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Inicio Actas Urológicas Españolas (English Edition) The effect of telehealth on incontinence severity given to women with urinary in...
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Vol. 48. Issue 5.
Pages 384-391 (June 2024)
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Vol. 48. Issue 5.
Pages 384-391 (June 2024)
Original article
The effect of telehealth on incontinence severity given to women with urinary incontinence: A systematic review and meta-analysis of randomized controlled trials
Impacto de la telemedicina en la gravedad de la incontinencia urinaria en mujeres: revisión sistemática y metaanálisis de ensayos controlados aleatorizados
A.Y. Karaahmeta, F.Ş. Bilgiça,
Corresponding author
, N. Kızılkaya Bejib
a Departamento de Partería, Facultad de Ciencias de la Salud, Universidad de Haliç, Estambul, Turkey
b Facultad de Ciencias de la Salud, Universidad de Biruni, Estambul, Turkey
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Table 1. Features of the included studies.
Abstract
Introduction

Although urinary incontinence does not cause mortality, it is a global health problem that adversely affects the quality of life and health of women.

Objective

The aim of this study was to conduct a systematic review and meta-analysis of the studies investigating the effect of telehealth given to women with urinary incontinence (UI) on the severity of incontinence.

Methods

The literature review for this systematic review was conducted between August-Semptember 2023 using four electronic databases. Y-based articles were scanned using MeSH-based keywords. Randomized Controlled Trials conducted over the last decade were included in the screening.

Results

The analysis included six studies involving 826 women with UI. After telehealth intervention, there was a significant difference in UI symptom severity (MD: −2.14 95% CI: −2.67 to −1.62, Z=8.03, p<0.00001) and quality of life (SMD: −2.14 95% CI: −2.67 to −1.62, Z=8.03, p<0.00001) compared to the control groups. It had no effect on sexuality (MD: −4.65 95% CI: −9.60 to 0.30, Z=1.84, p=0.07), and anxiety (SMD: −0.15, 95% CI: −0.38 to 0.08, Z=1.27, p=0.21).

Conclusion

In this analysis, it was found that telehealth interventions performed on women with UI increased the quality of life while reducing the severity of incontinence in women, but had no effect on sexuality, and anxiety.

Keywords:
Urinary incontinence
Telehealth
Telecounseling
Women
Meta-analysis
Resumen
Introducción

Aunque la incontinencia urinaria no supone un riesgo de muerte, esta constituye un problema de salud mundial que puede condicionar negativamente la salud y la calidad de vida de las mujeres.

Objetivo

El objetivo del presente estudio es realizar una revisión sistemática y un metaanálisis de los estudios que investigan el impacto de la telemedicina en la gravedad de los síntomas de la incontinencia urinaria (IU) en mujeres.

Método

La búsqueda bibliográfica se llevó a cabo mediante términos MeSh en cuatro bases de datos electrónicas. Los ensayos controlados aleatorizados de la última década se seleccionaron para el cribado.

Resultados

El análisis incluyó seis estudios conformados por un total de 826 mujeres con IU. Tras someterse a tratamiento mediante telemedicina, se observó una diferencia significativa en la gravedad de los síntomas de la IU (DM: -2,14; IC del 95%: -2,67 a 1,62; Z=8,03; p<0,00001) y la calidad de vida (DME: -2,14; IC del 95%: -2,67 a 1,62; Z=8,03; p<0,00001) en comparación con los grupos de control. La telemedicina no tuvo ningún impacto en la sexualidad (DME: -4,65; IC del 95%: -9,60 a 0,30; Z=1,84; p=0,07) ni en la ansiedad (DME: -0,15; IC del 95%: -0,38 a 0,08; Z=1,27; p=0,21).

Conclusión

Según el presente análisis, las intervenciones de telemedicina realizadas en mujeres con IU mejoraron la calidad de vida al tiempo que redujeron la gravedad de la incontinencia, pero no tuvieron ningún impacto sobre la sexualidad o la ansiedad de las pacientes.

Palabras clave:
Incontinencia urinaria
Telemedicina
Teleasistencia
Mujeres
Metaanálisis

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