中国全科医学

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澳大利亚全科医生学会《全科医学的预防活动指南》解读和讨论:尿失禁

李天姿1,姜岳2*   

  1. 1.450000 河南省郑州市,郑州大学第二附属医院全科医学科 2.100016 北京市,清华大学第一附属医院全科医学科
  • 通讯作者: 姜岳,主任医师;E-mail:redtealook9@sina.com
  • 基金资助:
    清华大学第一附属医院院内联合基金(2025-LHYJ-04)

Learning and reflections of RACGP Guidelines for Preventive Activities in General Practice the 10th Edition (Urinary Incontinence)

LI Tianzi1,JIANG Yue2   

  1. 1.Department of General Practice of the Second Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China 2.Department of General Practice of the First Affiliated Hospital of Tsinghua University,Beijing 100016,China
  • Contact: JIANG Yue,Chief physician;E-mail:redtealook9@sina.com

摘要: 尿失禁是全科医学常见且多发的症状。然而,作为隐私相关的一种表现,其在我国基层医疗服务中的识别和治疗存在一定的欠缺。本文对澳大利亚全科医生学会(RACGP)《全科医学的预防活动指南》第十版关于尿失禁的建议进行了解读与分析,包括尿失禁的类型、筛查、机会性检查以及一般人群和特定人群的预防活动等内容的详细阐述和分析归纳,并进行了深入的思考和讨论。旨在进一步倡导全科医生增强对尿失禁筛查的敏感性,肯定早期病例发现、疾病筛查的重要意义,并明确基层针对尿失禁的识别、筛查、预防和干预中的可行策略,倡导施行早期综合的管理与干预。

关键词: 尿失禁, 全科医生, 基层, 早期检测, 病例发现

Abstract: Urinary incontinence is a common and frequently occurring symptom in general practice. However, as a manifestation related to privacy, its identification and treatment in primary healthcare services in China remain insufficient. This article interprets and analyzes the recommendations on urinary incontinence from the 10th edition of the Royal Australian College of General Practitioners (RACGP) Guidelines for Preventive Activities in General Practice. It provides a detailed elaboration and analysis of the types of urinary incontinence, screening, conditional examinations, and preventive activities for both the general population and specific populations, followed by in-depth reflection and discussion. The aim is to further advocate for general practitioners to enhance their sensitivity to urinary incontinence screening, recognize the importance of early case detection and disease screening, and clarify feasible strategies for identification, screening, prevention, and intervention of urinary incontinence at the primary level. It also promotes the implementation of early comprehensive management and interventions.

Key words: Urinary incontinence, General practitioners, Primary care, Early detection, Case finding

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