开发和验证一种工具来识别孕妇和产后妇女的门失禁
Julie M Tucker1, Karolina M Juszczyk2, Elizabeth Mary Anne Murphy2
1Northern Adelaide Local Health Network Women and Children's Division, Elizabeth Vale, South Australia, Australia.
Diseases of the colon and rectum
|July 24, 2023
概括
一种新的查工具可靠地识别孕妇和产后妇女的门不 incontinence,检测比现有方法更高的发病率. 这种工具有助于临床医生为这些妇女提供常规护理.
科学领域:
- 产科和妇科 产科和妇科
- 盆地底疾病 盆地底疾病
- 临床评估工具 临床评估工具
背景情况:
- 怀孕和分娩可能会导致骨盆底损伤,导致门失禁.
- 在孕妇和产后妇女中缺乏门失禁的例行查.
- 目前,对于这一群体,没有经过验证的查工具.
研究的目的:
- 开发和验证门失禁查工具.
- 创建一个适合在孕妇和产后妇女的常规临床使用的工具.
主要方法:
- 该研究涉及两个阶段:第一阶段 (测试-重新测试可靠性与45名妇女) 和第二阶段 (试点与现有工具的比较使用358名妇女).
- 检查肠道查问卷的可靠性和有效性与已建立的评分系统进行了测试.
主要成果:
- 开发的工具表现出了很好的测试重复测试可靠性 (κ = 0.831.0).
- 第二阶段显示了与现有工具的公平或良好的一致性 (κ = 0.410.71).
- 新工具在53%的女性中检测到门失禁,明显高于Vaizey (33%) 和Wexner (36%) 的得分,完成率为99%.
结论:
- 开发的问卷是一个可靠和有效的工具,用于识别内不.
- 它报告了肠道失禁的高发病率,急迫性和浮是关键症状.
- 该工具可以帮助在孕妇和产后妇女的门失禁的常规查和管理.
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