Physical therapy efficacy and early related factors in patients with stress urinary incontinence
LIU Kun
ZHANG Hong-zhen
DENG Yan-dong
XIE Ying
LYU Li-zhao
LI Xue-hui
Abstract：Objective To analyze the effect of physical therapy on patients with urinary incontinence and its early influencing factors.Methods From June 2019 to December 2021,200 patients with stress urinary incontinence(SUI)treated at the First Hospital of Hebei Medical University were included in the study and divided into an intervention group and a control group using a random number table.General clinical data,symptom severity,and quality of life were com-pared between the two groups.Based on treatment outcomes,patients in the intervention group were further divided into effective and ineffective groups.Multifactorial logistic regression models were used to analyze the factors affecting treatment outcomes.Risk line charts were drawn using R software to establish an efficacy prediction scoring model,which was then validated for its predictive value.Results There were no significant differences in age,body mass index(BMI),1-hour urine leakage volume,1-QOL score,and rapid contraction of pelvic floor muscle electromyography between the two groups at baseline(all P＞0.05).After treatment and at follow-up,both groups showed improvements in 1-hour urine leakage volume and I-QOL scores compared to baseline,with the intervention group showing significantly better improve-ments(all P＜0.05).Patients in the effective group had significantly lower age,BMI,number of vaginal deliveries,and history of pelvic surgery compared to the ineffective group,while lying rest bladder neck height and standing rest bladder neck height were significantly higher(all P＜0.05).Multifactorial logistic regression indicated that advanced age(OR=1.243,P=0.000),higher BMI(OR=1.792,P=0.000),and multiple vaginal deliveries(OR=6.537,P=0.003)were independent risk factors for ineffective physical therapy,while higher standing rest bladder neck height(OR=0.855,P=0.024)was an independent protective factor.The consistency index of the efficacy prediction scoring model for predicting SUI clinical outcomes was 0.986(0.912-0.997),and the average absolute error between the predicted and actual rates was 0.013,indicating good consistency.Conclusion The efficacy prediction model based on age,BMI,and bladder neck height can effectively predict clinical outcomes in SUI patients,aiding in early intervention strategies.
Keywords：stress urinary incontinencephysical therapyefficacy analysisprediction model
Publication Date：2024-06-28
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：6( 738-743 )