School of Midwifery, Institute of Health, Jimma University, Jimma, Ethiopia.
Department of Health, Behavior, and Society, Faculty of Public Health, Jimma University, Jimma, Ethiopia.
Front Public Health. 2022 Oct 28;10:987659. doi: 10.3389/fpubh.2022.987659. eCollection 2022.
Living with obstetric fistulas is detrimental to the quality of life of women with fistulas. This study aimed to assess the quality of life and predictive factors among women with obstetric fistula in Ethiopia.
A cross-sectional study was employed on consecutively selected 478 women. Linear regressions were used for data analysis.
The mean quality of life in physical, psychological, social, and environmental health domains and the overall quality of life were 40.59 ± 1.58, 38.10 ± 1.78, 29.59 ± 1.97, 34.21 ± 1.65, and 44.61 ± 3.99 respectively. Repair outcome without urinary inconsistence (β = 5.2; 95% CI = 0.72, 9.64), self-esteem (β = 1.3; 95% CI = 0.96, 1.57), negative attitude (β = 5.1; 95% CI = 1.86, 8.33), waiting treatment (β = -8.4; 95% CI = -15.54, -1.10), and low intention (β = 4.7; 95% CI = 1.52, 7.93) were predictors of the quality of life in physical domain. Repair outcome without urinary inconsistence (β = 5.9; 95% CI = 1.73, 9.99), self-esteem (β = 1.8; 95% CI = 1.47, 2.11), negative attitude (β = -6.4; 95% CI = -9.60, -3.25), fathers at primary school (β = 12.5; 95% CI = 0.08, 24.82), living only with parents (β = 4.9; 95% CI = 0.99, 8.90), time of care-seeking (β = -0.01, 95% CI = -0.02, -0.002), and duration lived with fistula (β = -5.4; 95% CI = -9.12, -1.68) were predictors of psychological domain. Dead birth (β = -5.2; 95% CI = -9.86, -0.51), self-esteem (β = 1.1; 95% CI = 0.72, 1.43), and living only with parents (β = 5.5; 95% CI = 0.30, 10.69), and living only with husband (β = 7.8; 95% CI = 2.01, 13.55) were predictors of social domain. Living in rural (β = -6; 95% CI = -9.22, -2.79), women at secondary school (β = 14.1; 95% CI = 3.67, 24.48), self-esteem (β = 1.3; 95% CI = 0.99, 1.55), negative attitude (β = -5.1; 95% CI = -7.97, -2.29) were predictors of quality of life in environmental domain. Repair outcome without urinary inconsistence (β = 8.3; 95% CI = 0.62, 16.02), self-esteem (β = 2.1; 95% CI = 1.34, 2.79), and living only with parents (β = 2.9; 95% CI = 1.06, 4.76) were significant predictors of the overall quality of life.
The quality of life of women with obstetric fistula was low. Repair outcomes, self-esteem, negative attitudes, rural residence, living with parents, and time of care-seeking were significant predictors of quality of life. Urgent measures should be taken to address these factors to improve the quality of life of women with fistula.
患有产科瘘的女性生活质量受损。本研究旨在评估埃塞俄比亚产科瘘女性的生活质量及其预测因素。
采用连续选择的 478 名女性进行横断面研究。采用线性回归进行数据分析。
身体、心理、社会和环境健康领域以及整体生活质量的平均生活质量分别为 40.59 ± 1.58、38.10 ± 1.78、29.59 ± 1.97、34.21 ± 1.65 和 44.61 ± 3.99。无尿失禁修复结果（β=5.2；95%CI=0.72，9.64）、自尊（β=1.3；95%CI=0.96，1.57）、消极态度（β=5.1；95%CI=1.86，8.33）、等待治疗（β=-8.4；95%CI=-15.54，-1.10）和低意向（β=4.7；95%CI=1.52，7.93）是身体领域生活质量的预测因素。无尿失禁修复结果（β=5.9；95%CI=1.73，9.99）、自尊（β=1.8；95%CI=1.47，2.11）、消极态度（β=-6.4；95%CI=-9.60，-3.25）、父亲上过小学（β=12.5；95%CI=0.08，24.82）、仅与父母同住（β=4.9；95%CI=0.99，8.90）、寻求治疗的时间（β=-0.01，95%CI=-0.02，-0.002）和瘘管生活时间（β=-5.4；95%CI=-9.12，-1.68）是心理领域生活质量的预测因素。死产（β=-5.2；95%CI=-9.86，-0.51）、自尊（β=1.1；95%CI=0.72，1.43）和仅与父母同住（β=5.5；95%CI=0.30，10.69）、仅与丈夫同住（β=7.8；95%CI=2.01，13.55）是社会领域生活质量的预测因素。居住在农村地区（β=-6；95%CI=-9.22，-2.79）、中学学历女性（β=14.1；95%CI=3.67，24.48）、自尊（β=1.3；95%CI=0.99，1.55）、消极态度（β=-5.1；95%CI=-7.97，-2.29）是环境领域生活质量的预测因素。无尿失禁修复结果（β=8.3；95%CI=0.62，16.02）、自尊（β=2.1；95%CI=1.34，2.79）和仅与父母同住（β=2.9；95%CI=1.06，4.76）是总体生活质量的显著预测因素。
产科瘘女性的生活质量较低。修复结果、自尊、消极态度、农村居住、与父母同住和寻求治疗的时间是生活质量的重要预测因素。应采取紧急措施解决这些因素，以提高瘘管女性的生活质量。
