Mou Tsung, Brown Oluwateniola, Gillingham Akira, Geynisman-Tan Julia, Collins Sarah, Lewicky-Gaupp Christina, Mueller Margaret G, Kenton Kimberly, Bretschneider C Emi
From the Division of Female Pelvic Medicine and Reconstructive Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL.
Female Pelvic Med Reconstr Surg. 2020 Aug;26(8):477-482. doi: 10.1097/SPV.0000000000000918.
The primary objective of the study was to evaluate patients' attitudes toward the postponement of their scheduled procedures for pelvic floor disorders (PFD) because of the COVID-19 pandemic. Secondary objectives were to identify patients who were upset with the postponement of their PFD procedures and to identify factors that are associated with being upset because of the delay in care.
This was a cross-sectional, survey-based study of women from a single urban, academic practice using a novel questionnaire. The study cohort included women whose PFD surgeries or office procedures were postponed between March 17 and April 30, 2020.
Ninety-eight women had surgeries postponed; 68 (70%) responded to our questionnaire. Nearly half of the respondents (32/68, 47.1%) were upset about their procedures being postponed. Upset patients reported a greater impact of PFD symptoms on their mood than those who were not upset (P=0.002). Those who were upset were also more likely to report feelings of isolation (P=0.006), fear that their PFD would worsen because of delayed care (P < 0.001), and anxiety over surgery postponement (P < 0.001) than those who were not upset about the delays. When controlling for anxiety, social isolation, and impact of PFD symptom, anxiety (adjusted odds ratio = 15.7; 95% confidence interval = 3.7-66.6) and feeling of isolation (adjusted odds ratio = 9.7; 95% confidence interval = 1.5-63.7) remained associated with increased odds of being upset because of procedure delays.
Half of women whose pelvic reconstructive procedures were postponed because of the COVID-19 pandemic were upset because of the delay in care, especially those who are emotionally and socially vulnerable during the COVID-19 pandemic.
本研究的主要目的是评估患者对因2019年冠状病毒病疫情而推迟其盆底功能障碍（PFD）预定手术的态度。次要目的是确定对PFD手术推迟感到不满的患者，并确定与因护理延迟而感到不满相关的因素。
这是一项基于调查的横断面研究，针对来自单一城市学术机构的女性，使用了一份新颖的问卷。研究队列包括2020年3月17日至4月30日期间PFD手术或门诊手术被推迟的女性。
98名女性的手术被推迟；68名（70%）回复了我们的问卷。近一半的受访者（32/68，47.1%）对手术推迟感到不满。感到不满的患者报告PFD症状对其情绪的影响比未感到不满的患者更大（P = 0.002）。与未因延迟而感到不满的患者相比，感到不满的患者也更有可能报告有孤独感（P = 0.006）、担心因护理延迟导致PFD恶化（P < 0.001）以及对手术推迟感到焦虑（P < 0.001）。在控制焦虑、社会隔离和PFD症状的影响后，焦虑（调整后的优势比 = 15.7；95%置信区间 = 3.7 - 66.6）和孤独感（调整后的优势比 = 9.7；95%置信区间 = 1.5 - 63.7）仍然与因手术延迟而感到不满的几率增加相关。
因2019年冠状病毒病疫情而推迟盆底重建手术的女性中，有一半因护理延迟而感到不满，尤其是那些在2019年冠状病毒病疫情期间在情感和社会方面较为脆弱的女性。
