Study on the Application of Digital Health Technology in Pelvic Floor Rehabilitation of Postpartum Patients with Urinary Incontinence
School of Nursing, Yanbian University, Yanji 133002, China
| Abstract: | Objective: This review aims to assess the application of digital health technologies in postpartum urinary incontinence and pelvic floor rehabilitation, evaluate their clinical effectiveness, analyze existing challenges, and propose potential solutions. Methods: This review examines existing literature on digital health technologies, focusing on their application in postpartum urinary incontinence and pelvic floor rehabilitation, such as mobile health applications and wearable devices. Additionally, the review evaluates the efficacy, patient compliance, and associated technical challenges, and discusses potential solutions. Conclusion: Digital health technologies have significant potential in postpartum urinary incontinence and pelvic floor rehabilitation, offering personalized, convenient, and continuous rehabilitation management for patients. However, the adoption of these technologies faces challenges, including user acceptance, data privacy, and technology adaptability. Overall, digital health technologies are expected to become essential tools for managing postpartum incontinence and will play a greater role in future clinical practice. |
| Keywords: | Digital Health; Postpartum Incontinence; Rehabilitation Management; Review |
| DOI: | 10.57237/j.nhres.2024.04.002 |
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Received: 21 October 2024
Accepted: 9 December 2024
Published Online: 23 December 2024
Funding
| 1. | 延边大学科技发展计划—校企合作项目 (项目编号: Ydxq202417) |
References
| [1] | 唐惠艳, 李小寒. 女性尿失禁患者心理社会现状及干预策略的研究进展 [J]. 解放军护理杂志, 2021, 38(09): 60-3. |
| [2] | WOODLEY S J, LAWRENSON P, BOYLE R, et al. Pelvic floor muscle training for preventing and treating urinary and faecal incontinence in antenatal and postnatal women [J]. Cochrane Database Syst Rev, 2020, 5(5): Cd007471. |
| [3] | HAGAN K A, EREKSON E, AUSTIN A, et al. A prospective study of the natural history of urinary incontinence in women [J]. Am J Obstet Gynecol, 2018, 218(5): 502.e1-.e8. |
| [4] | 徐雪芬, 冯素文, 胡引, 等. 音频指导居家盆底肌锻炼对压力性尿失禁孕妇产后盆底康复的效果评价 [J]. 中华护理教育, 2021, 18(06): 500-5. |
| [5] | SANGSAWANG B. Risk factors for the development of stress urinary incontinence during pregnancy in primigravidae: a review of the literature [J]. Eur J Obstet Gynecol Reprod Biol, 2014, 178: 27-34. |
| [6] | MIKUS M, FISTER K, SKEGRO B, et al. Comparison of efficacy of extracorporeal magnetic innervation and Kegel exercises for stress urinary incontinence in adult women: study protocol for a randomized controlled trial [J]. Przeglad menopauzalny = Menopause review, 2021, 20(4): 193-200. |
| [7] | 江英婵, 张勇勤, 张琦, 等. 数字健康技术在缓解围生期女性负性情绪中应用的研究进展 [J]. 护理研究, 2024, 38(17): 3087-93. |
| [8] | World Health Organization. Draft global strategy on digital health 2020-2024 [EB/OL]. [2023-04-23]. https://www.who.int/docs/default-source/documents/gs4dh0c510c483a9a42b1834a8f4d276c6352 |
