尿失禁患者的盆底肌肉训练体验:定性研究

IF 1.1 4区 医学 Q3 REHABILITATION
Benedetto Giardulli, Ilaria Coppola, Marco Testa, Ottavia Buccarella, Simone Battista
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引用次数: 0

摘要

骨盆底肌肉训练(PFMT)是改善尿失禁(UI)症状的首要解决方案,但某些与 PFMT 相关的做法却带来了许多挑战。探索 PFMT 经验将有助于提高治疗的满意度、乐趣和能力。因此,本研究旨在调查意大利尿失禁患者的盆底肌肉训练(PFMT)体验。研究采用半结构式定性访谈法。采用建构主义认识论视角和 "反思性主题分析法 "对访谈记录进行了分析。16 名意大利 UI 患者(女性 10 人,男性 6 人)接受了 PFMT 访谈。共产生了四个主题(1) "学会有意识地控制无意识",参与者通过积极锻炼学会控制尿失禁;(2) "开始 PFMT,改变心态",参与者意识到他们可以在控制病情方面发挥积极作用;(3) "进入未知的亲密关系",因为他们消除了对盆底区域的(错误)理解,克服了与亲密关系相关的不适感;(4) "在这一过程中不孤单的重要性",因为参与者强调了物理治疗师在治疗过程中的重要作用。总之,对尿失禁患者而言,盆底肌肉治疗增强了他们对盆底的认识和了解,提高了他们的意识,培养了积极的心态,缓解了症状。物理治疗师在锻炼计划中扮演着教育者和同理心指导者的重要角色,同时也是积极锻炼的首选。总之,我们的研究结果证明,PFMT 对人们的尿失禁治疗观念和心态有积极影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Experience of Pelvic Floor Muscle Training in People with Urinary Incontinence: A Qualitative Study

Pelvic Floor Muscle Training (PFMT) is the first primary solution to improve urinary incontinence (UI) symptoms, but many challenges stems from certain PFMT-related practices. Exploring PFMT experience will help to increase treatment satisfaction, enjoyment, and empowerment. Hence, the aim of this study was to investigate the experience of pelvic floor muscle training (PFMT) in Italian people with UI. A qualitative semi-structured interview study was conducted. The interviews’ transcriptions were analysed using a constructionist epistemology lens and adopting the “Reflexive Thematic Analysis”. Sixteen Italian participants (Women N = 10, Men = 6) with UI who experienced PFMT were interviewed. Four themes were generated: (1) ‘Learn to Control the Unconscious Consciously’ as participants learned to control continence through active exercises; (2) ‘Starting PFMT, Changing Mind’ as they realised they can have an active role in managing their condition; (3) ‘Into the unknown intimacy’, as they bridged the gap in their (mis)understanding of the pelvic floor area, overcoming the discomfort linked to intimacy; (4) The Importance of Not Being Alone in this Process’, as the participants emphasised the paramount role of the physiotherapists in the healing process. To conclude, in people with UI, PFMT enhanced pelvic floor knowledge and understanding, fostering awareness, positive mindset, and symptom relief. The physiotherapist's pivotal role as an educator and empathetic guide in exercise programs, along with a preference for active exercises. Overall, our results proved that PFMT has positive consequences in people’s beliefs and mindset about and in the management of UI.

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来源期刊
Sexuality and Disability
Sexuality and Disability REHABILITATION-
CiteScore
2.70
自引率
20.00%
发文量
47
期刊介绍: Sexuality and Disability is an international forum for the publication of peer-reviewed original interdisciplinary scholarly papers that address the psychological and medical aspects of sexuality in relation to rehabilitation. Publishing timely research articles, review articles, case studies, clinical practice reports, brief research reports, survey data reports, and book and film reviews, the journal offers the latest developments in the area of sexuality as it relates to a wide range of disabilities and conditions. Contributions address: clinical and research progress; community programs; independent-living programs; guidelines for clinical practice; special grand-rounds topics; consumer issues; and contemporary developments in special programs in sex education and counseling for people with disabilities. The journal features special issues with internationally renowned guest editors focusing on current topics in sexual health. By publishing research, best-practice, evidence-based, and educational articles, the journal seeks to contribute to the field''s knowledge base and advancement. Sexuality and Disability is an essential resource for the exchange of new knowledge, issues, techniques, and available modalities for researchers and other professionals addressing the psychological and medical aspects of sexuality in rehabilitation, medical, academic, and community settings.
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