St. Joseph's Health Hospital, 104 Union Ave, Suite 804, Syracuse, NY, 13203, USA.
Department of Gynecology and Obstetrics, Division of Female Pelvic Medicine and Reconstructive Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Int Urogynecol J. 2023 Aug;34(8):1789-1796. doi: 10.1007/s00192-023-05459-8. Epub 2023 Feb 3.
Educational interventions have been effective in improving postpartum knowledge, performance of pelvic floor exercises, and bowel-specific quality-of-life. Our primary objective was to determine if a video-based educational intervention on pelvic floor disorders (PFDs) would increase Spanish-speaking women's knowledge of PFDs, and secondarily to assess if it would decrease pelvic floor symptoms. We hypothesized that Spanish-speaking women would improve their pelvic floor knowledge and symptoms post-intervention.
Inclusion criteria included women age 18 years and older and self-reported as a predominantly Spanish-speaker or equally bilingual English- and Spanish-speaker. Changes in knowledge were assessed with the Prolapse and Incontinence Knowledge Questionnaire (PIKQ). Changes in symptoms were assessed with the Pelvic Floor Distress Inventory-20 (PFDI-20). Linear regression assessed for independent effects.
One hundred and fourteen women were enrolled and 112 completed the pre- and post-intervention PIKQ. Mean (standard deviation [SD]) age was 50 (14) years. Immediate post-intervention scores showed significant improvement in knowledge. Total PIKQ score improved by 5.1 (4.7) points (p < 0.001). POP subscore improved by 2.7 (2.7) points (p<0.001) and UI subscore improved by 2.3 (2.5) points (p < 0.001). Improvement in knowledge continued after four weeks (p < 0.001). PFDI-20 prolapse (p=0.02), colorectal-anal (p < 0.001) and urinary (p = 0.01) scores significantly improved only for the most symptomatic women at baseline. Using linear regression, total PIKQ (p = 0.03) and total PFDI-20 scores (p = 0.04) were associated with predominantly Spanish-speakers versus fully bilingual.
Findings support the efficacy of a video-based educational intervention to improve knowledge of PFDs in Spanish-speaking women. The most symptomatic women benefitted from this intervention.
教育干预已被证实可有效提高产后知识、骨盆底运动的执行率和特定于肠道的生活质量。我们的主要目标是确定基于视频的骨盆底疾病（PFD）教育干预是否会增加西班牙语女性对 PFD 的了解，其次是评估它是否会减少骨盆底症状。我们假设西班牙语女性在干预后会提高她们的骨盆底知识和症状。
纳入标准包括年龄 18 岁及以上，自我报告为主要讲西班牙语者或双语（英语和西班牙语）者。知识的变化通过脱垂和失禁知识问卷（PIKQ）来评估。症状的变化通过骨盆底窘迫量表-20（PFDI-20）来评估。线性回归评估独立效应。
共纳入 114 名女性，其中 112 名完成了干预前后的 PIKQ。平均（标准差 [SD]）年龄为 50（14）岁。干预后的即时评分显示知识有显著提高。PIKQ 总分提高了 5.1（4.7）分（p<0.001）。POP 子评分提高了 2.7（2.7）分（p<0.001），UI 子评分提高了 2.3（2.5）分（p<0.001）。四周后知识的改善仍在继续（p<0.001）。PFDI-20 中的脱垂（p=0.02）、结直肠肛门（p<0.001）和尿失禁（p=0.01）评分仅在基线时最有症状的女性中显著改善。使用线性回归，PIKQ 总分（p=0.03）和 PFDI-20 总分（p=0.04）与主要讲西班牙语者与完全双语者相关。
研究结果支持基于视频的教育干预可有效提高西班牙语女性对 PFD 的认识。最有症状的女性从这种干预中受益。
