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首页> 外文期刊>BMC Urology >Toileting behaviors and overactive bladder in patients with type 2 diabetes: a cross-sectional study in China
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Toileting behaviors and overactive bladder in patients with type 2 diabetes: a cross-sectional study in China

机译：2型糖尿病患者的冲厕行为和膀胱过度活动症：中国的一项横断面研究

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Background Overactive bladder is more prevalent in patients with type 2 diabetes than in those without diabetes. Unhealthy toileting behaviors may be associated with the development and worsening of overactive bladder symptoms. However, little is known about the relationships between toileting behaviors and overactive bladder in patients with diabetes. This study aimed to identify unhealthy toileting behaviors that patients with type 2 diabetes adopted to empty their bladders and investigate the relationships between toileting behaviors and overactive bladder. Methods Patients with type 2 diabetes from the endocrinology outpatient department of a hospital in China were recruited. The Toileting Behaviors-Women’s Elimination Behavior and Overactive Bladder Symptom Score questionnaires were used to assess the patients’ toileting behaviors and overactive bladder symptoms. A multivariate logistic regression model was used to explore the relationships between toileting behaviors and overactive bladder. Results Almost 14% of patients with diabetes had overactive bladder. The unhealthiest toileting behavior was premature voiding. In the multivariate logistic regression analysis, premature voiding (OR?=?1.286, p =?0.016) and straining to void (OR?=?1.243, p =?0.026) were associated with overactive bladder. There was a greater likelihood of having overactive bladder when patients engaged in unhealthy toileting behaviors (premature voiding and straining to void). Conclusions Overactive bladder in patients with type 2 diabetes was more than twofold higher than that in the general population. Thus, overactive bladder is not just an inconsequential condition for patients with diabetes. Unhealthy toileting behaviors, e.g., premature voiding and straining to void, may contribute to the onset or worsening of overactive bladder in patients with diabetes. Identification and awareness of these modifiable behavioral factors during diabetes care is an essential component of primary prevention, alleviation, and management of overactive bladder symptoms.
机译：背景与2型糖尿病患者相比，膀胱过度活动症患病率更高。不健康的上厕所行为可能与膀胱过度活动症症状的发展和恶化有关。然而，关于糖尿病患者的洗手行为和膀胱过度活动症之间的关系知之甚少。这项研究旨在确定2型糖尿病患者排空膀胱所采用的不健康的洗手行为，并研究洗手行为与膀胱过度活动症之间的关系。方法从中国一家医院内分泌科门诊招募2型糖尿病患者。上厕所行为-妇女的消除行为和膀胱过度活动症症状评分问卷用于评估患者的上厕所行为和膀胱过度活动症。多元逻辑回归模型用于探讨洗手行为与膀胱过度活动症之间的关系。结果几乎14％的糖尿病患者膀胱活动过度。最不健康的上厕所行为是过早排尿。在多因素logistic回归分析中，过早排尿（ORα=？1.286，p =？0.016）和排尿紧张（OR？=？1.243，p =？0.026）与膀胱过度活动症有关。当患者进行不健康的如厕行为（过早排尿和排尿紧张）时，膀胱过度活动的可能性更大。结论2型糖尿病患者的膀胱过度活动症比普通人群高两倍以上。因此，对于患有糖尿病的患者来说，膀胱过度活动不仅仅是一种无关紧要的疾病。不健康的洗手行为，例如过早排尿和过度排尿，可能会导致糖尿病患者膀胱过度活动症的发作或恶化。在糖尿病护理期间，对这些可改变的行为因素的识别和认识是膀胱过度活动症的一级预防，缓解和管理的重要组成部分。

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