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2022 年,在埃塞俄比亚南部妇科诊所就诊的盆腔器官脱垂女性的生活质量及其相关因素。

Quality of life and its associated factors among women with pelvic organ prolapse who attend gynecology clinics Southern Ethiopia 2022.

机构信息

Department of Midwifery, Hosanna health science colleg, Hosanna, Ethiopia.

Department of Midwifery, College of Medicine and Health Science, Bahir Dar University, Bahir Dar, Ethiopia.

出版信息

BMC Womens Health. 2024 Jul 12;24(1):398. doi: 10.1186/s12905-024-03238-1.

DOI:10.1186/s12905-024-03238-1
PMID:38997642
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11241974/
Abstract

INTRODUCTION

Pelvic organ prolapse is the implosion of one or more pelvic floor structures which affect womens quality of life by compromising overall health, physical, social, structural, functional and emotional well-being.

OBJECTIVE

To assess the quality of life and its associated factors among women with pelvic organ prolapse who attend gynecology clinics at Gurage zone hospitals, Southern Ethiopia 2022.

METHODS

Facility-based cross-sectional study was applied in gurage zone hospital from April, 30 to Jun 30, 2022. Systematic random sampling was employed to select 416 women. Interview based structured questionnaires were applied to collect the data. The collected data were analyzed using Statistical Produte and Service Solution. Binary and multivariable logistic regressions were fitted to assess the association between dependent and independent variables. P-value < 0.05 was used to declare the final statistical significance.

RESULT

The mean (SD) score of quality of life in this study was 53.57 (21.59). The most affected domains were general health perception and physical limitation (mean (SD) score 67.45 29.24) and (64.26 32.36)) respectively. Had no formal education (AOR = 1.50, 95% CI: 1.02, 3.12), stage III/IV POP (AOR = 2.02, 95% CI: 1.19, 3.60), constipation (AOR = 3.51, 95% CI: 2.12, 7.21), urge urinary incontinence (AOR = 3.89, 95% CI: 2.32, 6.95), and not did regular physical exercise (AOR = 2.18, 95% CI: 1.41, 3.37) were significantly associated with poor quality of life.

CONCLUSION

More than half of the participants in this study had impaired quality of life. The factor associated with quality of life was had no formal education, stage III/IV, constipation, urge urinary incontinence, and regular physical activity. It is recommended to have access education, counseling regular physical activity, detection, and management of its comorbidity.

摘要

引言

盆腔器官脱垂是指一个或多个盆底结构的内陷,通过影响整体健康、身体、社会、结构、功能和情感健康来影响女性的生活质量。

目的

评估 2022 年在埃塞俄比亚南部古拉格地区医院妇科诊所就诊的盆腔器官脱垂妇女的生活质量及其相关因素。

方法

2022 年 4 月 30 日至 6 月 30 日,在古拉格地区医院进行了基于设施的横断面研究。采用系统随机抽样选择了 416 名妇女。采用基于访谈的结构化问卷收集数据。使用统计产品和服务解决方案分析收集的数据。采用二项和多变量逻辑回归评估因变量和自变量之间的关系。P 值<0.05 用于宣布最终的统计学意义。

结果

本研究中生活质量的平均(SD)评分(53.57)(21.59)。受影响最严重的领域是一般健康感知和身体限制(平均(SD)评分分别为 67.45 和 29.24)和 64.26 和 32.36)。没有接受过正规教育(AOR=1.50,95%CI:1.02,3.12),III/IV 期 POP(AOR=2.02,95%CI:1.19,3.60),便秘(AOR=3.51,95%CI:2.12,7.21),急迫性尿失禁(AOR=3.89,95%CI:2.32,6.95),且未定期进行体育锻炼(AOR=2.18,95%CI:1.41,3.37)与生活质量差显著相关。

结论

本研究中超过一半的参与者生活质量受损。与生活质量相关的因素是没有接受过正规教育、III/IV 期、便秘、急迫性尿失禁和定期体育锻炼。建议获得教育、定期进行身体活动咨询、发现和管理其合并症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/02b1/11241974/b64ea839a002/12905_2024_3238_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/02b1/11241974/b64ea839a002/12905_2024_3238_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/02b1/11241974/b64ea839a002/12905_2024_3238_Fig1_HTML.jpg

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