关于产后盆地底功能障碍的KAPP-医疗保健专业人员的知识,态度和实践:来自德国的跨部门研究
Bettina Blau-Schneider1,2, Esra Bilir3,4,5, Matthias Kiesel6
1Department of Obstetrics and Gynecology, University Hospital of Wuerzburg, Josef-Schneider-Strasse 4, 97080, Würzburg, Germany. blauschnei_b@ukw.de.
International urogynecology journal
|December 16, 2025
概括
医疗保健专业人员知道怀孕的骨盆底功能障碍 (PFD) 风险,但很少向患者提供预防建议. 医生比助产士更有可能将剖腹产 (CS) 视为保护性,强调需要更好的PFD咨询协议.
科学领域:
- 产科和妇科 产科和妇科
- 盆地健康 盆地健康
- 公共卫生 公共卫生
背景情况:
- 怀孕和分娩是骨盆底功能障碍 (PFD) 的重要危险因素.
- 需要了解医疗保健专业人员对产后PFD预防的认识和做法.
- 剖腹产 (CS) 有时被认为是PFD的预防措施.
研究的目的:
- 评估德国医生,助产士和理疗师关于产后PFD的知识和意识.
- 评估目前提供PFD预防咨询的做法.
- 探索专业差异的认知CS作为一个预防措施的PFD.
主要方法:
- 在德国的医疗保健专业人员中进行了一项匿名,电子,横截面的调查.
- 该调查针对涉及产科或产后护理的医生,助产士和理疗师.
- 数据使用奇平方测试进行分析,以比较专业群体.
主要成果:
- 大多数受访者表现出对PFD风险的高度认识,但只有36.8%的受访者经常提供产后PFD咨询.
- 虽然79.8%的人询问PFD症状,但一致的咨询率很低.
- 医生比助产士更有可能考虑CS保护PFD和个人/伴侣使用.
结论:
- 尽管意识很高,但医疗保健专业人员中常规的产后PFD咨询很少发生.
- 医生和助产士之间存在显著的差异,关于CS对PFD的感知保护作用.
- 将结构化的PFD咨询纳入产前和产后护理是至关重要的.
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