盆腔底压力困扰量表（PFDI-20）和盆腔底生活质量问卷（PFIQ-7）在压力性和混合性尿失禁女性接受盆腔底肌肉训练后的反应性。

Responsiveness of Pelvic Floor Distress Inventory (PFDI-20) and Pelvic Floor Impact Questionnaire (PFIQ-7) after pelvic floor muscle training in women with stress and mixed urinary incontinence.

机构信息

Physical Therapy Post-Graduate Program, Federal University of São Carlos (UFSCar), SP, Brazil; Department of Physiotherapy, Federal University of Ceará (UFC), Fortaleza, Brazil.

Health Science Department, University of São Paulo (USP), Ribeirão Preto, Brazil.

出版信息

Eur J Obstet Gynecol Reprod Biol. 2020 Dec;255:129-133. doi: 10.1016/j.ejogrb.2020.10.039. Epub 2020 Oct 22.

DOI:10.1016/j.ejogrb.2020.10.039

PMID:33129014

Abstract

OBJECTIVE

To evaluate the responsiveness of Brazilian-Portuguese version of Pelvic Floor Distress Inventory-20 (PFDI-20) and Pelvic Floor Impact Questionnaire-7 (PFIQ-7) after pelvic floor muscle training (PFMT) in women with stress urinary incontinence (SUI) and mixed urinary incontinence (MUI).

STUDY DESIGN

This is an observational study with 72 women (51.8 ± 11.9SD years) with SUI (n = 33) and MUI (n = 39). Participants answered PFDI-20 and PFIQ-7 before and after PFMT, which consisted of a 12 weeks protocol supervised by a physiotherapist once a week with 30 min of a duration. Wilcoxon test, effect size (ES) and standardized response mean (SRM) were performed on baseline and after three months.

RESULTS

We found a significant reduction in PFDI-20 and PFIQ-7 after PFMT (p < 0.001), except for Pelvic Organ Prolapses Distress Inventory (POPDI-16), Colorectal-Anal Impact Questionnaire (CRAIQ-7) and Pelvic Organ Prolapse Impact Questionnaire (POPIQ-7). The responsiveness of both questionnaires was considered moderate for PFDI-20 (ES = 0.49; SEM = 0.61; p < 0.0001) and PFIQ-7 (ES = 0.51; SEM = 0.52; p < 0.0001).

CONCLUSIONS

PFDI-20 and PFIQ-7 Brazilian Portuguese version presented moderate responsiveness in women with SUI and MUI who performed a PFMT.

摘要

目的

评估盆底功能障碍问卷-20 项（PFDI-20）和盆底生活质量问卷-7 项（PFIQ-7）的巴西葡萄牙语版本在接受盆底肌肉训练（PFMT）后对压力性尿失禁（SUI）和混合性尿失禁（MUI）女性的反应性。

研究设计

这是一项观察性研究，共有 72 名女性（平均年龄 51.8±11.9 岁）参与，其中 33 名为 SUI 患者，39 名为 MUI 患者。参与者在接受 PFMT 前后分别回答了 PFDI-20 和 PFIQ-7，PFMT 方案为期 12 周，由一名物理治疗师每周监督一次，每次持续 30 分钟。在基线和三个月后进行了 Wilcoxon 检验、效应量（ES）和标准化反应均值（SRM）。

结果

我们发现 PFMT 后 PFDI-20 和 PFIQ-7 显著降低（p<0.001），除了盆腔器官脱垂困扰问卷（POPDI-16）、肛肠生活质量问卷（CRAIQ-7）和盆腔器官脱垂影响问卷（POPIQ-7）。PFDI-20 的反应性被认为是中度的（ES=0.49；SEM=0.61；p<0.0001），PFIQ-7 的反应性也是中度的（ES=0.51；SEM=0.52；p<0.0001）。