Lin Jing, Yu Bin, He Yong, Tang Ni, He Qianying
Department of Postpartum Health, Qingyuan Maternal and Child Health Hospital, Qingyuan, 511515, Guangdong Province, China.
Department of Rehabilitation Medicine, Affiliated Qingyuan Hospital, Guangzhou Medical University, Qingyuan People's Hospital, Qingyuan, 511518, Guangdong Province, China.
Int Urogynecol J. 2025 Jan 22. doi: 10.1007/s00192-025-06043-y.
This research sought to explore the knowledge, attitude, and practice (KAP) toward pelvic floor dysfunction (PFD) among postpartum and postmenopausal women.
This cross-sectional study was performed among postpartum and postmenopausal women between May and August 2023. Demographic data, along with KAP scores, were collected using a self-designed questionnaire-based approach.
Six hundred seventy-seven valid questionnaires were collected and analyzed, with 206 (30.43%) participants aged under 30 years old. The mean scores of knowledge, attitude, and practice dimension were 7.1 ± 2.42 (range 0-9), 33.42 ± 4.75 (range 8-40), and 24.69 ± 6.68 (range 7-35). Proactive practice was independently associated with knowledge scores (OR 1.150, 95%CI 1.059-1.249, P = 0.001), attitude scores (OR 1.125, 95%CI 1.081-1.171, P < 0.001), age 30 years or older (OR 2.326, 95%CI 1.555-3.481, P < 0.001), and being in a postpartum state (OR 0.542, 95%CI 0.325-0.903, P = 0.019). The structured equation model revealed that knowledge exerted a strong positive direct effect on attitude (β = 0.634, P < 0.001), attitude had a significant direct effect on practice (β = 0.681, P < 0.001), and knowledge also markedly influenced practice (β = 0.907, P < 0.001).
Postpartum and postmenopausal women demonstrated adequate knowledge, positive attitudes, and proactive practices regarding PFD. It emphasizes the significance of tailored education, a holistic approach, and behavioral interventions to improve clinical practice in pelvic floor health.
本研究旨在探讨产后及绝经后女性对盆底功能障碍（PFD）的知识、态度和行为（KAP）。
本横断面研究于2023年5月至8月在产后及绝经后女性中进行。采用基于自行设计问卷的方法收集人口统计学数据以及KAP评分。
共收集并分析了677份有效问卷，其中206名（30.43%）参与者年龄在30岁以下。知识、态度和行为维度的平均得分分别为7.1±2.42（范围0 - 9）、33.42±4.75（范围8 - 40）和24.69±6.68（范围7 - 35）。积极行为与知识得分（OR 1.150，95%CI 1.059 - 1.249，P = 0.001）、态度得分（OR 1.125，95%CI 1.081 - 1.171，P < 0.001）、30岁及以上年龄（OR 2.326，95%CI 1.555 - 3.481，P < 0.001）以及处于产后状态（OR 0.542，95%CI 0.325 - 0.903，P = 0.019）独立相关。结构方程模型显示，知识对态度有强烈的正向直接影响（β = 0.634，P < 0.001），态度对行为有显著直接影响（β = 0.681，P < 0.001），且知识对行为也有明显影响（β = 0.907，P < 0.001）。
产后及绝经后女性对盆底功能障碍表现出足够的知识、积极的态度和积极的行为。这强调了针对性教育、整体方法和行为干预对改善盆底健康临床实践的重要性。
