初级保健提供者在女性骨盆底疾病方面实践了一些模式
Anna Weimer1, Jennifer L Hallock2, Chi Chiung Grace Chen3
1Magee-Women's Hospital of UPMC, Pittsburgh, Pennsylvania, USA weimera3@upmc.edu.
Family medicine and community health
|March 14, 2024
概括
初级保健提供者 (PCP) 对于管理盆底疾病 (PFD) 至关重要. 然而,许多PCP缺乏舒适性,并面临转诊困难,特别是盆腔器官脱落和便失禁,这表明需要改善培训和合作.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 妇科 妇科医生 妇科
- 主要护理医学 医疗保健
背景情况:
- 骨盆底疾病 (PFD) 对女性的身体和心理健康产生重大影响.
- 由于患者不愿寻求护理,因此需要由初级保健提供者 (PCP) 进行主动查和管理.
研究的目的:
- 评估PCP实践,知识和舒适度在管理和转诊患者的PFDs.
- 确定与PCP管理不适和难以转移PFDs相关的因素.
主要方法:
- 一个在线调查被分发给PCP.
- 使用后勤回归分析来检查PCP特征与管理/转诊结果之间的关联.
主要成果:
- PCP报告说,管理压力尿失禁 (SUI) 和过度活动的膀 (OAB) 的舒适度大于盆腔器官缩 (POP) 和便失禁 (FI).
- 与SUI和OAB相比,选POP和FI的供应商较少.
- 与管理相关的不适与较少的PFD暴露相关,而与实践特征相关的转诊困难.
结论:
- 提高PCP意识和标准化PFD查协议是必不可少的.
- 加强PCP和骨盆底专家之间的合作,可以改善患者对PFD的护理.
相关概念视频
Disorders of the Female Reproductive System
357
The female reproductive system can be affected by several disorders, including Premenstrual Syndrome (PMS), Premenstrual Dysphoric Disorder (PMDD), endometriosis, and various forms of cancer. PMS and PMDD are cyclical conditions that cause physical and emotional distress, with symptoms that include edema, mood swings, and food cravings. PMDD is a more severe form of PMS characterized by increased symptom severity that peaks during the luteal phase and tends to improve or resolve shortly after...
357
Disorders of the Male Reproductive System
409
Men's health issues are increasingly recognized as significant, with several conditions posing common threats. Among these, testicular cancer is especially prevalent in younger men, particularly those aged 20 to 35 years. The disease often manifests as a painless mass in the testicles, sometimes accompanied by a sensation of heaviness or a dull ache.
Prostate disorders are another major concern. These conditions can impair urinary flow due to the prostate's location around the urethra....
Prostate disorders are another major concern. These conditions can impair urinary flow due to the prostate's location around the urethra....
409
Assessment of the Rectum and Anus
208
Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
208
Assessment of the Gastrointestinal System II: Health Perception Pattern
108
Assessing the gastrointestinal (GI) system is a complex process that begins with collecting subjective data. This data, collected through patient interviews, provides crucial insights into the patient's health history, perception patterns, and lifestyle habits, all contributing significantly to GI health.
Health Perception Patterns
Health perception patterns offer valuable insights into a patient's lifestyle habits and how they may impact their GI health. These patterns include:
Health Perception Patterns
Health perception patterns offer valuable insights into a patient's lifestyle habits and how they may impact their GI health. These patterns include:
108
Infertility in Females
292
Female infertility is defined as the inability to conceive after a year of regular, unprotected intercourse and affects about 10–15% of couples worldwide. The primary cause of female infertility is ovulatory disorders, which hinder the release of eggs. These disorders can be classified as hypothalamic amenorrhea, polycystic ovarian syndrome (PCOS), premature ovarian failure, and hyperprolactinemic anovulation disorders.
Endometriosis, a condition characterized by abnormal growth of...
Endometriosis, a condition characterized by abnormal growth of...
292
Disorders of the Urinary System
299
The urinary system is responsible for eliminating waste and excess fluids from the body. However, disorders of the urinary system can arise due to various reasons like infections, stress, age, congenital abnormalities, and lifestyle.
Urinary tract infections (UTIs) are one of the most common urinary system disorders. They are caused by bacteria that enter the urethra and can spread to the bladder resulting in cystitis. Pyelonephritis is the result of a UTI that has ascended to the level of the...
Urinary tract infections (UTIs) are one of the most common urinary system disorders. They are caused by bacteria that enter the urethra and can spread to the bladder resulting in cystitis. Pyelonephritis is the result of a UTI that has ascended to the level of the...
299


