Brandt Corlia, Janse van Vuuren Elizabeth C
Department of Physiotherapy, University of the Witwatersrand, South Africa.
Faculty of Business and Economic Science, University of the Free State, South Africa.
S Afr J Physiother. 2019 Feb 28;75(1):933. doi: 10.4102/sajp.v75i1.933. eCollection 2019.
Pelvic organ prolapse (POP) is a multifactorial, poorly understood condition impacting quality of life (QOL). The pathology and aetiology might imply population-specific differences in domains of the International Classification of Function, Disability and Health (ICF). There is, however, a lack of research in this regard in South Africa.
To describe the dysfunction, activity limitations, participation restrictions and contextual factors in South African women with POP.
One hundred women were conveniently sampled in a primary health care setting. They completed a self-compiled medical and exercise history questionnaire, the standardised Prolapse-Quality of Life (P-QOL) questionnaire and the Visual Faces Scale. The stage of prolapse was determined by the Pelvic Organ Prolapse Quantification (POP-Q) Scale. Means, medians, standard deviations, percentages and frequencies were calculated.
Eighty-six per cent had a stage III POP, 57% had overactive bladder, 50% had constipation, 37% had stress urinary incontinence, 31% had urge urinary incontinence, 32% had incomplete emptying and 30% had anal incontinence. Comorbidities included cardiovascular disease (65%), depressive symptoms (12%) and hypothyroidism (18%). Other contextual factors included limited physical activity (80%), an increased body mass index (29 kg/m), older age (59 years) and unemployment (80%). Quality of life was affected in the severity, social, emotional and sleep/energy domains (median scores were 66.7% - 33.3%).
The dysfunction domain of the ICF was similar to other populations with POP. Activity and participation restrictions included social, emotional and sleep/energy aspects. Contextual factors seem to be population-specific, possibly leading to differences comparing QOL amongst different populations.
Activity and participation restrictions, as well as contextual factors, may differ in different populations with POP. Interactions between contextual factors and movement impairment should be considered during management and be further investigated.
盆腔器官脱垂（POP）是一种多因素导致的、人们了解甚少的疾病，会影响生活质量（QOL）。其病理和病因可能意味着在《国际功能、残疾和健康分类》（ICF）的各个领域存在特定人群差异。然而，南非在这方面缺乏研究。
描述南非盆腔器官脱垂女性的功能障碍、活动受限、参与限制和背景因素。
在初级卫生保健机构方便地抽取了100名女性。她们完成了一份自编的医疗和运动史问卷、标准化的盆腔器官脱垂生活质量（P-QOL）问卷以及视觉面部量表。脱垂阶段由盆腔器官脱垂定量（POP-Q）量表确定。计算了均值、中位数、标准差、百分比和频率。
86%的患者为Ⅲ期盆腔器官脱垂，57%有膀胱过度活动症，50%有便秘，37%有压力性尿失禁，31%有急迫性尿失禁，32%有排尿不尽，30%有肛门失禁。合并症包括心血管疾病（65%）、抑郁症状（12%）和甲状腺功能减退（18%）。其他背景因素包括身体活动受限（80%）、体重指数增加（29kg/m²）、年龄较大（59岁）和失业（80%）。生活质量在严重程度、社会、情感和睡眠/精力领域受到影响（中位数得分在66.7% - 33.3%之间）。
ICF的功能障碍领域与其他盆腔器官脱垂人群相似。活动和参与限制包括社会、情感和睡眠/精力方面。背景因素似乎因人群而异，可能导致不同人群之间生活质量的差异。
盆腔器官脱垂的不同人群中，活动和参与限制以及背景因素可能不同。在管理过程中应考虑背景因素与运动障碍之间的相互作用，并进一步进行研究。
