孟加拉国农村地区接受产科瘘管手术修复的妇女的健康相关生活质量。

Health-related quality of life among women in rural Bangladesh after surgical repair of obstetric fistula.

作者信息

Imoto Atsuko, Matsuyama Akiko, Ambauen-Berger Beatrice, Honda Sumihisa

机构信息

Department of Community-based Rehabilitation Sciences, Graduate School of Biomedical Sciences, Nagasaki University, Nagasaki, Japan.

Department of International Health Development, Graduate School of International Health Development, Nagasaki University, Nagasaki, Japan.

出版信息

Int J Gynaecol Obstet. 2015 Jul;130(1):79-83. doi: 10.1016/j.ijgo.2015.01.018. Epub 2015 Apr 20.

DOI:10.1016/j.ijgo.2015.01.018

PMID:25935472

Abstract

OBJECTIVE

To identify factors influencing health-related quality of life (QOL) among women in Bangladesh after successful surgical repair of obstetric fistula.

METHODS

In 2012, a cross-sectional study was conducted of women who had undergone a successful surgical repair of an obstetric fistula at a hospital in northwest Bangladesh between June 2005 and May 2012. Sociodemographic, obstetric, and fistula-related information was collected by interview. Health-related QOL was assessed using the 36-item Short Form Health Survey (SF-36).

RESULTS

A total of 113 women were included. Linear regression analysis showed that discrimination experiences negatively affected four of the eight scales of SF-36, as well as both the physical and mental component summaries (P<0.05 for all). Married status had a positive effect on four scales and the mental component summary (P<0.05 for all). Age inversely affected two scales and the physical component summary (P<0.01 for all). Internalized stigma negatively influenced two scales (P<0.05 for both). Not having living children and experiencing two or more previous stillbirths negatively influenced one scale (P<0.05 for both).

CONCLUSION

Several factors influence health-related QOL after obstetric fistula repair; a comprehensive approach is needed to address these issues.

摘要

目的

确定在孟加拉国产科瘘管成功手术修复后影响女性健康相关生活质量（QOL）的因素。

方法

2012年，对2005年6月至2012年5月期间在孟加拉国西北部一家医院接受产科瘘管成功手术修复的女性进行了一项横断面研究。通过访谈收集社会人口统计学、产科和瘘管相关信息。使用36项简短健康调查（SF-36）评估健康相关生活质量。

结果

共纳入113名女性。线性回归分析表明，歧视经历对SF-36的八个量表中的四个以及身体和心理成分总结均有负面影响（所有P<0.05）。婚姻状况对四个量表和心理成分总结有积极影响（所有P<0.05）。年龄对两个量表和身体成分总结有反向影响（所有P<0.01）。内化耻辱感对两个量表有负面影响（两者P<0.05）。没有在世子女以及经历过两次或更多次死产对一个量表有负面影响（两者P<0.05）。