改善产科肛门括约肌损伤后的信息质量可以改善肛门失禁妇女的生活质量

IF 2.1 4区医学 Q2 OBSTETRICS & GYNECOLOGY

European journal of obstetrics, gynecology, and reproductive biology Pub Date : 2025-04-21 DOI:10.1016/j.ejogrb.2025.113989

Venara Aurélien , Rebmann Emeline , Helbert Candice , Lemasson Florine , Legendre Guillaume , Hamel Jean-François

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引用次数: 0

摘要

背景：比较妇女根据肛门失禁的发生情况和发生时间对产科肛门括约肌损伤（OASIS）潜在风险的记忆信息。方法：这项前瞻性、观察性单中心队列研究纳入了15年期间所有227名患有OASIS的女性。通过粪便失禁生活质量（FIQL）问卷收集信息，通过邮寄和电话采访的方式发送给参与者，了解女性对所提供信息的记忆。结果80例患者至少发生一次肛门失禁（AI），占35.2%。28.2% （n = 64）的患者记得收到过AI风险信息，34.4% （n = 78）的患者记得收到过尿失禁（UI）风险信息。82.2% （n = 188）的受访者表示他们对AI的信息感兴趣，84.6%的受访者希望获得UI的信息。接受信息≤5年的患者对AI和UI信息的记忆能力高于其他患者。能够记住有关人工智能风险的信息与更好的生活质量显著相关。结论接受信息≤5年的患者能更好地记住信息。这与特定的后oasis磋商的实施相吻合，因此提倡将此类磋商变成普遍做法。

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Improving the quality of information after an obstetrical anal sphincter injury improves the quality of life for women experiencing anal incontinence

Background

To compare the information remembered by women about the potential risk of obstetrical anal sphincter injury (OASIS) according to the occurrence of anal incontinence and the time elapsed since the OASIS.

Methods

This prospective and observational monocentric cohort study included all the 227 women who had OASIS during a 15-years period. Information was collected using the Fecal Incontinence Quality of Life (FIQL) questionnaire, sent to participants by post, and by a phone interview about women’s memories of the information given.

Results

80 patients had at least one episode of anal incontinence (AI) (35.2 %). Patients remembered having received information about the risk of AI in 28.2 % (n = 64) and about the risk of urinary incontinence (UI) in 34.4 % (n = 78). 82.2 % (n = 188) stated that they would be interested in having information about AI and 84.6 % wanted information about UI.

Patients who received the information ≤ 5 years ago were more able to remember information about AI and UI than other patients. Being able to remember information about the risk of AI was significantly associated with a better quality of life.

Conclusion

Patients who had received information ≤ 5 years ago were able to remember more of it. This coincides with the implementation of a specific post-OASIS consultation and therefore advocates for such consultations becoming common practice.

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来源期刊

European journal of obstetrics, gynecology, and reproductive biology 医学-妇产科学

CiteScore

4.60

自引率

3.80%

发文量

898

审稿时长

8.3 weeks

期刊介绍： The European Journal of Obstetrics & Gynecology and Reproductive Biology is the leading general clinical journal covering the continent. It publishes peer reviewed original research articles, as well as a wide range of news, book reviews, biographical, historical and educational articles and a lively correspondence section. Fields covered include obstetrics, prenatal diagnosis, maternal-fetal medicine, perinatology, general gynecology, gynecologic oncology, uro-gynecology, reproductive medicine, infertility, reproductive endocrinology, sexual medicine and reproductive ethics. The European Journal of Obstetrics & Gynecology and Reproductive Biology provides a forum for scientific and clinical professional communication in obstetrics and gynecology throughout Europe and the world.