Brubaker L, Litman H J, Rickey L, Dyer K Y, Markland A D, Sirls L, Norton P, Casiano E, Paraiso M F R, Ghetti C, Rahn D D, Kusek J W
Departments of OG and Urology, Loyola University Chicago, Stritch School of Medicine, 2160 South First Avenue, Maywood, Chicago, IL, 60153, USA,
Int Urogynecol J. 2014 Jan;25(1):41-6. doi: 10.1007/s00192-013-2184-x. Epub 2013 Aug 3.
Patient preparedness for stress urinary incontinence (SUI) surgery is associated with improvements in post-operative satisfaction, symptoms and quality of life (QoL). This planned secondary analysis examined the association of patient preparedness with surgical outcomes, treatment satisfaction and quality of life.
The ValUE trial compared the effect of pre-operative urodynamic studies with a standardized office evaluation of outcomes of SUI surgery at 1 year. In addition to primary and secondary outcome measures, patient satisfaction with treatment was measured using a five-point Likert scale (very dissatisfied to very satisfied) that queried subjects to rate the treatment's effect on overall incontinence, urge incontinence, SUI, and frequency. Preparedness for surgery was assessed using an 11-question Patient Preparedness Questionnaire (PPQ).
Based on PPQ question 11, 4 out of 5 (81 %) of women reported they "agreed" or "strongly agreed" that they were prepared for surgery. Selected demographic and clinical characteristics were similar in unprepared and prepared women. Among SUI severity baseline measures, total UDI score was significantly but weakly associated with preparedness (question 11 of the PPQ; Spearman's r = 0.13, p = 0.001). Although preparedness for surgery was not associated with successful outcomes, it was associated with satisfaction (r s = 0.11, p = 0.02) and larger PGI-S improvement (increase; p = 0.008).
Approximately half (48 %) of women "strongly agreed" that they felt prepared for SUI. Women with higher pre-operative preparedness scores were more satisfied, although surgical outcomes did not differ.
压力性尿失禁（SUI）手术患者的准备情况与术后满意度、症状及生活质量（QoL）的改善相关。这项计划中的二次分析研究了患者准备情况与手术结果、治疗满意度及生活质量之间的关联。
ValUE试验比较了术前尿动力学研究与标准化门诊评估对SUI手术1年结局的影响。除了主要和次要结局指标外，使用五点李克特量表（从非常不满意到非常满意）测量患者对治疗的满意度，该量表询问受试者对治疗对总体尿失禁、急迫性尿失禁、SUI及排尿频率的影响进行评分。使用一份包含11个问题的患者准备情况问卷（PPQ）评估手术准备情况。
根据PPQ第11个问题，五分之四（81%）的女性报告称她们“同意”或“强烈同意”自己已为手术做好准备。未做好准备和做好准备的女性在选定的人口统计学和临床特征方面相似。在SUI严重程度基线指标中，总UDI评分与准备情况显著但微弱相关（PPQ第11个问题；Spearman's r = 0.13，p = 0.001）。虽然手术准备情况与成功的手术结果无关，但与满意度相关（rs = 0.11，p = 0.02）以及更大的PGI-S改善（增加；p = 0.008）。
约一半（48%）的女性“强烈同意”她们对SUI手术有准备。术前准备情况得分较高的女性更满意，尽管手术结果并无差异。
