Vrijens Desiree M J, Spakman Jolanda I, van Koeveringe Gommert A, Berghmans Bary
Department of Urology, Maastricht University Medical Center, Maastricht, the Netherlands.
Pelvic Care Center Maastricht, Maastricht University Medical Centre, Maastricht, the Netherlands.
Int J Urol. 2015 Nov;22(11):1051-7. doi: 10.1111/iju.12885. Epub 2015 Aug 11.
To assess patient-reported outcome and satisfaction regarding urinary incontinence 1 year after the end of treatment in a multidisciplinary pelvic care clinic.
A total of 647 patients with urinary incontinence seen in an academic multidisciplinary pelvic care clinic were prospectively included in a specific triage system. Patient-reported improvement of urinary incontinence and patient satisfaction were assessed by telephone survey 1 year after the end of treatment.
Just 15.6% of patients presented with one single pelvic floor problem, most had two or three pelvic functional disorders simultaneously, such as urinary incontinence, pelvic organ prolapse and constipation or fecal incontinence. One year after the end of treatment, of 440 responders (68%), 18.2% reported no remaining complaints, and 33.4% reported only one complaint. Patients reported a significant improvement of the mean severity (scale 0-10) of urinary incontinence from 7.2 ±1.6 pretreatment (=T0) to 4.3 ± 3.0 1 year after the end of treatment (P < 0.001). A total of 20.6% of patients reported no urinary incontinence after 1 year (P < 0.001), and 27.6% (P < 0.001) stopped using incontinence pads. Patients claimed high satisfaction with the clinic and care received, with 35.8% being "satisfied" and 45.5% "very satisfied."
At 1 year after the end of treatment, one out of five patients with urinary incontinence recovered completely, and more than one out of four stopped using incontinence absorption pads. One out of three patients went from having a multifactorial health problem to a monofactorial health problem. High satisfaction rates were reported by more than four out of five patients.
评估多学科盆腔护理诊所治疗结束1年后患者报告的尿失禁相关结局及满意度。
在一个学术性多学科盆腔护理诊所就诊的647例尿失禁患者被前瞻性纳入一个特定的分诊系统。治疗结束1年后通过电话调查评估患者报告的尿失禁改善情况及患者满意度。
仅15.6%的患者存在单一盆底问题，大多数患者同时存在两三种盆腔功能障碍，如尿失禁、盆腔器官脱垂以及便秘或大便失禁。治疗结束1年后，在440名回复者（68%）中，18.2%报告无剩余不适，33.4%报告仅有一种不适。患者报告尿失禁的平均严重程度（0至10分）从治疗前（=T0）的7.2±1.6显著改善至治疗结束1年后的4.3±3.0（P<0.001）。共有20.6%的患者在1年后报告无尿失禁（P<0.001），27.6%（P<0.001）的患者停止使用尿失禁垫。患者对诊所及所接受的护理表示高度满意，35.8%“满意”，45.5%“非常满意”。
治疗结束1年后，五分之一的尿失禁患者完全康复，四分之一以上的患者停止使用尿失禁吸收垫。三分之一的患者从存在多因素健康问题转变为单因素健康问题。五分之四以上的患者报告满意度高。
