Sevilla Claudia, Wieslander Cecilia K, Alas Alexandriah, Dunivan Gena, Khan Aqsa, Maliski Sally, Rogers Rebecca, Anger Jennifer T
Department of Urology, UCLA David Geffen School of Medicine, Los Angeles, CA, USA.
Int Urogynecol J. 2013 Jun;24(6):939-46. doi: 10.1007/s00192-012-1946-1. Epub 2012 Dec 4.
Little is known about women's experience with conservative management of pelvic organ prolapse. We sought to understand the experiences of Spanish-speaking women who choose a pessary.
Spanish-speaking women from a urogynecological pessary clinic were recruited for this study. Interviews were conducted and the women were asked about their pessary experience including questions involving symptom relief, pessary management, and quality of life. All interview transcripts were analyzed using the qualitative methods of grounded theory.
Sixteen Spanish-speaking women who had been using a pessary for at least 1 month were enrolled in this study. Grounded theory methodology yielded several preliminary themes, in which one major concept emerged as a pessary adjustment process. In this process patients had to first decide to use a pessary, either because of physician's recommendations or out of personal choice. Second, the patients entered an adjustment period in which they learned to adapt to the pessary, both physically and mentally. Lastly, if the patients properly adjusted to wearing a pessary they experienced relief of bothersome symptoms.
Our findings demonstrate that Spanish-speaking women go through a process in order to adjust to a pessary. Furthermore, the physician plays a major role in not only determining a woman's decision to use a pessary, but also whether she can adjust to wearing the pessary. This process is most successful when patients receive comprehensive management from a healthcare team of physicians and nurses who can provide individualized and continuous pessary care.
关于女性盆腔器官脱垂保守治疗的体验，人们了解甚少。我们试图了解选择子宫托的讲西班牙语女性的经历。
招募来自泌尿妇科子宫托诊所的讲西班牙语女性参与本研究。进行访谈，询问这些女性关于她们使用子宫托的经历，包括涉及症状缓解、子宫托管理及生活质量的问题。所有访谈记录均采用扎根理论的定性方法进行分析。
16名使用子宫托至少1个月的讲西班牙语女性纳入本研究。扎根理论方法产生了几个初步主题，其中一个主要概念是子宫托调整过程。在这个过程中，患者首先必须决定使用子宫托，这要么是因为医生的建议，要么是出于个人选择。其次，患者进入一个调整期，在此期间她们要学会在身体和心理上适应子宫托。最后，如果患者能够正确适应佩戴子宫托，她们会体验到烦人的症状得到缓解。
我们的研究结果表明，讲西班牙语的女性需要经历一个过程来适应子宫托。此外，医生不仅在决定女性使用子宫托的决策方面起主要作用，而且在她是否能够适应佩戴子宫托方面也起主要作用。当患者接受由医生和护士组成的医疗团队的全面管理，该团队能够提供个性化且持续的子宫托护理时，这个过程最为成功。
