Department of Obstetrics and Gynecology, University of Texas Southwestern Medical Center, Dallas, TX.
Am J Obstet Gynecol. 2013 Nov;209(5):481.e1-6. doi: 10.1016/j.ajog.2013.06.001. Epub 2013 Jun 5.
The objective of the study was to describe the basic knowledge about prolapse and attitudes regarding the uterus in women seeking care for prolapse symptoms.
This was a cross-sectional study of English-speaking women presenting with prolapse symptoms. Patients completed a self-administered questionnaire that included 5 prolapse-related knowledge items and 6 benefit-of-uterus attitude items; higher scores indicated greater knowledge or more positive perception of the uterus. The data were analyzed using descriptive statistics and multiple linear regression.
A total of 213 women were included. The overall mean knowledge score was 2.2 ± 1.1 (range, 0-5); 44% of the items were answered correctly. Participants correctly responded that surgery (79.8%), pessary (55.4%), and pelvic muscle exercises (34.3%) were prolapse treatment options. Prior evaluation by a female pelvic medicine and reconstructive surgery specialist (beta = 0.57, P = .001) and higher education (beta = 0.3, P = .07) was associated with a higher mean knowledge score. For attitude items, the overall mean score was 15.1 (4.7; range, 6-30). A total of 47.4% disagreed with the statement that the uterus is important for sex. The majority disagreed with the statement that the uterus is important for a sense of self (60.1%); that hysterectomy would make me feel less feminine (63.9%); and that hysterectomy would make me feel less whole (66.7%). Previous consultation with a female pelvic medicine and reconstructive surgery specialist was associated with a higher mean benefit of uterus score (beta = 1.82, P = .01).
Prolapse-related knowledge is low in women seeking care for prolapse symptoms. The majority do not believe the uterus is important for body image or sexuality and do not believe that hysterectomy will negatively affect their sex lives.
本研究旨在描述寻求脱垂症状治疗的女性对脱垂和子宫态度的基本知识。
这是一项对有脱垂症状就诊的英语女性进行的横断面研究。患者完成了一份自我管理问卷，其中包括 5 个与脱垂相关的知识项目和 6 个与子宫益处相关的态度项目；得分越高表示对子宫的了解越多或对子宫的认知越积极。数据采用描述性统计和多元线性回归进行分析。
共纳入 213 名女性。总体平均知识得分为 2.2 ± 1.1（范围 0-5）；44%的项目回答正确。参与者正确回答手术（79.8%）、子宫托（55.4%）和骨盆肌肉锻炼（34.3%）是脱垂的治疗选择。先前接受女性盆腔医学和重建外科专家评估（β=0.57，P=0.001）和较高教育程度（β=0.3，P=0.07）与较高的平均知识得分相关。对于态度项目，总平均分 15.1（4.7；范围 6-30）。共有 47.4%的人不同意子宫对性很重要的说法。大多数人不同意子宫对自我认知很重要的说法（60.1%）；子宫切除术会让我感到不那么女性化（63.9%）；子宫切除术会让我感到不完整（66.7%）。先前与女性盆腔医学和重建外科专家的咨询与较高的子宫益处平均分相关（β=1.82，P=0.01）。
寻求脱垂症状治疗的女性对脱垂相关知识了解较少。大多数人认为子宫对身体形象或性不重要，也不认为子宫切除术会对性生活产生负面影响。
