Étude monocentrique sur les bénéfices de l’éducation thérapeutique pré-vaginoplastie

IF 0.6 4区医学 Q4 OBSTETRICS & GYNECOLOGY

Gynecologie Obstetrique Fertilite & Senologie Pub Date : 2025-02-21 DOI:10.1016/j.gofs.2025.02.004

David Bembaron, Jonathan Rausky, Michale Atlan, Patricia Laprade, Sarra Cristofari

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引用次数: 0

Abstract

Objectives

Therapeutic education has been investigated in various surgical contexts to assess its impact on outcomes and hospital stay duration. This retrospective observational study evaluates the benefits of therapeutic education in vaginoplasty, focusing on hospital stay duration, follow-up rate, and vaginal stenosis incidence.

Materials and methods

This study included all patients who underwent vaginoplasty between October 2018 and April 2021. A therapeutic education program, conducted by a specialized nurse, was introduced in June 2020, providing a control group (pre-June 2020) and a therapeutic education (TE) group (post-June 2020). Data were retrospectively analyzed, with the primary outcome being the length of hospital stay post-surgery.

Results

A total of 153 patients were included, with 121 in the control group and 32 in the TE group. The TE group experienced a significantly reduced hospital stay (5.56 days) compared to the control group (9.98 days), P < 0.001. Although no significant increase in follow-up rates was observed, a decrease in loss to follow-up was noted in the TE group. No significant reduction in the vaginal stenosis rate was found.

Conclusion

Preoperative therapeutic education for vaginoplasty appears to reduce hospital stay and reduce the loss to follow-up rate. To our knowledge, this is the first and largest study on this topic.

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[阴道成形术前治疗性教育益处的单中心研究]。

目的：研究了治疗性教育在不同手术环境中的作用，以评估其对预后和住院时间的影响。本回顾性观察性研究评估了阴道成形术治疗教育的益处，重点关注住院时间、随访率和阴道狭窄发生率。材料和方法：本研究包括2018年10月至2021年4月期间接受阴道成形术的所有患者。2020年6月引入了由专业护士进行的治疗教育计划，提供对照组（2020年6月前）和治疗教育（TE）组（2020年6月后）。回顾性分析数据，主要结局是术后住院时间。结果：共纳入153例患者，其中对照组121例，TE组32例。与对照组（9.98天）相比，TE组显著减少住院时间（5.56天），p < 0.001。虽然没有观察到随访率的显著增加，但在TE组中发现随访损失的减少。阴道狭窄率未见明显降低。结论：阴道成形术术前治疗性教育可减少住院时间，减少失访率。据我们所知，这是关于这一主题的第一次也是最大规模的研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Gynecologie Obstetrique Fertilite & Senologie Medicine-Obstetrics and Gynecology

CiteScore

1.70

自引率

0.00%

发文量

170

期刊介绍： Gynécologie Obstétrique Fertilité & Sénologie est un mensuel scientifique d''information et de formation destiné aux gynécologues, aux obstétriciens, aux sénologues et aux biologistes de la reproduction. La revue, dans ses éditoriaux, articles originaux, mises au point, lettres à la rédaction et autres rubriques, donne une information actualisée ayant trait à l''obstétrique et à la gynécologie et aux différentes spécialités développées à partir de ces deux pôles : médecine de la reproduction, médecine maternelle et fœtale, périnatalité, endocrinologie, chirurgie gynécologique, cancérologie pelvienne, sénologie, sexualité, psychosomatique…