在希望与恐惧之间：盆腔器官脱垂手术前患者的期望
Between hope and fear: patient's expectations prior to pelvic organ prolapse surgery.
作者信息
Lawndy Sameh S S, Withagen Mariella I, Kluivers Kirsten B, Vierhout Mark E
机构信息
791 Department of Obstetrics and Gynaecology, Radboud University Nijmegen Medical Centre, PO Box 9101, 6500 HB Nijmegen, the Netherlands.
出版信息
Int Urogynecol J. 2011 Sep;22(9):1159-63. doi: 10.1007/s00192-011-1448-6. Epub 2011 May 21.
INTRODUCTION AND HYPOTHESIS
The aim of our study was to analyse the patient's expectations (fears and goals (hopes)) in women who are scheduled for pelvic organ prolapse (POP) surgery.
METHODS
All consecutive women awaiting surgery for POP in a tertiary urogynaecological centre were included. A short questionnaire with two open questions on goals and fears with regard to the operation was used.
RESULTS
Ninety-six out of 111 distributed questionnaires (86%) were analysed. Goals and fears were categorized into five groups. De novo symptoms (63%), POP recurrence (34%) and surgical complications (29%) were the most important fears. Symptom release (96%), improved lifestyle (physical capabilities; 30%) and improved sexual life (18%) were important goals.
CONCLUSIONS
A wide variety of expectations both positive and negative can be found in women before POP surgery and should be an integral part of preoperative counselling. Achieving the individual goals as based on expectations, positive (goals) and negative (fears), should be part of the POP surgery evaluation.
引言与假设
我们研究的目的是分析计划接受盆腔器官脱垂（POP）手术的女性患者的期望（恐惧和目标（希望））。
方法
纳入在一家三级泌尿妇科中心等待接受POP手术的所有连续女性患者。使用了一份简短问卷，其中包含两个关于手术目标和恐惧的开放性问题。
结果
分析了111份分发问卷中的96份（86%）。目标和恐惧被分为五组。新发症状（63%）、POP复发（34%）和手术并发症（29%）是最重要的恐惧因素。症状缓解（96%）、生活方式改善（身体能力；30%）和性生活改善（18%）是重要目标。
结论
在POP手术前，女性患者存在各种各样的积极和消极期望，这些期望应成为术前咨询的一个组成部分。基于期望（积极的（目标）和消极的（恐惧））实现个体目标，应成为POP手术评估的一部分。
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