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"Broken"-How Identities as Women, Mothers and Partners Are Intertwined with the Experience of Living with and Seeking Treatment for Pelvic Organ Prolapse.“破碎”——女性、母亲和伴侣的身份如何与患有盆腔器官脱垂并寻求治疗的经历交织在一起。
Int J Environ Res Public Health. 2022 Apr 24;19(9):5179. doi: 10.3390/ijerph19095179.
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Health Soc Care Community. 2022 Nov;30(6):e5897-e5906. doi: 10.1111/hsc.14020. Epub 2022 Sep 8.
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Protocol for a prospective multisite cohort study investigating hysterectomy versus uterine preservation for pelvic organ prolapse surgery: the HUPPS study.前瞻性多中心队列研究方案,研究盆腔器官脱垂手术中子宫切除术与保留子宫的效果:HUPPS 研究。
BMJ Open. 2021 Oct 4;11(10):e053679. doi: 10.1136/bmjopen-2021-053679.
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Pelvic organ prolapse: Women's experiences of Accessing Care & Recommendations for improvement.盆腔器官脱垂:女性寻求治疗的经历及改进建议。
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Pelvic Organ Prolapse Takes Up Space in the Bedroom: A Mixed Method Exploration of the Circular Sexual Response Cycle in Women With Pelvic Organ Prolapse.盆腔器官脱垂占据卧室空间:盆腔器官脱垂女性圆形性反应周期的混合方法探索。
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Pelvic organ prolapse: The lived experience.盆腔器官脱垂:生活体验。
PLoS One. 2022 Nov 2;17(11):e0276788. doi: 10.1371/journal.pone.0276788. eCollection 2022.
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Perioperative interventions in pelvic organ prolapse surgery.盆腔器官脱垂手术的围手术期干预措施。
Cochrane Database Syst Rev. 2018 Aug 19;8(8):CD013105. doi: 10.1002/14651858.CD013105.

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Pelvic floor muscle training for female urinary incontinence: development of a programme theory from a longitudinal qualitative case study.女性尿失禁的盆底肌训练:一项纵向定性案例研究的方案理论发展。
BMC Womens Health. 2024 Aug 31;24(1):478. doi: 10.1186/s12905-024-03308-4.
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Pelvic organ prolapse: The lived experience.盆腔器官脱垂:生活体验。
PLoS One. 2022 Nov 2;17(11):e0276788. doi: 10.1371/journal.pone.0276788. eCollection 2022.