| [9] | DHINGRA D, DABAS A. Global Strategy on Digital Health [J]. Indian Pediatr, 2020, 57(4): 356-8. |
| [10] | 李冰, 贾晓杰, 王瑶瑶, 等. 《数字中国建设整体布局规划》中关于标准的启示 [J]. 信息技术与标准化, 2023, (6): 85-90+109. |
| [11] | 郭雨辰, 王晶, 梁智敏, 等. 基于CiteSpace的护士主导数字健康干预研究可视化分析 [J]. 护理研究, 2023, 37(14): 2477-87. |
| [12] | 顾丹丹, 龚洁, 谢娟, 等. 数字心理健康干预在乳腺癌病人中应用的研究进展 [J]. 护理研究, 2024, 38(18): 3288-91. |
| [13] | 白文辉, 唐四元, 陈佳睿, 等. 移动健康技术在产后抑郁研究领域中的应用 [J]. 解放军护理杂志, 2018, 35(4): 22-6. |
| [14] | BJöRK A B, SJöSTRöM M, JOHANSSON E E, et al. Women's experiences of internet-based or postal treatment for stress urinary incontinence [J]. Qualitative health research, 2014, 24(4): 484-93. |
| [15] | SJOSTROM M, UMEFJORD G, STENLUND H, et al. Internet-based treatment of stress urinary incontinence: a randomised controlled study with focus on pelvic floor muscle training [J]. Bju International, 2013, 112(3): 362-72. |
| [16] | SJOSTROM M, LINDHOLM L, SAMUELSSON E. Mobile App for Treatment of Stress Urinary Incontinence: A Cost-Effectiveness Analysis [J]. Journal of Medical Internet Research, 2017, 19(5). |
| [17] | FONSECA A, ALVES S, MONTEIRO F, et al. Be a Mom, a Web-Based Intervention to Prevent Postpartum Depression: Results From a Pilot Randomized Controlled Trial [J]. Behavior Therapy, 2020, 51(4): 616-33. |
| [18] | LOOHUIS A M M, WESSELS N J, DEKKER J H, et al. App-Based Treatment in Primary Care for Urinary Incontinence: A Pragmatic, Randomized Controlled Trial [J]. Annals of Family Medicine, 2021, 19(2): 102-9. |
| [19] | 钟新华, 练荣丽. 微信方式延续性护理对压力性尿失禁女性患者应对效能的影响 [J]. 现代医药卫生, 2015, 31(17): 2670-1. |
| [20] | SJöSTRöM M, UMEFJORD G, STENLUND H, et al. Internet-based treatment of stress urinary incontinence: 1- and 2-year results of a randomized controlled trial with a focus on pelvic floor muscle training [J]. BJU Int, 2015, 116(6): 955-64. |
| [21] | 刘亚男, 丛杉. 可穿戴技术在人体健康监测中的应用进展 [J]. 纺织学报, 2018, 39(10): 175-9. |
| [22] | KANNAN P, CHEING G L Y, FUNG B K Y, et al. Effectiveness of pelvic floor muscle training alone or combined with either a novel biofeedback device or conventional biofeedback for improving stress urinary incontinence: A randomized controlled pilot trial [J]. Contemp Clin Trials, 2022, 123: 106991. |
| [23] | WEINSTEIN M M, PULLIAM S J, RICHTER H E. Randomized trial comparing efficacy of pelvic floor muscle training with a digital therapeutic motion-based device to standard pelvic floor exercises for treatment of stress urinary incontinence (SUV trial): An all-virtual trial design [J]. Contemporary Clinical Trials, 2021, 105. |
| [24] | 周雨欣, 封海霞, 陆雪松, 等. 移动医疗在女性压力性尿失禁患者自我管理中应用的研究进展 [J]. 中国护理管理, 2019, 19(4): 598-602. |
| [25] | BARBATO K A, WIEBE J W, CLINE T W, et al. Web-Based Treatment for Women With Stress Urinary Incontinence [J]. Urol Nurs, 2014, 34(5): 252-7. |
| [26] | 贾静, 徐晶晶, 仇晓溪. 医院-社区-家庭失禁护理平台在压力性尿失禁患者管理中的应用研究 [J]. 中华护理杂志, 2018, 53(5): 533-6. |
