Glavind Karin, Bjørk Jonna, Kousgaard Sabrina
Department of Obstetrics and Gynecology, Aalborg University Hospital, Reberbansgade, 9000, Aalborg, Denmark.
Int Urogynecol J. 2016 Dec;27(12):1825-1829. doi: 10.1007/s00192-016-3049-x. Epub 2016 Jun 1.
The aim of this study was to investigate patient-reported goals after a tension-free vaginal tape operation for stress urinary incontinence and the correlation with postoperative incontinence.
A prospective study involving 70 women was carried out. Preoperatively, patients completed the International Consultation on Incontinence Questionnaire Urinary Incontinence Short Form (ICIQ-UI SF) and stated three goals for the operation. A telephone interview was performed 3 months postoperatively.
A Visual Analogue Scale (VAS) score from zero to ten estimated the extent to which goals were achieved. Goals were divided into five groups: 1, symptoms; 2, quality of life (physical); 3, quality of life (emotional); 4, sexual function; 5, avoidance. ICIQ-UI SF preoperative mean was 14.9 and postoperative mean was 1.5 (p < 0.05). A total of 210 goals were stated. The majority of the goals (38 %) were in group 2 concerning quality of life in the physical domains. Mean VAS score for all goals was 9.1 (SD 2). Thirty-seven patients (53 %) fulfilled all their goals. Twenty-one patients (30 %) did not have a VAS score of 10, although continent with an ICIQ-UI SF score of zero. Reasons for not achieving a full VAS score were that some still used pads out of fear (n = 10), that their mental focus was still on incontinence (n = 7) or that they had not yet tried some of the physical aims (n = 7).
Most patients achieved their goals. The majority of the goals concerned quality of life in the physical domains.
本研究旨在调查压力性尿失禁患者接受无张力阴道吊带手术后患者自述的目标以及与术后尿失禁的相关性。
对70名女性进行了一项前瞻性研究。术前，患者完成了国际尿失禁咨询问卷尿失禁简表（ICIQ-UI SF）并陈述了手术的三个目标。术后3个月进行电话随访。
采用0至10分的视觉模拟量表（VAS）评分来评估目标实现程度。目标分为五组：1. 症状；2. 生活质量（身体方面）；3. 生活质量（情感方面）；4. 性功能；5. 避免相关情况。ICIQ-UI SF术前平均分为14.9分，术后平均分为1.5分（p < 0.05）。共陈述了210个目标。大多数目标（38%）属于第2组，涉及身体领域的生活质量。所有目标的平均VAS评分为9.1分（标准差为2）。37名患者（53%）实现了所有目标。21名患者（30%）虽然ICIQ-UI SF评分为零表明已无尿失禁，但VAS评分未达到10分。未获得满分VAS评分的原因包括：一些人因恐惧仍使用护垫（n = 10）；他们的心理关注点仍在尿失禁上（n = 7）；或者他们尚未尝试一些身体方面的目标（n = 7）。
大多数患者实现了他们的目标。大多数目标涉及身体领域的生活质量。
