toshiaki Takahashi, Nao Tamai, Hiromi Sanada, Gojiro Nakagami\",\"doi\":\"10.1111/jjns.12609\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Introduction</h3>\\n \\n <p>Pelvic floor muscle training (PFMT) for urinary incontinence (UI) is recommended in combination with biofeedback to visualize pelvic floor muscles. 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引用次数: 0
摘要
简介:治疗尿失禁(UI)的盆底肌肉训练(PFMT)建议与生物反馈相结合,以可视化盆底肌肉。重点是用于盆底肌肉训练的无创手持式超声波(US)测量方法,这种方法可在家中进行。最近,由患者自己使用超声波进行自我测量的方法逐渐普及。本研究旨在为使用自我操作 US 的生物反馈法制定一个教育计划,并评估其可行性:本研究是一项观察性研究。方法:本研究是一项观察性研究,采用 ADDIE 模型(分析、设计、开发、实施和评估)为年龄≥40 岁的 UI 女性设计了一个电子学习项目。参与者通过电子学习软件,使用带有凸面探针的手持式膀胱造影设备,自行进行膀胱造影。主要结果是使用现有的自动膀胱区提取系统成功提取膀胱区的次数。次要结果是自我操作 US 的技术评估总分,评估分为三个熟练级别。我们对参与者的特征进行了描述性统计,分类变量以百分比表示,连续变量以均数±标度表示:我们共纳入了 11 名参与者,平均年龄为 56.2 岁。九名参与者能够录制美国视频,两名参与者无法录制膀胱视频。在技术评估得分方面,所有参与者的得分均≥80%;其中四人获得满分:本研究表明,通过使用电子学习程序,81.8% 的 40-60 岁患有尿道炎的女性可自行进行经腹膀胱造影。
Development of an e-learning program for biofeedback in pelvic floor muscle training for adult women using self-performed ultrasound: An observational study
Introduction
Pelvic floor muscle training (PFMT) for urinary incontinence (UI) is recommended in combination with biofeedback to visualize pelvic floor muscles. The focus is on non-invasive hand-held ultrasound (US) measurement methods for PFMT, which can be performed at home. Recently, self-performed US measurements in which the patient applies the US to themself have gradually spreading. This study aimed to develop an educational program for the biofeedback method using self-performed US and to evaluate its feasibility.
Methods
This study was an observational study. The ADDIE model (Analysis, Design, Development, Implementation, and Evaluation) was utilized to create an e-learning program for women aged ≥40 years with UI. Participants self-performed bladder US via e-learning, using a hand-held US device with a convex probe. The primary outcome was the number of times the bladder area was successfully extracted using an existing automatic bladder area extraction system. The secondary outcome was the total score of the technical evaluation of the self-performed US, which was evaluated across three proficiency levels. Descriptive statistics were conducted for participant characteristics, presenting categorical variables as percentages and continuous variables as means ± SD.
Results
We included 11 participants with a mean age of 56.2 years. Nine participants were able to record US videos, and two were unable to record bladder videos. Regarding the technical evaluation scores, all participants scored ≥80%; four had perfect scores.
Conclusions
This study showed that transabdominal self-performed bladder US can be performed in 81.8% of women with UI in their 40–60s by using an e-learning program.
期刊介绍:
The Japan Journal of Nursing Science is the official English language journal of the Japan Academy of Nursing Science. The purpose of the Journal is to provide a mechanism to share knowledge related to improving health care and promoting the development of nursing. The Journal seeks original manuscripts reporting scholarly work on the art and science of nursing. Original articles may be empirical and qualitative studies, review articles, methodological articles, brief reports, case studies and letters to the Editor. Please see Instructions for Authors for detailed authorship qualification requirement.