本文引用的文献

1
Pelvic Organ Prolapse Takes Up Space in the Bedroom: A Mixed Method Exploration of the Circular Sexual Response Cycle in Women With Pelvic Organ Prolapse.盆腔器官脱垂占据卧室空间:盆腔器官脱垂女性圆形性反应周期的混合方法探索。
Female Pelvic Med Reconstr Surg. 2022 May 1;28(5):315-320. doi: 10.1097/SPV.0000000000001123. Epub 2021 Nov 10.
2
The social meanings of choice in living-with advanced breast cancer.选择在晚期乳腺癌生存中的社会意义。
Soc Sci Med. 2021 Jul;280:114047. doi: 10.1016/j.socscimed.2021.114047. Epub 2021 May 20.
3
The toxic power dynamics of gaslighting in medicine.医学中煤气灯效应的有害权力动态。
Can Fam Physician. 2021 May;67(5):367-368. doi: 10.46747/cfp.6705367.
4
Pelvic organ prolapse surgery and health-related quality of life: a follow-up study.盆腔器官脱垂手术与健康相关生活质量:一项随访研究。
BMC Womens Health. 2021 Jan 2;21(1):4. doi: 10.1186/s12905-020-01146-8.
5
Pessaries (mechanical devices) for managing pelvic organ prolapse in women.用于治疗女性盆腔器官脱垂的子宫托(机械装置)。
Cochrane Database Syst Rev. 2020 Nov 18;11(11):CD004010. doi: 10.1002/14651858.CD004010.pub4.
6
Making a decision about surgery for female urinary incontinence: a qualitative study of women's views.关于女性尿失禁手术决策的质性研究:女性观点探讨
Int Urogynecol J. 2021 Jan;32(1):127-133. doi: 10.1007/s00192-020-04383-5. Epub 2020 Jun 29.
7
Gender inequality and restrictive gender norms: framing the challenges to health.性别不平等和限制性别规范:健康面临的挑战。
Lancet. 2019 Jun 15;393(10189):2440-2454. doi: 10.1016/S0140-6736(19)30652-X. Epub 2019 May 30.
8
Women's experiences of receiving care for pelvic organ prolapse: a qualitative study.女性盆腔器官脱垂护理经历的质性研究
BMC Womens Health. 2019 Mar 15;19(1):45. doi: 10.1186/s12905-019-0741-2.
9
Assessing research gaps and unmet needs in endometriosis.评估子宫内膜异位症研究中的空白和未满足的需求。
Am J Obstet Gynecol. 2019 Aug;221(2):86-94. doi: 10.1016/j.ajog.2019.02.033. Epub 2019 Feb 18.
10
How do patients and surgeons decide on uterine preservation or hysterectomy in apical prolapse?在顶端脱垂的情况下,患者和外科医生如何决定保留子宫还是进行子宫切除术?
Int Urogynecol J. 2018 Aug;29(8):1075-1079. doi: 10.1007/s00192-018-3685-4. Epub 2018 Jun 11.

“破碎”——女性、母亲和伴侣的身份如何与患有盆腔器官脱垂并寻求治疗的经历交织在一起。

"Broken"-How Identities as Women, Mothers and Partners Are Intertwined with the Experience of Living with and Seeking Treatment for Pelvic Organ Prolapse.

机构信息

Department of Obstetrics & Gynecology, Cumming School of Medicine, University of Calgary, 2500 University Drive NW, Calgary, AB T2N 1N4, Canada.

Department of Sociology, Faculty of Arts, University of Calgary, 2500 University Drive NW, Calgary, AB T2N 1N4, Canada.

出版信息

Int J Environ Res Public Health. 2022 Apr 24;19(9):5179. doi: 10.3390/ijerph19095179.

DOI:10.3390/ijerph19095179
PMID:35564573
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9100064/
Abstract

Pelvic Organ Prolapse (POP) occurs when one or more pelvic organs descend into or through the vaginal opening, significantly impacting physical and mental health. POP affects the female reproductive tract and, overwhelmingly, people who identify as women. However, little research has examined the impact of gendered expectations on women's treatment-seeking for POP and their decision-making around surgery for POP. To address this gap, we conducted semi-structured interviews with 26 women seeking surgery for POP in Alberta, Canada. Data were analyzed from a gender-based lens, using the Framework Method. Participants reported the need to balance their identities as women, partners, and mothers in their pursuit of treatment and faced many barriers to treatment related to their gendered responsibilities. Findings highlight the gendered experiences of prolapse in the context of healthcare needs and can inform policies and practices which promote more equitable access to prolapse treatment.

摘要

盆腔器官脱垂(POP)是指一个或多个盆腔器官下降或穿过阴道开口,这会对身心健康产生重大影响。POP 影响女性生殖系统,绝大多数是被认定为女性的人会受到影响。然而,很少有研究探讨性别期望对女性寻求 POP 治疗的影响,以及她们在 POP 手术方面的决策。为了解决这一差距,我们对 26 名在加拿大阿尔伯塔省寻求 POP 手术的女性进行了半结构化访谈。研究从基于性别的角度出发,使用框架方法对数据进行分析。参与者报告说,她们在寻求治疗时需要平衡自己作为女性、伴侣和母亲的身份,并且在治疗方面面临许多与性别责任相关的障碍。研究结果突出了脱垂在医疗需求方面的性别体验,并为促进更公平地获得脱垂治疗的政策和实践提供了信息。