From the Division of Female Pelvic Medicine & Reconstructive Surgery, Department of Obstetrics and Gynecology, Rush University, Chicago, IL.
Female Pelvic Med Reconstr Surg. 2021 Jul 1;27(7):439-443. doi: 10.1097/SPV.0000000000000925.
The purpose of this study was to describe preference for and knowledge of hysterectomy routes in women presenting to urogynecology/gynecology clinics throughout the United States and to determine association with health literacy. Our primary aim was preference for hysterectomy route, and secondary aims were knowledge of basic pelvic structures and function, knowledge of various hysterectomy routes, and baseline health literacy level.
This multicenter, cross-sectional study was conducted through the Fellows' Pelvic Research Network. Patients' preference and knowledge for hysterectomy routes were assessed at initial presentation to the urogynecology/gynecology clinic with an anonymous, voluntary, self-administered questionnaire along with a validated health literacy test (Medical Term Recognition Test).
Two hundred four women participated. Forty-five percent of patients were unsure which hysterectomy modality they would choose. Of patients who selected a preferred modality, 50% selected laparoscopic and 33% selected vaginal. Patients indicated that safety was considered highest priority when selecting route. The mean score for "knowledge about gynecology/hysterectomy" was 68%, with the high literacy group scoring higher compared with the low health literacy group (70% vs 60.1%, P = 0.01). More than 50% of patients incorrectly answered knowledge questions related to vaginal hysterectomy. Majority of the respondents had high health literacy (79.4%).
Patients prefer laparoscopic hysterectomy approach, although have limited understanding of vaginal hysterectomy. Higher health literacy levels are associated with increased knowledge of gynecology and hysterectomy routes, but were not found to influence patient preference for hysterectomy route. Overall, patients have limited knowledge of vaginal hysterectomy.
本研究旨在描述美国各地泌尿妇科/妇科诊所就诊女性对子宫切除术途径的偏好和了解，并确定其与健康素养的关系。我们的主要目的是了解患者对子宫切除术途径的偏好，次要目的是了解基本盆腔结构和功能的知识、各种子宫切除术途径的知识以及基线健康素养水平。
这是一项多中心、横断面研究，通过研究员的盆腔研究网络进行。患者在初次就诊泌尿妇科/妇科诊所时，通过匿名、自愿、自我管理的问卷以及经过验证的健康素养测试（医学术语识别测试）来评估他们对子宫切除术途径的偏好和知识。
共有 204 名女性参与了研究。45%的患者不确定会选择哪种子宫切除术方式。在选择首选方式的患者中，50%选择腹腔镜，33%选择阴道。患者表示，在选择途径时，安全性被认为是最重要的。“妇科/子宫切除术相关知识”的平均得分为 68%，高 literacy 组的得分高于低 health literacy 组（70%比 60.1%，P=0.01）。超过 50%的患者答错了与阴道子宫切除术相关的知识问题。大多数受访者具有较高的健康素养（79.4%）。
患者更喜欢腹腔镜子宫切除术方法，但对阴道子宫切除术的了解有限。较高的健康素养水平与对妇科和子宫切除术途径的更多了解相关，但并未发现其影响患者对子宫切除术途径的偏好。总体而言，患者对阴道子宫切除术的了解有限。
