Symptoms, quality of life, and factors affecting women's treatment decisions regarding pelvic organ prolapse
Symptoms, quality of life, and factors affecting women's treatment decisions regarding pelvic organ prolapse
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DOI：
10.1007/s00192-012-1698-y
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发表时间：
2012-08-01
影响因子：
1.8
通讯作者：
Chung, Tony Kwok Hung
中科院分区：
文献类型：
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作者：
Chan, Symphorosa Shing Chee;Cheung, Rachel Yau Kar;Chung, Tony Kwok Hung
对308例女性盆腔器官脱垂患者进行了盆底不适量表（PFDI）、盆底影响问卷（PFIQ）、简明健康调查问卷（SF-36）、盆腔器官脱垂量化量表（POP-Q）和尿动力学检查。在咨询后，根据每个妇女的喜好安排治疗。评估了影响治疗选择的因素。采用描述性统计、卡方或Fisher精确检验、方差分析（ANOVA）和Logistic回归分析。他们的生活质量受损，尿液影响问卷（UIQ）评分高于盆腔器官脱垂影响问卷（POPIQ）评分，SF-36评分低于人群常模。多因素Logistic回归分析显示，阴道栓并发症、尿动力学压力性尿失禁（USI）、脱垂分期、盆腔器官脱垂痛苦量表（POPDI）评分是选择手术治疗的因素，POP患者症状痛苦大，生活质量下降。阴道栓并发症、USI、脱垂分期和POPDI评分是增加患者选择手术治疗可能性的因素。
We performed an investigation of symptoms, quality of life (QOL), and factors affecting women's treatment choice of pelvic organ prolapse (POP).Three hundred and eight women presenting with POP were assessed by Pelvic Floor Distress Inventory (PFDI), Pelvic Floor Impact Questionnaire (PFIQ), Short Form-36 (SF-36), Pelvic Organ Prolapse Quantification (POP-Q) system, and urodynamic studies. Treatment was arranged according to each woman's preference after counseling. Factors affecting treatment choice were evaluated. Descriptive statistics, chi-square or Fisher exact test, analysis of variance (ANOVA) test, and logistic regression analysis were used.Patients had high prevalence of urinary, prolapse, and bowel symptoms. Their QOL was impaired, with Urinary Impact Questionnaire (UIQ) higher than the Pelvic Organ Prolapse Impact Questionnaire (POPIQ) score and lower SF-36 score compared with the population norm. Logistic regression analysis indicated that complication from vaginal pessary, urodynamic stress incontinence (USI), stage of prolapse, and Pelvic Organ Prolapse Distress Inventory (POPDI) scoring were factors for choosing surgical treatment.Women with POP had great symptomatic distress and impaired QOL. Complication from vaginal pessary, USI, stage of prolapse, and POPDI scores were factors increasing the likelihood of the patient choosing surgical treatment.