Maldonado Pedro Antonio, Jackson Elisha, Petty Kate M, Rondeau Nancy, Montoya T Ignacio, Mallett Veronica T
From the Department of Obstetrics and Gynecology, Texas Tech University Health Sciences Center El Paso, El Paso, TX.
Female Pelvic Med Reconstr Surg. 2021 Jan 1;27(1):e96-e100. doi: 10.1097/SPV.0000000000000825.
To explore the knowledge, attitudes, and beliefs related to pessary use in Spanish-speaking women along the US-Mexico border.
Spanish-speaking women with symptoms of vaginal bulge were recruited from the urogynecology/gynecology clinics at Texas Tech University Health Sciences Center El Paso to participate in moderated focus groups. Discussion topics included knowledge of prolapse/pessaries, pros/cons of pessaries, alternatives, and prolapse surgery. Audio-recorded group discussions were transcribed verbatim, and qualitative analysis completed by independent review using grounded theory methodology. Common themes were identified and then aggregated to form consensus concepts, agreed upon by the reviewers.
Twenty-nine Spanish-speaking women participated in 6 focus group discussions. Approximately half of women reported little or no prior knowledge about pessaries. Three main themes were identified from analysis: knowledge/perceptions, misinformation/misconceptions, and surgery-related concerns. Concepts identified from common themes included limited knowledge of pessaries, confusing "pessary" with "mesh," willingness to try pessaries in order to avoid surgery, desire to try pessary if it was recommended by physician, limited efficacy or complications of surgery, and mesh-related concerns. Interestingly, some women reported that pessaries appear to be a treatment more often offered in the United States rather than in Mexico.
Most participants showed a willingness to try a pessary for symptoms of pelvic organ prolapse in an effort to avoid surgery, despite expressing limited knowledge about this treatment. Physician recommendations and risks of pessary use influence their likelihood of trying a pessary. These concepts serve as focus points for effective pessary counseling to help improve education and informed decision making in this patient population.
探讨美墨边境地区说西班牙语女性对于子宫托使用的知识、态度和信念。
从德克萨斯理工大学健康科学中心艾尔帕索分校的泌尿妇科/妇科诊所招募有阴道膨出症状的说西班牙语女性，参与有主持人的焦点小组讨论。讨论话题包括子宫脱垂/子宫托的知识、子宫托的优缺点、替代方法以及子宫脱垂手术。对小组讨论的音频记录进行逐字转录，并采用扎根理论方法通过独立审查完成定性分析。确定共同主题，然后汇总形成共识概念，由审查人员商定。
29名说西班牙语的女性参与了6次焦点小组讨论。约一半女性表示此前对子宫托了解很少或一无所知。分析确定了三个主要主题：知识/认知、错误信息/误解以及与手术相关的担忧。从共同主题中确定的概念包括对子宫托的了解有限、将“子宫托”与“网片”混淆、为避免手术愿意尝试子宫托、如果医生推荐愿意尝试子宫托、手术疗效有限或有并发症以及与网片相关的担忧。有趣的是，一些女性表示子宫托似乎在美国比在墨西哥更常作为一种治疗方法提供。
尽管大多数参与者表示对这种治疗方法了解有限，但她们愿意尝试使用子宫托来治疗盆腔器官脱垂症状以避免手术。医生的建议和使用子宫托的风险会影响她们尝试子宫托的可能性。这些概念是有效的子宫托咨询的重点，有助于改善对这一患者群体的教育和知情决策。
