We previously demonstrated the efficacy of cognitive behavioral therapy (CBT) using a self-check sheet for patients with nocturia in a randomized controlled study. Additionally, we investigated the efficacy of the intervention in real-world clinical practice.
Two hundred forty-three outpatients with complaint of nocturia who practiced CBT for 4 weeks using a self-check sheet were included in this trial, which took place from April 2021 to March 2022 in 20 institutions.
Of the 243 patients, 215 who achieved 50% or more of the behavioral therapy tasks were included in the analysis. Their mean age ± SD was 77.1 ± 7.7. A significant decrease was observed in nighttime frequency at 4 weeks after CBT using self-check sheets (pre 3.3 and post 2.8, p < .001). Nighttime frequency was decreased one or more times and was defined as treatment success in 102 patients (47.4%). Pretreatment nighttime frequency in the treatment-success group was significantly higher than that of the failure group (3.5 ± 1.0 vs. 3.2 ± 1.0, p = .013). In multivariate logistic regression analysis, predictive factors of treatment success were pretreatment nocturnal frequency of four or more (odds ratio [OR] 1.82, 95% confidence interval [CI] 1.01-3.30; p = .046) and the absence of diabetes mellitus (OR 3.08, 95% CI 1.34-7.06; p = .008).
CBT using a self-check sheet requiring less time, less labor, less cost, and less medication is very beneficial for both patients and medical staff in real-world clinical practice.
Lower urinary tract symptoms. 2023 Aug 23 [Epub ahead of print]
Yuki Kyoda, Koji Ichihara, Ippei Muranaka, Yasuyuki Sakai, Makoto Nakamura, Nobuo Shinkai, Nodoka Kozen, Wakako Yorozuya, Daichi Morooka, Kazutaka Maruo, Kimihito Tachikawa, Kosuke Shibamori, Seisuke Nofuji, Keiko Fujino, Shuichi Kato, Takashi Yoshida, Tetsuya Shindo, Takeshi Maehana, Kohei Hashimoto, Ko Kobayashi, Toshiaki Tanaka, Naoya Masumori
Department of Urology, Sapporo Medical University School of Medicine, Sapporo, Japan., Sapporo Central Hospital, Sapporo, Japan., Hokkaido Social Work Association Obihiro Hospital, Obihiro, Japan., Takikawa Municipal Hospital, Takikawa, Japan., Muroran City General Hospital, Muroran, Japan., Saiseikai Otaru Hospital, Otaru, Japan., JCHO Hokkaido Medical Center, Sapporo, Japan., Kushiro Red Cross Hospital, Kushiro, Japan., Asahikawa Red Cross Hospital, Asahikawa, Japan., Hokkaido Medical Center, Sapporo, Japan., Hakodate Goryoukaku Hospital, Hakodate, Japan., Oji General Hospital, Tomakomai, Japan., NTT-East Sapporo Hospital, Sapporo, Japan.