Motivations, psychosocial burdens, and decision-making modes of post-partum women with stress urinary incontinence engaging in pelvic floor physical therapy: a qualitative research
Motivations, psychosocial burdens, and decision-making modes of post-partum women with stress urinary incontinence engaging in pelvic floor physical therapy: a qualitative research
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压力性尿失禁产后女性接受盆底物理治疗的动机、社会心理负担和决策模式：一项定性研究
DOI：
10.1007/s00192-023-05466-9
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发表时间：
2023-02-06
影响因子：
1.8
通讯作者：
Cai，Wenzhi
中科院分区：
文献类型：
--
作者：
Li，Jie;Li，Tiantian;Cai，Wenzhi
介绍和hypothesisThis定性研究探讨的动机，心理负担，和决策模式的产后妇女压力性尿失禁（SUI）从事骨盆底物理治疗（PFPT）。MethodsThis研究进行了面对面的治疗室使用定性半结构化访谈与产后妇女谁收到PFPT SUI 5月至2022年10月之间。参与者的访谈逐字转录和主题分析使用NVivo软件，这是最常用的定性dataanalysis.ResultsThemes影响参与者的决定，接受PFPT包括避免恶化SUI症状，认为越早治疗越好，无法坚持家庭锻炼计划，生活质量和不满。一些参与者在接受PFPT时经历了心理社会负担，包括对日常活动的影响，对婴儿的担忧，经济负担以及对效果的不确定性。有两种决策模式，带来不同的经验。一些参与者更喜欢参与者-提供者共同决策，并报告了有效的医患沟通，并争取自主决策。其他参与者更喜欢他们的临床医生决定PFPT协议，鉴于他们的信任，他们的助产士，机构的声誉，并缺乏知识PFPT.ConclusionsWe发现，参与者接受治疗时的动机和心理负担。一些参与者更喜欢参与者-提供者共同决策，而另一些参与者则更喜欢由助产士做出决策。需要更多的标准化研究和更可靠的样本。
Introduction and hypothesisThis qualitative research explores the motivations, psychosocial burdens, and decision-making modes of post-partum women with stress urinary incontinence (SUI) engaging in pelvic floor physical therapy (PFPT).MethodsThis study was conducted face-to-face in a treatment room using qualitative semi-structured interviews with post-partum women who received PFPT for SUI between May and October 2022. Participant interviews were transcribed verbatim and thematically analyzed using NVivo software, which is most commonly used for qualitative data analysis.ResultsThemes that impacted participants’ decisions to receive PFPT included avoiding deterioration of SUI symptoms, believing that the sooner it is treated the better, being unable to adhere to home exercise programs, and dissatisfaction with quality of life. Some participants experienced psychosocial burdens when receiving PFPT, including impact on daily activities, worries about the baby, financial burdens, and uncertainty about the effect. There were two modes of decision making, which brought different experiences. Some participants preferred participant–provider shared decision making and reported effective doctor–patient communication, and striving for autonomous decisions. Other participants preferred their clinicians to decide on PFPT protocols in view of their trust in their midwives, institutional reputation, and lacking knowledge of PFPT.ConclusionsWe discovered that participants had both motivations and psychosocial burdens when receiving therapy. Some participants preferred participant–provider shared decision making, whereas others preferred their midwives to make decisions. Further more standardized studies with more robust samples are needed.