女性盆底功能障碍患者对生殖道激光微创治疗的认知现状与治疗决策意向的关系  

A study of the current status of female pelvic floor dysfunction patients′knowledge of minimally invasive laser treatment of the reproductive tract and their intention to make treatment decisions

作　　者：张双好[1] 陶杰 蔡泽华 冉雪荣 韦思似 潘金凤 翟巾帼[2] ZHANG Shuanghao;TAO Jie;CAI Zehua;RAN Xuerong;WEI Sisi;PAN Jinfeng;ZHAI Jinguo(Women′s Health Center,Dongguan Maternal and Child Health Care Hospital,Dongguan 523000,Guangdong,China;不详)

机构地区：[1]东莞市妇幼保健院妇女保健中心,广东东莞523000 [2]南方医科大学护理学院,广东广州510000

出　　处：《实用医学杂志》2025年第1期126-133,共8页The Journal of Practical Medicine

基　　金：广东省教学质量与教学改革工程项目(编号:2024-30-553);东莞市社会发展科技项目(编号:20231800905332)。

摘　　要：目的调查女性盆底功能障碍患者对生殖道激光微创治疗的认知,并分析其决策意向的影响因素,为盆底功能障碍患者的早期治疗及生殖健康管理的持续发展提供依据。方法采用便利抽样,选取2023年6月至2024年8月在东莞市妇幼保健院盆底康复中心就诊的164例女性盆底功能障碍患者,采用女性性功能指数量表、尿失禁生活质量问卷及家庭支持自评量表进行调查,应用二元logistic逐步回归分析患者进行生殖道激光微创治疗的影响因素。结果164例女性患者中共143例(87.2%)有治疗意向,对生殖道激光微创治疗相对了解者占22.6%。logistic回归分析显示,不同职业对患者治疗意向有影响(P<0.05),与医务人员相比,从事教师(OR=10.81,95%CI:1.04~112.21)、个体户(OR=20.34,95%CI:3.46~119.43)及其他职业(OR=16.26,95%CI:4.05~65.29)的患者治疗意向更高;低尿失禁生活质量得分是患者治疗意向的促进因素(OR=0.96,95%CI:0.93~0.99)。结论盆底功能障碍患者对于接受生殖道激光微创治疗的意向较高,但对该治疗技术的整体认知不足。Objective To investigate the awareness of female patients with pelvic floor dysfunction regarding minimally invasive laser treatment of the reproductive tract and analyze the factors influencing their decisionmaking intentions,this study aims to provide a foundation for early treatment of pelvic floor dysfunction and further development in reproductive health management.Methods A convenience sampling method was employed to select 164 female patients with pelvic floor dysfunction who sought treatment at the Pelvic Rehabilitation Center of Dongguan Maternal and Child Health Care Hospital between June 2023 and August 2024.The study utilized the Female Sexual Function Index,Incontinence Quality of Life Questionnaire,and Family Support Self-Assessment Scale to conduct a survey.Binary logistic stepwise regression analysis was conducted to investigate the factors influ⁃encing patients'inclination towards undergoing genital laser minimally invasive treatment.Results Among the 164 female patients,143(87.2%)expressed an intention to receive treatment,with 22.6%demonstrating a rela⁃tively clear understanding of genital laser minimally invasive treatment.Logistic regression analysis revealed that occupation significantly influenced treatment intention(P<0.05).Compared to healthcare professionals,individuals in the teaching profession(OR=10.81,95%CI:1.04~112.21),self-employed individuals(OR=20.34,95%CI:3.46~119.43),and those in other professions(OR=16.26,95%CI:4.05~65.29)were more inclined to express willingness for undergoing treatment.Furthermore,a lower score on the Incontinence Quality of Life scale was found to positively correlate with treatment intention(OR=0.96,95%CI:0.93~0.99).Conclusion Although patients express a high intention to undergo minimally invasive genital laser treatment,their overall awareness of the procedure remains insufficient.

关 键 词：盆底功能障碍 生殖道激光微创治疗 认知 治疗决策 

分 类 号：R711.5[医药卫生—妇产科学]