Department of Military Medicine and "Tzameret", Faculty of Medicine, Hebrew University of Jerusalem and Medical Corps, Israel Defense Forces, Jerusalem, Israel.
Faculty of Medicine, Hebrew University of Jerusalem, Jerusalem, Israel.
Int Urogynecol J. 2022 Dec;33(12):3407-3414. doi: 10.1007/s00192-022-05098-5. Epub 2022 May 2.
The objective was to examine knowledge regarding pelvic floor disorders (PFDs) among women during the third trimester of pregnancy.
A cross-sectional study was conducted at a large teaching medical center in Israel between June and September 2020. Women in their third trimester (N = 649) were asked to complete the validated Hebrew and Arabic versions of the Prolapse and Incontinence Knowledge Questionnaire (PIKQ). The PIKQ instrument examines the knowledge of two major PFDs: urinary incontinence (UI) and pelvic organ prolapse (POP). The study population included women over 18 years of age, in the third trimester, who speak and read Hebrew or Arabic fluently. Two separate scores were calculated, one for each section of the PIKQ. The association of questionnaire scores with the different independent variables was examined using Student's t test or one-way ANOVA. Correlations were examined using Pearson's or Spearman's correlation coefficient.
The Hebrew version was filled out by 405 women, and 244 women completed the Arabic version. The average questionnaire scores were 7.65 ± 2.8 and 5.32 ± 2 for the UI and POP sections respectively. Significantly higher average scores in both the UI and the POP sections were noted among health care workers (UI: 10.19 ± 2.3 vs 7.34 ± 2.6, p < 0.001; POP: 8.27 ± 2.7 vs 4.97 ± 2.6, p < 0.001), women with higher education (p < 0.001 in both parts) and those with higher incomes (p < 0.001 for both parts).
Knowledge of PFD among women in the third trimester of pregnancy in Israel was found to be low. Founding educational programs for targeted groups may improve both the knowledge of PFD and the quality of life for these women.
本研究旨在调查以色列妊娠晚期女性对盆底功能障碍（PFD）的认知。
2020 年 6 月至 9 月，在以色列一家大型教学医疗中心进行了一项横断面研究。招募了 649 名处于妊娠晚期的女性，让其填写经过验证的希伯来语和阿拉伯语版的脱垂和失禁知识问卷（PIKQ）。PIKQ 用于评估两种主要 PFD 的知识：尿失禁（UI）和盆腔器官脱垂（POP）。研究人群包括年龄在 18 岁以上、能熟练读写希伯来语或阿拉伯语的女性。我们计算了两个单独的分数，一个用于 PIKQ 的每个部分。使用 Student's t 检验或单因素方差分析检验问卷评分与不同自变量之间的关系。使用 Pearson 或 Spearman 相关系数检验相关性。
405 名女性填写了希伯来语版本，244 名女性填写了阿拉伯语版本。UI 部分和 POP 部分的问卷平均得分为 7.65±2.8 和 5.32±2。医护人员的 UI 部分和 POP 部分的平均得分均显著较高（UI：10.19±2.3 与 7.34±2.6，p<0.001；POP：8.27±2.7 与 4.97±2.6，p<0.001），受教育程度较高的女性（两个部分均 p<0.001）和收入较高的女性（两个部分均 p<0.001）。
在以色列，妊娠晚期女性对 PFD 的认知水平较低。针对特定人群开展教育项目，可能会提高这些女性对 PFD 的认知，并改善其生活质量。
