Abstract：
OBJECTIVE: Pessary self-management offers benefits to women with no increased risk of complications. However, many are unwilling to self-manage, preferring clinician-led care. This study is aimed at exploring factors associated with willingness to self-manage a pessary.
METHODS: Women attending pessary clinic at a UK hospital were asked to complete a questionnaire providing responses on pessary use, comorbidities, female genital self-image, self-management experience and willingness (or not) to learn self-management. Based upon statistical advice we aimed to recruit 90 women. Data were analysed using the non-parametric Kruskal-Wallis test and Chi-squared test. Free text data were analysed thematically.
RESULTS: A total of 89 women completed the questionnaire. Thirty-three women (38%) had previously been taught pessary self-management. Of the remaining women, 12 (21%) were willing to learn, 28 (50%) were not willing and 16 (29%) were unsure. There was no correlation between female genital self-image and willingness to self-manage a pessary. Younger women were more willing to learn self-management (p = < 0.001). Willing women were motivated by reduced follow-up visits. Self-managing women reported benefits including increased autonomy, cleanliness and giving their body \"a break\". Reasons discouraging women from self-managing were a lack of confidence; feeling physically unable; wanting clinician-led care; fear of problems or previous problems with their pessary.
CONCLUSIONS: Most women were either unsure about pessary self-management or unwilling to self-manage. Age was the only factor we found that had a significant relationship with willingness to self-manage a pessary. With robust self-management teaching, support and follow-up, it is likely that many of the barriers women report can be overcome.
METHODS: Women attending pessary clinic at a UK hospital were asked to complete a questionnaire providing responses on pessary use, comorbidities, female genital self-image, self-management experience and willingness (or not) to learn self-management. Based upon statistical advice we aimed to recruit 90 women. Data were analysed using the non-parametric Kruskal-Wallis test and Chi-squared test. Free text data were analysed thematically.
RESULTS: A total of 89 women completed the questionnaire. Thirty-three women (38%) had previously been taught pessary self-management. Of the remaining women, 12 (21%) were willing to learn, 28 (50%) were not willing and 16 (29%) were unsure. There was no correlation between female genital self-image and willingness to self-manage a pessary. Younger women were more willing to learn self-management (p = < 0.001). Willing women were motivated by reduced follow-up visits. Self-managing women reported benefits including increased autonomy, cleanliness and giving their body \"a break\". Reasons discouraging women from self-managing were a lack of confidence; feeling physically unable; wanting clinician-led care; fear of problems or previous problems with their pessary.
CONCLUSIONS: Most women were either unsure about pessary self-management or unwilling to self-manage. Age was the only factor we found that had a significant relationship with willingness to self-manage a pessary. With robust self-management teaching, support and follow-up, it is likely that many of the barriers women report can be overcome.
摘要：
目的：子宫托自我管理为女性带来益处，而不会增加并发症的风险。然而,许多人不愿意自我管理，更喜欢临床医生主导的护理。这项研究旨在探索与自我管理子宫托意愿相关的因素。
方法：在英国一家医院参加子宫托诊所的妇女被要求填写一份问卷，提供有关子宫托使用的答复。合并症,女性生殖器自我形象,自我管理经验和愿意（或不愿意）学习自我管理。根据统计建议，我们的目标是招募90名女性。使用非参数Kruskal-Wallis检验和卡方检验分析数据。对自由文本数据进行了主题分析。
结果：共有89名妇女完成了问卷。33名女性（38％）以前曾接受过子宫托自我管理的教育。剩下的女人中,12人（21%）愿意学习，28人（50%）不愿意，16人（29%）不确定。女性生殖器自我形象与自我管理子宫托的意愿之间没有相关性。年轻女性更愿意学习自我管理（p=<0.001）。愿意的妇女受到后续访问减少的激励。自我管理的妇女报告的好处包括增加自主权，清洁和给他们的身体“休息”。阻止女性进行自我管理的原因是缺乏自信；感觉身体无法；想要临床医生主导的护理；害怕子宫托的问题或以前的问题。
结论：大多数女性要么不确定子宫托自我管理，要么不愿自我管理。年龄是我们发现与自我管理子宫托的意愿有重要关系的唯一因素。通过强大的自我管理教学，支持和后续行动，妇女报告的许多障碍很可能可以克服。
方法：在英国一家医院参加子宫托诊所的妇女被要求填写一份问卷，提供有关子宫托使用的答复。合并症,女性生殖器自我形象,自我管理经验和愿意（或不愿意）学习自我管理。根据统计建议，我们的目标是招募90名女性。使用非参数Kruskal-Wallis检验和卡方检验分析数据。对自由文本数据进行了主题分析。
结果：共有89名妇女完成了问卷。33名女性（38％）以前曾接受过子宫托自我管理的教育。剩下的女人中,12人（21%）愿意学习，28人（50%）不愿意，16人（29%）不确定。女性生殖器自我形象与自我管理子宫托的意愿之间没有相关性。年轻女性更愿意学习自我管理（p=<0.001）。愿意的妇女受到后续访问减少的激励。自我管理的妇女报告的好处包括增加自主权，清洁和给他们的身体“休息”。阻止女性进行自我管理的原因是缺乏自信；感觉身体无法；想要临床医生主导的护理；害怕子宫托的问题或以前的问题。
结论：大多数女性要么不确定子宫托自我管理，要么不愿自我管理。年龄是我们发现与自我管理子宫托的意愿有重要关系的唯一因素。通过强大的自我管理教学，支持和后续行动，妇女报告的许多障碍很可能可以克服。
