Objective:Pelvic floor dysfunction is common among pregnant and postpartum women and significantly impacts quality of life.This study aims to translate the German Pelvic Floor Questionnaire for Pregnant and Postpartum...Objective:Pelvic floor dysfunction is common among pregnant and postpartum women and significantly impacts quality of life.This study aims to translate the German Pelvic Floor Questionnaire for Pregnant and Postpartum Women into Chinese and to evaluate its reliability and validity in the Chinese population.Methods:The questionnaire was translated using the Brislin model.A cross-sectional study was conducted among pregnant and postpartum women to assess the content validity,construct validity,Cronbach’sαcoefficient,test-retest reliability,and split-half reliability of the Chinese version.Results:A total of 72 women were included,with 6.9% being pregnant and 93.1% postpartum;the age was(32.3±3.6)years.The Chinese version of the questionnaire contains 4 dimensions and 45 items.The content validity index of individual items ranged from 0.833 to 1.000,with a scale-level content validity index of 0.977 and intraclass correlation coefficients(ICCs)exceeding 0.90.The overall Cronbach’s α coefficient was 0.891,with subscale coefficients ranging from 0.732 to 0.884(all ICCs>0.70).The testretest reliability of the total scale was 0.833,and for the 4 dimensions,bladder,bowel,prolapse,and sexual function,the values were 0.776,0.579,0.732,and 0.645,respectively.The split-half reliability was 0.74.Conclusion:The Chinese version of the questionnaire demonstrated good reliability and validity,indicating its applicability in assessing pelvic floor dysfunction and associated risk factors during pregnancy and postpartum.展开更多
目的:探讨经阴道骶棘韧带固定术(SSLF)与盆底重建术(PFR)对子宫脱垂患者的临床疗效及术后生活质量的影响。方法:选择子宫脱垂患者25例行SSLF作为研究组,35例患者行PFR作为对照组,收集两组患者住院期间的手术相关指标(手术时间、术中出...目的:探讨经阴道骶棘韧带固定术(SSLF)与盆底重建术(PFR)对子宫脱垂患者的临床疗效及术后生活质量的影响。方法:选择子宫脱垂患者25例行SSLF作为研究组,35例患者行PFR作为对照组,收集两组患者住院期间的手术相关指标(手术时间、术中出血量、术后发热、解剖恢复、术后自主排尿时间、住院时间、手术费用等)及术后随访调查资料(复发病例数、术后大腿及臀部疼痛、新发尿失禁、便秘、阴道长度、性交疼痛及性生活满意度),采用盆底功能障碍问卷(PFDI-20)评价两组患者手术前后的生活质量。结果:研究组患者手术时间、术后自主排尿时间、平均住院日和手术费用均明显少于对照组,差异均有高度统计学意义( P <0.001);术后两组患者PFDI-20各分量表得分和总分均较术前降低( P <0.05),术后两组患者PEDI-20分量表UDI-6评分和PFDI-20总分差异有统计学意义( P <0.05);手术后随访资料结果显示,两组患者的复发率、会阴及臀部疼痛率、新发尿失禁发生率、便秘发生率、性交疼痛率及性生活满意度比例比较,差异均无统计学意义( P >0.05)。结论: SSLF相对于PFR治疗子宫脱垂患者的优点是手术时间较短、术后自主排尿时间较早、平均住院日较少和手术费用较低,能提高患者术后的生活质量,且可以达到同样的远期效果,值得临床推广。展开更多
基金supported by the Natural Science Foundation of Hunan Province(2024JJ6626)the Hunan Provincial Key Laboratory of Regional Hereditary Birth Defects Prevention and Control(HPKL202320),China.
文摘Objective:Pelvic floor dysfunction is common among pregnant and postpartum women and significantly impacts quality of life.This study aims to translate the German Pelvic Floor Questionnaire for Pregnant and Postpartum Women into Chinese and to evaluate its reliability and validity in the Chinese population.Methods:The questionnaire was translated using the Brislin model.A cross-sectional study was conducted among pregnant and postpartum women to assess the content validity,construct validity,Cronbach’sαcoefficient,test-retest reliability,and split-half reliability of the Chinese version.Results:A total of 72 women were included,with 6.9% being pregnant and 93.1% postpartum;the age was(32.3±3.6)years.The Chinese version of the questionnaire contains 4 dimensions and 45 items.The content validity index of individual items ranged from 0.833 to 1.000,with a scale-level content validity index of 0.977 and intraclass correlation coefficients(ICCs)exceeding 0.90.The overall Cronbach’s α coefficient was 0.891,with subscale coefficients ranging from 0.732 to 0.884(all ICCs>0.70).The testretest reliability of the total scale was 0.833,and for the 4 dimensions,bladder,bowel,prolapse,and sexual function,the values were 0.776,0.579,0.732,and 0.645,respectively.The split-half reliability was 0.74.Conclusion:The Chinese version of the questionnaire demonstrated good reliability and validity,indicating its applicability in assessing pelvic floor dysfunction and associated risk factors during pregnancy and postpartum.
文摘目的:探讨经阴道骶棘韧带固定术(SSLF)与盆底重建术(PFR)对子宫脱垂患者的临床疗效及术后生活质量的影响。方法:选择子宫脱垂患者25例行SSLF作为研究组,35例患者行PFR作为对照组,收集两组患者住院期间的手术相关指标(手术时间、术中出血量、术后发热、解剖恢复、术后自主排尿时间、住院时间、手术费用等)及术后随访调查资料(复发病例数、术后大腿及臀部疼痛、新发尿失禁、便秘、阴道长度、性交疼痛及性生活满意度),采用盆底功能障碍问卷(PFDI-20)评价两组患者手术前后的生活质量。结果:研究组患者手术时间、术后自主排尿时间、平均住院日和手术费用均明显少于对照组,差异均有高度统计学意义( P <0.001);术后两组患者PFDI-20各分量表得分和总分均较术前降低( P <0.05),术后两组患者PEDI-20分量表UDI-6评分和PFDI-20总分差异有统计学意义( P <0.05);手术后随访资料结果显示,两组患者的复发率、会阴及臀部疼痛率、新发尿失禁发生率、便秘发生率、性交疼痛率及性生活满意度比例比较,差异均无统计学意义( P >0.05)。结论: SSLF相对于PFR治疗子宫脱垂患者的优点是手术时间较短、术后自主排尿时间较早、平均住院日较少和手术费用较低,能提高患者术后的生活质量,且可以达到同样的远期效果,值得临床推广。
