Division of Urogynecology, Department of Obstetrics, Gynecology, and Reproductive Sciences, Magee-Womens Hospital, University of Pittsburgh, School of Medicine, PA, USA.
Am J Obstet Gynecol. 2011 May;204(5):441.e1-5. doi: 10.1016/j.ajog.2010.12.024. Epub 2011 Feb 2.
To describe perceptions of prolapse-specific body image in women with symptomatic prolapse.
Women with symptomatic pelvic organ prolapse quantification stage ≥ II prolapse participated in semistructured focus groups or self-report questionnaire. Transcripts were independently reviewed and body image themes were identified and confirmed by consensus.
Twenty-five women participated in focus groups and 27 in online questionnaires. Transcript analysis revealed 3 central themes and 25 body-image related subthemes. Women living with prolapse were more likely to feel self-conscious, isolated, "different," less feminine, and less attractive. Women often changed sexual intimacy practices because of embarrassment or discomfort, and many avoided intimacy all together. Prolapse greatly affected women's personal and professional activities causing some women to adjust routines or stop activities. Women reported loss of interest in activities, distraction while performing daily/work-related tasks, and embarrassment when asking for help with activities.
Themes identified in this qualitative study demonstrate the profound effect of prolapse on a woman's body image.
描述有症状的脱垂女性对脱垂特有的身体形象的感知。
患有症状性盆腔器官脱垂定量分期≥ II 期脱垂的女性参加半结构化焦点小组或自我报告问卷调查。对记录进行独立审查，并通过共识确定身体形象主题并加以确认。
25 名女性参加了焦点小组，27 名女性参加了在线问卷调查。转录本分析显示了 3 个中心主题和 25 个与身体形象相关的子主题。患有脱垂的女性更容易感到害羞、孤立、“与众不同”、缺乏女性气质和魅力。女性常常因为尴尬或不适而改变性行为习惯，许多人甚至完全避免了性行为。脱垂极大地影响了女性的个人和职业活动，导致一些女性调整日常或停止活动。女性报告称对活动失去兴趣、在执行日常/工作相关任务时注意力分散以及在需要帮助时感到尴尬。
本定性研究中确定的主题表明脱垂对女性身体形象有深远的影响。
