很多女性有尿失禁的困擾，醫師常建議做「骨盆底肌運動(凱格爾運動)」。但很多人練不對或做不久，效果有限。這個研究想知道：用手機 App 來幫助訓練，會不會比傳統紙本教學更有效?研究納入154位患有壓力性尿失禁(SUI)平均年齡60歲的女性，進行結構式訪談，並填寫經驗證的問卷工具，包括尿失禁診斷問卷(QUID)、國際尿失禁協會問卷－簡短版(ICIQ-SF)、以及尿失禁生活品質問卷(I-QOL)。受試者隨機分派至兩組: App組: 看著畫面提示肌肉怎麼收縮。紙本組(對照組): 僅使用紙本指導。兩組皆被要求每天訓練兩次，為期30天。追蹤4個月。結果兩組人都進步了，不論是漏尿的嚴重度還是生活品質。然而App組進步更多，特別在膀胱急迫感減少與生活品質提升(尤其是心理壓力和社交尷尬感減輕)兩個面向。研究結論使用視覺化引導的手機 App 進行骨盆底肌訓練，相較於傳統居家紙本指導，能帶來更顯著的儲尿症狀改善與生活品質提升。

Introduction and hypothesis: This study was aimed at evaluating the impact of a mobile app-guided pelvic floor muscle training (PFMT) program on urinary symptoms and quality of life in women suffering from urinary incontinence.

Methods: The study included women with stress urinary incontinence (SUI), who underwent a structured interview and completed validated questionnaires, including the Questionnaire for Urinary Incontinence Diagnosis (QUID), the International Consultation on Incontinence Questionnaire - Short Form (ICIQ-SF), and the Incontinence Quality of Life Questionnaire (I-QOL). These women were randomly assigned to one of two groups: the app group, which received a visual depiction on the expected contraction pattern through a mobile app to support their PFMT exercises, and the control (paper) group. Both groups were instructed to perform PFMT exercises twice daily for 30 days. Data were collected at baseline and at 30, 60, 90, and 120 days after completing the exercises.

Results: A total of 154 women participated, with 76 in the app group and 78 in the paper group. The mean ages were 61 (± 6.1) and 60.6 (± 6.8) in the app and paper groups respectively (p = 0.644). Both groups showed significant improvements in QUID SUI scores (p < 0.001), overactive bladder (OAB; p < 0.001), ICIQ-SF scores (p < 0.001), and quality-of-life scores (p < 0.001). When comparing the two groups, the app group exhibited a more substantial reduction in OAB (p = 0.017) as assessed by QUID and total (p = 0.042), psychosocial (p = 0.032) and social embarrassment (p = 0.006) I-QOL scores.

Conclusions: The study findings suggest that PFMT guided by a mobile app with visual guidance leads to greater improvements in storage symptoms and quality of life than the home-based PFMT guidance.