背景:盆底疾病是一组影响盆底的疾病,包括临床上可确定的疾病,如盆腔器官脱垂,尿失禁和大便失禁。这些状况无声无息地影响着全世界数百万妇女,由于相关的社会耻辱或发展中国家缺乏获得服务的机会,妇女没有很好地披露相关问题。因此,这些条件的大小和相关负担各不相同,对他们知之甚少。这项研究是为了评估DebreTabor镇症状性盆底疾病的程度和相关因素,西北,埃塞俄比亚,从2020年5月30日-7月30日。
方法:对2020年5月30日至7月30日居住在DebreTabor镇的育龄妇女(>15岁)进行了一项基于社区的横断面研究。通过多阶段系统随机抽样选择参与者。数据是通过面对面访谈通过结构化问卷收集的,输入Epi-info-7.2,随后使用SPSS版本20进行分析。盆底疾病的患病率与95%CI一起呈现。
结果:共有402名女性参与了这项研究,59人(14.7%;95%CI;11.4,18.2)报告了一种或多种类型的盆底疾病。最普遍报道的盆底疾病是盆腔器官脱垂(13.9%;95%CI:10.9,17.4),尿失禁(10.9%;95%CI:7.4,9.2)和大便失禁(7.7%;95%CI:5.2,10.2)。此外,老化,多妻制和早婚(<18岁。)被确定为与盆底疾病相关的潜在危险因素。
结论:在目前的研究中,症状性盆底障碍的患病率很高。因此,早期发现,应考虑预防和治疗策略。此外,最好对社区和妇女进行早婚和多方与PFD的联系教育。
BACKGROUND: Pelvic floor disorders are a group of disorders affecting the pelvic floor that include clinically definable conditions such as pelvic organ prolapse, urinary incontinence and fecal incontinence. These conditions silently affect millions of women worldwide and related problems are not well disclosed by women due to associated social stigma or lack of access to services in developing countries. Thus, the magnitude and related burden of these conditions vary, and little is known about them. This study was conducted to assess the magnitude and associated factors of symptomatic pelvic floor disorders in Debre Tabor town, Northwest, Ethiopia, from May 30-July 30, 2020.
METHODS: A community-based cross-sectional study was conducted on child bearing women (> 15 years) who resided in Debre Tabor Town from May 30-July 30, 2020. The participants were selected through multistage systematic random sampling. The data were collected via a structured questionnaire through face-to-face interviews, entered into Epi-info-7.2, and subsequently analyzed using SPSS version 20. The prevalence of pelvic floor disorders was presented along with the 95% CI.
RESULTS: A total of 402 women participated in this study, 59 (14.7%; 95% CI; 11.4, 18.2) of whom reported one or more types of pelvic floor disorders. The most prevalently reported pelvic floor disorders were pelvic organ prolapse (13.9%; 95% CI: 10.9, 17.4), urinary incontinence (10.9%; 95% CI: 7.4, 9.2) and fecal incontinence (7.7%; 95% CI: 5.2, 10.2). Additionally, aging, multiparity and having early marriage (< 18 yrs.) were identified as potential risk factors associated with pelvic floor disorders.
CONCLUSIONS: The prevalence of symptomatic pelvic floor disorders in the current study was high. Thus, early detection, preventive and treatment strategies should be considered. In addition, it is better to educate the community and women on the association of early marriage and multiparty with PFDs.