Lowenstein Lior, FitzGerald Mary P, Kenton Kimberly, Dooley Yashika, Templehof Mike, Mueller Elizabeth R, Brubaker Linda
Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology, Loyola University Medical Center, 2160 South First Avenue, Maywood, IL 60153, USA.
Int Urogynecol J Pelvic Floor Dysfunct. 2008 Jan;19(1):81-4. doi: 10.1007/s00192-007-0390-0. Epub 2007 May 12.
The purpose of the study was to assess the relationship between self-expressed urogynecologic goals, symptoms, and treatment choice. Charts of women presenting for urogynecology consultation were reviewed. Demographics, diagnoses and responses to the pelvic floor distress inventory and medical, social, and epidemiologic aspects of aging questionnaires were recorded. Patients listed urogynecology goals before consultation. We categorized goals into five categories and then compared these categories by symptom type, severity, and treatment. Three hundred five women reported 635 goals (median 2, range 1-6). The number of goals listed per patient did not differ by age, race, comorbidities, or clinical diagnosis (p > 0.05). The most frequent goal category was symptoms (67%), followed by information seeking (12%), lifestyle (11%), emotional (4%), and "other" (6%). Women selecting non-surgical treatment were more likely to list information seeking as primary goal than those who chose surgery (p = 0.009). One third of participants expressed a primary non-symptom goal and were more likely to seek non-surgical therapy.
该研究的目的是评估自我表达的泌尿妇科目标、症状和治疗选择之间的关系。对前来进行泌尿妇科咨询的女性病历进行了回顾。记录了人口统计学信息、诊断结果以及对盆底困扰量表和衰老问卷的医学、社会和流行病学方面问题的回答。患者在咨询前列出了泌尿妇科目标。我们将目标分为五类，然后按症状类型、严重程度和治疗方法对这些类别进行比较。305名女性报告了635个目标（中位数为2，范围为1至6）。每位患者列出的目标数量在年龄、种族、合并症或临床诊断方面无差异（p>0.05）。最常见的目标类别是症状（67%），其次是寻求信息（12%）、生活方式（11%）、情绪（4%）和“其他”（6%）。选择非手术治疗的女性比选择手术的女性更有可能将寻求信息列为主要目标（p=0.009）。三分之一的参与者表达了主要的非症状目标，并且更有可能寻求非手术治疗。
