产后盆腔器官脱垂：对性功能、生活质量和心理健康的影响。

Pelvic organ prolapse after delivery: effects on sexual function, quality of life, and psychological health.

机构信息

Department of Nursing, Shenzhen Hospital, Southern Medical University, Shenzhen 518101, China.

School of Nursing, Southern Medical University, Guangzhou 510515, China.

出版信息

J Sex Med. 2023 Nov 30;20(12):1384-1390. doi: 10.1093/jsxmed/qdad120.

DOI:10.1093/jsxmed/qdad120

PMID:37814537

Abstract

BACKGROUND

Living with pelvic organ prolapse (POP) after delivery negatively impacted women's daily living and was detrimental to their psychological health.

AIM

The purpose of the present study was to explore the effects of POP after delivery on women's sexual function, quality of life (QoL), and psychological health within the first year following delivery.

METHODS

A cross-sectional study was conducted with 640 female participants at obstetric clinic in 2 hospitals in Shenzhen, China.

OUTCOMES

All women completed following questionnaires: short form of the Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ-12) on sexual function, Pelvic Floor Distress Inventory-20 (PFDI-20) on well-being and QoL, Symptom Checklist-90-Revised (SCL-90-R) on psychological health, and International Consultation on Incontinence Questionnaire Short Form.

RESULTS

Women with symptomatic POP (N = 250) had higher mean scores (P < .05) than those without symptoms (N = 390) in PISQ-12, PFDI-20, and SCL-90-R domains. In the symptomatic POP group (N = 250), the sexually dysfunctional group (N = 137) had significantly higher mean scores (P < .001) than the sexually functional group (N = 113) in PISQ-12, PFDI-20, and SCL-90-R domains. Women with POP duration ≥6 months (N = 132) had significantly higher mean scores (P < .001) than women with POP duration <6 months (N = 118) in PISQ-12, PFDI-20, and SCL-90-R domains. The multiple linear regression model of PISQ-12 showed that constipation history, regular pelvic floor muscle training, parity, and symptomatic POP were independently correlated with the questionnaire score (P < .05).

CLINICAL IMPLICATIONS

The significantly pervasive nature of POP often leads to the neglect of a substantial percentage of sexual problems and related emotional suffering, emphasizing the critical importance of raising awareness about this issue among clinicians and the general public.

STRENGTHS AND LIMITATIONS

The current study brought attention to significant aspects of postpartum POP; the findings suggest issues concerning POP occurrences and their impacts on sexual function, QoL, and psychological health. Primary constraints are linked to the utilization of self-report assessments.

CONCLUSION

The current study reveals a robust correlation between POP in postpartum women and compromised sexual function, QoL, and psychological health.

摘要

背景

产后盆腔器官脱垂（POP）会对女性的日常生活产生负面影响，并对其心理健康造成损害。

目的

本研究旨在探讨产后 POP 对女性产后 1 年内性功能、生活质量（QoL）和心理健康的影响。

方法

本研究采用横断面研究，共纳入中国深圳 2 家医院产科门诊的 640 名女性参与者。

结果

所有女性均完成了以下问卷：性功能的盆腔器官脱垂/尿失禁性功能问卷（PISQ-12）短表、生活质量和 QoL 的盆底疾病困扰量表（PFDI-20）、心理健康的症状自评量表-90 修订版（SCL-90-R）和国际尿失禁咨询问卷简表。

结果

有症状的 POP 组（N=250）的 PISQ-12、PFDI-20 和 SCL-90-R 各维度的平均得分均高于无症状组（N=390）（P<0.05）。在有症状的 POP 组（N=250）中，性功能障碍组（N=137）的 PISQ-12、PFDI-20 和 SCL-90-R 各维度的平均得分显著高于性功能正常组（N=113）（P<0.001）。POP 持续时间≥6 个月的女性（N=132）的 PISQ-12、PFDI-20 和 SCL-90-R 各维度的平均得分显著高于 POP 持续时间<6 个月的女性（N=118）（P<0.001）。PISQ-12 的多元线性回归模型显示，便秘史、定期盆底肌训练、产次和有症状的 POP 与问卷评分独立相关（P<0.05）。