根治性前列腺切除术后男性尿失禁的循证听觉治疗方案的发展

IF 2.4 3区医学 Q1 NURSING

Asia-Pacific Journal of Oncology Nursing Pub Date : 2025-05-10 DOI:10.1016/j.apjon.2025.100720

Ying Zhang , Keping Zhu , Siyuan Wu , Fuchao Xie , Wenbo Qiao , Yaqin Li , Kun Li , Wei Wang

{"title":"根治性前列腺切除术后男性尿失禁的循证听觉治疗方案的发展","authors":"Ying Zhang , Keping Zhu , Siyuan Wu , Fuchao Xie , Wenbo Qiao , Yaqin Li , Kun Li , Wei Wang","doi":"10.1016/j.apjon.2025.100720","DOIUrl":null,"url":null,"abstract":"<div><h3>Objective</h3><div>This study aims to develop an evidence-based auriculotherapy program for reducing urinary incontinence in men after radical prostatectomy.</div></div><div><h3>Methods</h3><div>The Medical Research Council Framework for Developing and Evaluating Complex Interventions was used to guide the intervention development process, which consisted of four stages: (1) establishing the research team; (2) identifying existing evidence; (3) identifying relevant theories; and (4) refining and modeling the program via an expert panel.</div></div><div><h3>Results</h3><div>An initial auriculotherapy program was developed based on available evidence from three practice standards, eight books, nine reviews, and two clinical trials. The Delphi study confirmed excellent consensus, with all items scoring ≥ 3.5 and a coefficient of variation < 0.25. The final auriculotherapy program comprises true-auriculotherapy and sham-auriculotherapy, each including six key components: (1) auricular acupoints, (2) auricular acupoints location, (3) auriculotherapy modality, (4) auricular sticking techniques, (5) auricular acupressure techniques, and (6) auriculotherapy dosage.</div></div><div><h3>Conclusions</h3><div>This study develops an evidence-based and theory-driven auriculotherapy for postprostatectomy incontinence management, which will be further implemented in clinical settings to confirm its effectiveness. The methodology described in this study may provide implications for future studies to develop complex interventions in the field of alternative therapies.</div></div><div><h3>Trial registration</h3><div>ChiCTR2300071700.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100720"},"PeriodicalIF":2.4000,"publicationDate":"2025-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Development of an evidence-based auriculotherapy program for urinary incontinence in men after radical prostatectomy\",\"authors\":\"Ying Zhang , Keping Zhu , Siyuan Wu , Fuchao Xie , Wenbo Qiao , Yaqin Li , Kun Li , Wei Wang\",\"doi\":\"10.1016/j.apjon.2025.100720\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Objective</h3><div>This study aims to develop an evidence-based auriculotherapy program for reducing urinary incontinence in men after radical prostatectomy.</div></div><div><h3>Methods</h3><div>The Medical Research Council Framework for Developing and Evaluating Complex Interventions was used to guide the intervention development process, which consisted of four stages: (1) establishing the research team; (2) identifying existing evidence; (3) identifying relevant theories; and (4) refining and modeling the program via an expert panel.</div></div><div><h3>Results</h3><div>An initial auriculotherapy program was developed based on available evidence from three practice standards, eight books, nine reviews, and two clinical trials. The Delphi study confirmed excellent consensus, with all items scoring ≥ 3.5 and a coefficient of variation < 0.25. The final auriculotherapy program comprises true-auriculotherapy and sham-auriculotherapy, each including six key components: (1) auricular acupoints, (2) auricular acupoints location, (3) auriculotherapy modality, (4) auricular sticking techniques, (5) auricular acupressure techniques, and (6) auriculotherapy dosage.</div></div><div><h3>Conclusions</h3><div>This study develops an evidence-based and theory-driven auriculotherapy for postprostatectomy incontinence management, which will be further implemented in clinical settings to confirm its effectiveness. The methodology described in this study may provide implications for future studies to develop complex interventions in the field of alternative therapies.</div></div><div><h3>Trial registration</h3><div>ChiCTR2300071700.</div></div>\",\"PeriodicalId\":8569,\"journal\":{\"name\":\"Asia-Pacific Journal of Oncology Nursing\",\"volume\":\"12 \",\"pages\":\"Article 100720\"},\"PeriodicalIF\":2.4000,\"publicationDate\":\"2025-05-10\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Asia-Pacific Journal of Oncology Nursing\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S234756252500068X\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Asia-Pacific Journal of Oncology Nursing","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S234756252500068X","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"NURSING","Score":null,"Total":0}

引用次数: 0

摘要

目的本研究旨在建立一种以证据为基础的听觉治疗方案，以减少男性根治性前列腺切除术后尿失禁。方法采用《医学研究理事会复杂干预措施制定与评价框架》指导干预措施制定过程，该过程分为四个阶段：(1)建立研究团队；（二）查明现有证据；(3)识别相关理论；(4)通过专家小组对程序进行完善和建模。结果根据三个实践标准、八本书、九篇综述和两项临床试验的现有证据，制定了一个初步的耳科治疗方案。德尔菲研究证实了极好的一致性，所有项目得分≥3.5，变异系数<；0.25. 最终的耳穴治疗方案包括真耳治疗和假耳治疗，每一个都包括六个关键组成部分：(1)耳穴，(2)耳穴位置，(3)耳穴治疗方式，(4)耳穴贴敷技术，(5)耳穴压敷技术，(6)耳穴治疗剂量。结论本研究为前列腺切除术后尿失禁的治疗提供了一种以证据为基础、以理论为导向的听觉治疗方法，并将进一步在临床应用中验证其有效性。本研究中描述的方法可能为未来研究开发替代疗法领域的复杂干预措施提供启示。registrationChiCTR2300071700审判。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Development of an evidence-based auriculotherapy program for urinary incontinence in men after radical prostatectomy

Objective

This study aims to develop an evidence-based auriculotherapy program for reducing urinary incontinence in men after radical prostatectomy.

Methods

The Medical Research Council Framework for Developing and Evaluating Complex Interventions was used to guide the intervention development process, which consisted of four stages: (1) establishing the research team; (2) identifying existing evidence; (3) identifying relevant theories; and (4) refining and modeling the program via an expert panel.

Results

An initial auriculotherapy program was developed based on available evidence from three practice standards, eight books, nine reviews, and two clinical trials. The Delphi study confirmed excellent consensus, with all items scoring ≥ 3.5 and a coefficient of variation < 0.25. The final auriculotherapy program comprises true-auriculotherapy and sham-auriculotherapy, each including six key components: (1) auricular acupoints, (2) auricular acupoints location, (3) auriculotherapy modality, (4) auricular sticking techniques, (5) auricular acupressure techniques, and (6) auriculotherapy dosage.

Conclusions

This study develops an evidence-based and theory-driven auriculotherapy for postprostatectomy incontinence management, which will be further implemented in clinical settings to confirm its effectiveness. The methodology described in this study may provide implications for future studies to develop complex interventions in the field of alternative therapies.