The impact of fecal and urinary incontinence on quality of life 6 months after childbirth

The impact of fecal and urinary incontinence on quality of life 6 months after childbirth
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DOI:
10.1016/j.ajog.2007.08.020
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发表时间:
2007-12-01
影响因子:
9.8
通讯作者:
Weber, Anne M.
Weber, Anne M.
中科院分区:
医学1区
文献类型:
--
作者:
Handa, Victoria L.;Zyczynski, Halina M.;Weber, Anne M.

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目的:本研究的目的是调查产后大便失禁(FI)和尿失禁(UI)对生活质量(QOL)的影响。研究设计:759名产妇在分娩和盆腔症状研究产后6个月进行了采访。采用经验证的问卷对FI和UI进行评估。采用SF-12总分、健康效用指数评分、(一种自我评价的整体健康状况的测量方法)和修改后的曼彻斯特健康问卷。患有FI的女性的自测健康效用指数评分更差(85.1 +/- 9.8 vs 88.0 +/- 11.6,P = 0.02)和医学结局研究简表健康调查(SF-12)精神总结评分(46.8 +/- 9.2 vs 51.1 +/- 8.7,P
OBJECTIVE: The objective of the study was to investigate the impact of postpartum fecal incontinence (FI) and urinary incontinence (UI) on quality of life (QOL).STUDY DESIGN: Seven hundred fifty-nine primiparous women in the Childbirth and Pelvic Symptoms study were interviewed 6 months postpartum. FI and UI were assessed with validated questionnaires. We measured QOL with SF-12 summary scores, health utility index score ( a measure of self-rated overall health), and the modified Manchester Health Questionnaire.RESULTS: Women with FI had worse self-rated health utility index scores (85.1 +/- 9.8 vs 88.0 +/- 11.6, P = .02) and Medical Outcomes Study Short Form Health Survey (SF-12) mental summary scores ( 46.8 +/- 9.2 vs 51.1 +/- 8.7, P