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| 發表人 | 討論主題 | 發表時間 | 討論數 |
| 鄒頡龍 | 膀胱過動症狀指標 | 2008/1/30 下午 11:57:01 | 0 |
| 原 文 | 題 目 | Validation of the Overactive Bladder Symptom Score |
| 作 者 | Jerry G. Blaivas,* Georgia Panagopoulos, Jeffrey P. Weiss† and Chandra Somaroo | |
| 出 處 | The Journal of Urology | |
| 出版日期 | Vol. 178, 543-547, August 2007 | |
| 評 論 |
膀胱過動症困擾許多人，其症狀是頻尿，急尿，有/或無急尿性尿失禁。這些症狀雖然非常常見，但是欠缺客觀的評估標準，患者常覺得無法充分表達他（她）的症狀，醫師也無從評估治療究竟有沒有效果。 因此，客觀的「膀胱過動症狀指標」就非常重要。紐約康乃爾醫學中心的Blaivas 教授設計了全新的指標。包括了以下項目： 1.在白天您多久解尿一次? 2.晚上睡覺後您會起來解尿幾次? 3.通常是什麼原因使您去解尿? 4.當您尿急時，您能忍住這種感覺多久而不會感到不舒適? 5.通常隔多久您會感到突然的尿急感，而必須停止您手邊的工作，馬上衝去廁所解尿? 6.延續第五題的情況，當您找不到廁所解尿時，會使您漏尿或尿濕褲子嗎? 7.您對自己的排尿控制能力感到如何? Blaivas 等人讓84為患者接受此問卷，發現此問卷有高度之「內部一致性」（internal consistency ）以及「測試─再測試 可信賴度」。此問卷能反映出患者之症狀程度。 這份問卷的問世，對療膀胱過動症的臨床治療應有相當的助益。 |
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| abstract |
Purpose: We validated a new 7-item overactive bladder symptom score. Materials and Methods: Normal subjects and consecutive patients with lower urinary tract symptoms with or without overactive bladder were recruited and classified into 3 groups based on their response to the question on an intake questionnaire, “Do you ever experience a sudden urge to urinate that makes you want to stop what you are doing and rush to a bathroom?” Subjects completed the written questionnaire in privacy on 2 occasions. Results: There were 84 subjects, including 33 men and 51 women, with a median age of 62 years (range 18 to 88). Of the subjects 33 (39%) had overactive bladder, 30 (36%) had lower urinary tract symptoms without overactive bladder and 21 (25%) were normal. There was a high level of internal consistency at visits 1 and 2 (Cronbach’s 0.83 and 0.80, respectively, p 0.001). For test-retest reliability Spearman’s rank order correlation coefficients for the items were r 0.72 to 0.79 (p 0.001). A strong correlation was also observed between the total 7-item scores at visits 1 and 2 for each diagnostic subgroup, and for all participants (r 0.86, p 0.001). Discriminant validity was established by determining significant differences in responses among the 3 subgroups at each administration (p 0.01). Conclusions: The overactive bladder symptom score is a valid instrument that assesses all aspects of overactive bladder. It may be used as a symptom score. |
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