产前和产后查盆地功能障碍使用电子患者报告结果测量仪
Thomas James Curtis1,2, Jenna Sweeney3, Thomas Giles Gray4,5
1Department of Obstetrics & Gynaecology, Norfolk & Norwich University Hospitals NHS Foundation Trust, Norwich, UK. tomjcurtis@doctors.org.uk.
International urogynecology journal
|September 13, 2025
概括
使用电子患者报告结果测量 (PROM) 查孕妇和产后妇女的骨盆底功能障碍 (PFD) 可以识别需要干预的患者. 产后妇女的PFD症状明显比产前妇女更严重.
科学领域:
- 产科和妇科 产科和妇科
- 盆腔健康 盆腔健康
- 数字健康数字健康
背景情况:
- 怀孕和分娩是导致骨盆底功能障碍 (PFD) 的主要原因.
- 在英国,对产前和产后PFD进行常规查并不是标准做法.
- 早期识别和干预对于管理PFD至关重要.
研究的目的:
- 识别患有PFD的产前和产后妇女.
- 使用经过验证的电子患者报告结果测量 (ePROM) 进行查.
- 根据症状严重程度得分提供有针对性的干预措施.
主要方法:
- 15,093名患者被邀请在三个NHS医院完成ePAQ-骨盆地ePROM.
- 受访者被分为产前和产后队列.
- 症状得分决定了对治疗助理从业者或专业的物理治疗师/泌尿科医生进行选.
主要成果:
- 完成了3366个ePROM (22.3%的响应率);1804名产前和806名产后参与者同意.
- 产后妇女报告了压力尿失禁,肠失禁,骨盆器官脱落,失精症,身体形象和性功能 (p < 0.0001) 的平均域得分明显较差.
- 601名患者被转介给物理治疗助理,150名患者被转介给专家.
结论:
- 电子PROM是有效的工具,用于识别患有PFD风险的产前和产后妇女.
- 产后妇女表现出更高的PFD症状负担.
- 需要进一步研究最佳的ePROM仪器,患者接受度和响应率的改善.
更多相关视频
06:28E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
8.7K
14:52Computerized Dynamic Posturography for Postural Control Assessment in Patients with Intermittent Claudication
Published on: December 11, 2013
12.0K
相关概念视频
01:26Muscles of the Pelvic Floor and Perineum
4.0K
The muscles of the pelvic floor and perineum are crucial for supporting the pelvic organs, controlling continence, and aiding in sexual function, childbirth, and core stability. They are typically divided into the superficial perineal layer and the deep pelvic floor layer.
Perineal Layer
The perineum is a diamond-shaped area below the pelvic diaphragm, divided into an anterior urogenital triangle that contains the external genitals and a posterior anal triangle housing the anus. The urogenital...
Perineal Layer
The perineum is a diamond-shaped area below the pelvic diaphragm, divided into an anterior urogenital triangle that contains the external genitals and a posterior anal triangle housing the anus. The urogenital...
4.0K
01:25Assessment of the Rectum and Anus
1.0K
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,...
1.0K