女性在寻求初级保健时对盆底疾病的认知：一项横断面研究。
Knowledge of pelvic floor disorders in women seeking primary care: a cross-sectional study.
机构信息
Department of Gynecology and Obstetrics, Johns Hopkins Hospital, Baltimore, MD, 21224, USA.
Johns Hopkins University School of Medicine, Baltimore, MD, 21205, USA.
出版信息
BMC Fam Pract. 2019 May 23;20(1):70. doi: 10.1186/s12875-019-0958-z.
BACKGROUND
Pelvic floor disorders including urinary incontinence (UI) and pelvic organ prolapse (POP) are common conditions; however, most women with these symptoms do not seek care. Failure to seek care may be related to misconceptions about these conditions. The aim of this study was to assess the baseline knowledge of UI and POP among adult women presenting to primary care clinics, as well as factors associated with knowledge levels.
METHODS
A survey with questions from previously validated UI and POP knowledge questionnaires (PIKQ-UI and PIKQ-POP, respectively) was self-administered to a cross-sectional group of adult female patients presenting to three primary care clinics: geriatric, community-based, and hospital-based. Participants' demographics and medical histories were compared using ANOVA or Kruskal-Wallis for continuous variables and Chi-square test or Fisher's exact test for categorical variables. In order to compare various covariates with knowledge non-proficiency on PIKQ-UI and PIKQ-POP scales, unadjusted and adjusted ORs with 95% CIs were calculated using bivariate analysis and multivariate logistic regression, respectively.
RESULTS
Of 346 participants, knowledge non-proficiency was similar and consistent across clinic sites and reached 72.0% for UI and 53.6% for POP. On multivariate analysis, lower educational attainment, being unaware of UI or POP as medical conditions, and having no history of care-seeking for these conditions were significantly associated with knowledge non-proficiency on UI, POP, or both.
CONCLUSIONS
Knowledge non-proficiency for UI and POP is common among women presenting for primary care. For UI, healthcare providers should assess patients' actual understanding of the disease, especially among those with lower educational attainment, to eliminate any possible misconceptions. For POP, the focus should be on increasing awareness of this disease, as many women may have not previously heard of this condition. Simple strategies may increase knowledge in these areas and change care-seeking behaviors.
STUDY REGISTRATION
None.
背景
包括尿失禁（UI）和盆腔器官脱垂（POP）在内的盆底功能障碍是常见病症；然而，大多数有这些症状的女性并未寻求治疗。未能寻求治疗可能与对这些病症的误解有关。本研究旨在评估就诊于初级保健诊所的成年女性对 UI 和 POP 的基本知识，以及与知识水平相关的因素。
方法
对来自先前验证的 UI 和 POP 知识问卷（PIKQ-UI 和 PIKQ-POP）的问题进行了横断面调查，该调查对象为就诊于 3 个初级保健诊所的成年女性患者：老年科、社区和医院。使用 ANOVA 或 Kruskal-Wallis 检验比较连续变量，使用卡方检验或 Fisher 确切检验比较分类变量。为了比较各种协变量与 PIKQ-UI 和 PIKQ-POP 量表上的知识不熟练程度，使用二元分析和多元逻辑回归分别计算了未调整和调整后的 OR 及其 95%CI。
结果
在 346 名参与者中，知识不熟练程度在各诊所之间相似且一致，UI 为 72.0%，POP 为 53.6%。在多变量分析中，较低的教育程度、不知道 UI 或 POP 是一种医学病症以及没有为此类病症寻求治疗的病史与 UI、POP 或两者的知识不熟练显著相关。
结论
就诊于初级保健的女性对 UI 和 POP 的知识不熟练程度很常见。对于 UI，医疗保健提供者应评估患者对疾病的实际理解，尤其是在教育程度较低的患者中，以消除任何可能的误解。对于 POP，应重点提高对该病的认识，因为许多女性以前可能没有听说过这种疾病。简单的策略可能会增加这些领域的知识，并改变寻求治疗的行为。
研究注册
无。
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