Women's Health, IWK Health Centre, Halifax, Nova Scotia, Canada.
J Adv Nurs. 2009 Nov;65(11):2350-7. doi: 10.1111/j.1365-2648.2009.05095.x.
Women's experiences with vaginal pessary use.
This paper is a report of a study of the lived experiences of women using vaginal pessaries for the treatment of urinary incontinence (UI) and/or pelvic organ prolapse.
The use of a vaginal pessary offers a non-surgical treatment option to provide physical support to the bladder and internal organs. As the literature asserts, a woman's choice to use a pessary is very individual and involves not only physical, but also psychological and emotional considerations.
Narrative inquiry was used to conduct face-to-face semi-structured interviews in 2007 with 11 postmenopausal women who accessed services from a Urogynecology Clinic in Eastern Canada.
The women's stories revealed that living with a pessary is a life-changing experience and an ongoing learning process. The women's comfort level and confidence in caring for the device figured prominently in their experiences. Psychosocial support provided by the clinic nurses also played a primary role in the women's experiences.
Women and healthcare professionals need to be aware of the personal isolation and embarrassment, and social and cultural implications that urinary incontinence may cause as well as the subjective experiences of using a pessary. With appropriate support, vaginal pessaries can provide women with the freedom to lead active, engaged and social lives.
女性使用阴道栓剂的体验
本文报告了一项研究,旨在探讨女性使用阴道栓剂治疗尿失禁(UI)和/或盆腔器官脱垂的生活体验。
使用阴道栓剂为提供膀胱和内部器官的物理支撑提供了一种非手术治疗选择。正如文献所述,女性选择使用阴道栓剂是非常个人化的,不仅涉及身体因素,还涉及心理和情感因素。
2007 年,采用叙事性研究方法,对加拿大东部一家泌尿科诊所就诊的 11 名绝经后女性进行了面对面的半结构化访谈。
这些女性的故事揭示了使用阴道栓剂是一种改变生活的体验,也是一个持续的学习过程。女性对该设备的舒适度和护理信心在她们的体验中起着重要作用。诊所护士提供的社会心理支持也在女性的体验中发挥了主要作用。
女性和医疗保健专业人员需要意识到尿失禁可能导致的个人孤立和尴尬,以及社会和文化影响,以及使用阴道栓剂的主观体验。通过适当的支持,阴道栓剂可以使女性能够自由地过上积极、参与和社交的生活。