Da Luz Rosa Azevedo, de Deus José Miguel, Conde Délio Marques
Teaching Hospital, Federal University of Goiás, Goiânia, Goiás, Brazil.
Department of Obstetrics and Gynecology, Federal University of Goiás, Goiânia, Goiás, Brazil,
J Pain Res. 2018 Jul 25;11:1367-1374. doi: 10.2147/JPR.S168402. eCollection 2018.
Chronic pelvic pain (CPP) is a common and debilitating clinical condition in women.
The aim of this study was to compare the quality of life (QoL) of women with and without CPP and to investigate factors associated with the QoL of women with CPP.
A cross-sectional study was conducted with 100 women with CPP and 100 women without CPP. QoL was evaluated using the abbreviated version of the World Health Organization QoL instrument (WHOQOL-BREF). Depression and anxiety were evaluated using the Hospital Anxiety and Depression Scale, and sexual function was evaluated using the Female Sexual Function Index. Generalized linear models were used to analyze the data, permitting comparison of QoL scores and identification of the factors affecting QoL.
Mean age (± SD) was 37.8±8.0 and 37.2±9.6 years for women with and without CPP, respectively (=0.648). Following adjustment, women with CPP had significantly lower QoL scores in the physical health (<0.001) and social relationships' (=0.025) domains. Anxiety, depression, sexual dysfunction, hypertension, diabetes mellitus, pain intensity, lower family income, and not having a partner were factors negatively associated with QoL, while being postmenopausal, being employed, and having a child were positively associated with QoL in women with CPP.
Women with CPP had poorer QoL than those without CPP. Factors affecting the QoL of women with CPP were identified, some for the first time in this population of women. Interventions targeting these factors may prove effective in minimizing the negative repercussion of CPP on QoL.
慢性盆腔疼痛（CPP）是女性中一种常见且使人衰弱的临床病症。
本研究的目的是比较患有和未患有CPP的女性的生活质量（QoL），并调查与患有CPP的女性的QoL相关的因素。
对100名患有CPP的女性和100名未患有CPP的女性进行了一项横断面研究。使用世界卫生组织生活质量量表简表（WHOQOL-BREF）评估生活质量。使用医院焦虑抑郁量表评估抑郁和焦虑，使用女性性功能指数评估性功能。采用广义线性模型分析数据，以比较生活质量得分并确定影响生活质量的因素。
患有和未患有CPP的女性的平均年龄（±标准差）分别为37.8±8.0岁和37.2±9.6岁（P = 0.648）。调整后，患有CPP的女性在身体健康（P<0.001）和社会关系（P = 0.025）领域的生活质量得分显著较低。焦虑、抑郁、性功能障碍、高血压、糖尿病、疼痛强度、家庭收入较低以及没有伴侣是与生活质量负相关的因素，而绝经后、就业和有孩子与患有CPP的女性的生活质量正相关。
患有CPP的女性的生活质量比未患有CPP的女性差。确定了影响患有CPP的女性生活质量的因素，其中一些是在这群女性中首次发现。针对这些因素的干预措施可能被证明对最小化CPP对生活质量的负面影响有效。
