Department of Medicine, Mackay Medical College, New Taipei, Taiwan; Mackay Memorial Hospital, Taipei, Taiwan; Mackay Medicine, Nursing and Management College, Taipei, Taiwan; Department of Obstetrics and Gynecology, Hsinchu Mackay Memorial Hospital, Hsinchu, Taiwan.
Department of Medicine, Mackay Medical College, New Taipei, Taiwan; Mackay Memorial Hospital, Taipei, Taiwan; Mackay Medicine, Nursing and Management College, Taipei, Taiwan.
Taiwan J Obstet Gynecol. 2020 Mar;59(2):227-230. doi: 10.1016/j.tjog.2020.01.009.
The short form of the Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ-12) is a condition-specific instrument used to evaluate sexual function in women with pelvic floor disorders. The traditional Chinese version of the PISQ-12 (CVPISQ-12) has been validated, however the cutoff score has yet to be determined. The aim of this study is to establish the cutoff score for the CVPISQ-12 and analyze the risk factors for female sexual dysfunction.
A sub-analysis of data involving sexually active women who sought consultation for pelvic floor disorders at a medical center in 2016. Based on the known cutoff value of Female Sexual Function Index, the cutoff score of the CVPISQ-12 was analyzed using receiver operating characteristic (ROC) curve analysis. Other assessments included 1-h pad test and incontinence-related questionnaires using the short forms of the Urogenital Distress Inventory (UDI-6) and Incontinence Impact Questionnaire (IIQ-7).
ROC curve analysis showed a cutoff score of 32.5, with a sensitivity of 87% and specificity of 88%. The area under the ROC curve was 0.937 (p <0.001; 95% confidence interval: 0.895-0.979). The 1-h pad test (B = -0.266; p = 0.031), IIQ-7 (B = -0.378; p = 0.047) and age (B = -0.415; p = 0.001) were risk factors for sexual dysfunction in women with a score <32.5. However, age was the only significant risk factor for women with a higher score (B = -0.384; p = 0.035).
A CVPISQ-12 score ≥32.5 suggested normal sexual function. For this patient group, age may be a more important factor associated with sexual function than pelvic floor disorders.
盆腔器官脱垂/尿失禁性功能问卷（PISQ-12）的简表是一种用于评估盆底功能障碍女性性功能的特定于疾病的工具。盆腔器官脱垂/尿失禁性功能问卷（PISQ-12）的简体中文版（CVPISQ-12）已经过验证，但截止值尚未确定。本研究的目的是确定 CVPISQ-12 的截止值，并分析女性性功能障碍的危险因素。
这是对 2016 年在一家医疗中心因盆底疾病就诊的有性生活的女性进行的数据分析的子分析。根据女性性功能指数的已知截止值，使用接收者操作特征（ROC）曲线分析对 CVPISQ-12 的截止值进行分析。其他评估包括 1 小时垫试验和使用尿生殖窘迫量表（UDI-6）和尿失禁影响问卷（IIQ-7）的简表进行的尿失禁相关问卷。
ROC 曲线分析显示，截止值为 32.5，敏感性为 87%，特异性为 88%。ROC 曲线下面积为 0.937（p<0.001；95%置信区间：0.895-0.979）。1 小时垫试验（B=-0.266；p=0.031）、IIQ-7（B=-0.378；p=0.047）和年龄（B=-0.415；p=0.001）是评分<32.5 的女性性功能障碍的危险因素。然而，年龄是评分较高的女性唯一显著的危险因素（B=-0.384；p=0.035）。
CVPISQ-12 评分≥32.5 提示正常性功能。对于这组患者，年龄可能是与性功能相关的比盆底疾病更重要的因素。