| [27] | BU X, NG P H, XU W, et al. The Effectiveness of Virtual Reality-Based Interventions in Rehabilitation Management of Breast Cancer Survivors: Systematic Review and Meta-analysis [J]. JMIR Serious Games, 2022, 10(1): e31395. |
| [28] | ELLIOTT V, DE BRUIN E D, DUMOULIN C. Virtual reality rehabilitation as a treatment approach for older women with mixed urinary incontinence: a feasibility study [J]. Neurourol Urodyn, 2015, 34(3): 236-43. |
| [29] | NAGIB A B L, SILVA V R, MARTINHO N M, et al. Can Supervised Pelvic Floor Muscle Training Through Gametherapy Relieve Urinary Incontinence Symptoms in Climacteric Women? A Feasibility Study [J]. Rev Bras Ginecol Obstet, 2021, 43(7): 535-44. |
| [30] | WEINSTEIN M M, DUNIVAN G C, GUADERRAMA N M, et al. Digital Therapeutic Device for Urinary Incontinence A Longitudinal Analysis at 6 and 12 Months [J]. Obstetrics and Gynecology, 2023, 141(1): 199-206. |
| [31] | ASKLUND I, NYSTRöM E, SJöSTRöM M, et al. Mobile app for treatment of stress urinary incontinence: A randomized controlled trial [J]. Neurourol Urodyn, 2017, 36(5): 1369-76. |
| [32] | EKERSUND J, SAMUELSSON E, LINDHOLM L, et al. A mobile app for the treatment of female mixed and urgency incontinence: a cost-effectiveness analysis in Sweden [J]. Int Urogynecol J, 2022, 33(5): 1273-82. |
| [33] | 李雪莹, 荆丽梅, 许艺帆, 等. 上海市社区安宁疗护试点自主服务项目开展现况研究 [J]. 中国全科医学, 2022, 25(13): 1624-8. |
| [34] | WANG X, XU X, LUO J, et al. Effect of app-based audio guidance pelvic floor muscle training on treatment of stress urinary incontinence in primiparas: A randomized controlled trial [J]. International Journal of Nursing Studies, 2020, 104. |
| [35] | 穆晓云, 丁艳萍, 刘诗盈, 等. 基于微信平台的延伸护理服务对女性尿失禁病人生活质量的影响 [J]. 护理研究, 2016, 30(15): 1878-9. |
| [36] | KIJMANAWAT A, SARALUCK A, MANONAI J, et al. Mobile Application Based Pelvic Floor Muscle Training for Treatment of Stress Urinary Incontinence: An Assessor-Blind, Randomized, Controlled Trial [J]. J Clin Med, 2023, 12(22). |
| [37] | Goudelocke C, Xavier K, Pecha B, et al. Evaluation of clinical performance and safety for the rechargeable InterStim Micro device in overactive bladder subjects: 6-month results from the global postmarket ELITE study. Neurourol Urodyn. 2023 Apr; 42(4): 761-769. |
| [38] | 黄如意, 井淇. 数字化时代的数字健康:内涵、特征、挑战与治理路径 [J]. 卫生经济研究, 2022, 39(6): 60-3+6. |
| [39] | 张林, 唐世明, 陈奇, 等. 女性尿失禁病人自我管理移动医疗应用及研究进展 [J]. 全科护理, 2023, 21(10): 1357-60. |
| [40] | 张坤, 王文韬, 谢阳群. 我国电子健康研究进展 [J]. 图书馆论坛, 2018, 38(8): 84-92. |
| [41] | WESSELS N J, LOOHUIS A M M, VAN DER WORP H, et al. Barriers and Facilitators Associated With App-Based Treatment for Female Urinary Incontinence: Mixed Methods Evaluation [J]. JMIR Mhealth Uhealth, 2021, 9(9): e25878. |
| [42] | KUMAR N, KHUNGER M, GUPTA A, et al. A content analysis of smartphone-based applications for hypertension management [J]. J Am Soc Hypertens, 2015, 9(2): 130-6. |
| [43] | DOLAN H, EGGETT C, HOLLIDAY L, et al. Virtual care in end of life and palliative care: A rapid evidence check [J]. J Telemed Telecare, 2021, 27(10): 631-7. |
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