Do women with pelvic floor dysfunction referred by gynaecologists and urologists at hospitals complete a pelvic floor muscle training programme? A retrospective study, 1992–2008
Do women with pelvic floor dysfunction referred by gynaecologists and urologists at hospitals complete a pelvic floor muscle training programme? A retrospective study, 1992–2008
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医院妇科医生和泌尿科医生转诊的患有盆底功能障碍的女性是否完成了盆底肌肉训练计划，1992-2008 年？
DOI：
10.1007/s00192-012-2018-2
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发表时间：
2013
影响因子：
1.8
通讯作者：
C. Dehlendorff
中科院分区：
文献类型：
--
作者：
S. Tibaek;C. Dehlendorff
介绍和假设几十年来，患有骨盆底功能障碍（PFD）的女性一直被称为骨盆底肌肉训练（PFMT），但关于女性是否完成该计划以及原因的信息很少。本研究的目的是调查妇女在何种程度上完成PFMT计划，他们被称为妇科医生和泌尿科医生，并确定相关因素完成。MethodsIn一家医院为基础的，回顾性临床设计的妇女与PFD指的是一个免费的PFMT计划门诊病人。PFMT程序包括：（a）PFM的阴道指诊试验，（B）个体指导，（c）介绍（理论），（d）每周监督PFMT，共3个月（12次）和（e）渐进式家庭锻炼（10组）。结果数据分析了1,544名妇女，平均年龄54岁（SD 13），（尿失禁，n= 1，214;肛门失禁，n= 41;盆腔器官脱垂，n= 162;其他PFD，n= 127）。共有747例（48%）受试者完成（参加≥8次会议）PFMT项目，466例（30%）退出，331例（22%）取消或退出。完成者与未完成者的年龄、转诊年份和民族差异有统计学意义（p< 0.01）。同样，一年的转介，从家到医院的距离，等待名单的时间和诊断之间的辍学和科目谁取消或stayingaway.ConclusionsThe结果显示，不到一半的妇女与PFD完成PFMT计划，他们被称为妇科医生和泌尿科医生之间的显着差异（p< 0.01）。完成的最重要相关因素是年龄、转诊年份和国籍。
Introduction and hypothesisFor decades women with pelvic floor dysfunction (PFD) have been referred to pelvic floor muscle training (PFMT), but there is only little information on whether the women complete the programmes and why. The objectives of this study were to investigate to which extent women completed a PFMT programme to which they were referred by gynaecologists and urologists and to identify associated factors for completion.MethodsIn a hospital-based, retrospective clinical design women with PFD referred to a free PFMT programme as outpatients were included. The PFMT programme consisted of: (a) vaginal digital palpation test of PFM, (b) individual instructions, (c) introduction (theory), (d) weekly supervised PFMT in groups for 3 months (12 sessions) and (e) progressive home exercises (10 sets).ResultsData were analysed in 1,544 women, mean age 54 (SD 13) years, with PFD (urinary incontinence,n= 1,214; anal incontinence,n= 41; pelvic organ prolapse,n= 162; other PFD,n= 127). In total 747 (48 %) subjects completed (attended ≥8 sessions) the PFMT programme, 466 (30 %) dropped out and 331 (22 %) cancelled or stayed away. Age, year of referral and nationality were significantly different (p< 0.01) between completers and non-completers. Likewise, year of referral, distance from home to hospital, waiting list times and diagnosis were significantly different (p< 0.01) between dropouts and subjects who cancelled or stayed away.ConclusionsThe results showed that less than half of the women with PFD completed a PFMT programme to which they were referred by gynaecologists and urologists. The most important associated factors for completion were age, year of referral and nationality.