Objective:Pelvic floor dysfunction is common among pregnant and postpartum women and significantly impacts quality of life.This study aims to translate the German Pelvic Floor Questionnaire for Pregnant and Postpartum...Objective:Pelvic floor dysfunction is common among pregnant and postpartum women and significantly impacts quality of life.This study aims to translate the German Pelvic Floor Questionnaire for Pregnant and Postpartum Women into Chinese and to evaluate its reliability and validity in the Chinese population.Methods:The questionnaire was translated using the Brislin model.A cross-sectional study was conducted among pregnant and postpartum women to assess the content validity,construct validity,Cronbach’sαcoefficient,test-retest reliability,and split-half reliability of the Chinese version.Results:A total of 72 women were included,with 6.9% being pregnant and 93.1% postpartum;the age was(32.3±3.6)years.The Chinese version of the questionnaire contains 4 dimensions and 45 items.The content validity index of individual items ranged from 0.833 to 1.000,with a scale-level content validity index of 0.977 and intraclass correlation coefficients(ICCs)exceeding 0.90.The overall Cronbach’s α coefficient was 0.891,with subscale coefficients ranging from 0.732 to 0.884(all ICCs>0.70).The testretest reliability of the total scale was 0.833,and for the 4 dimensions,bladder,bowel,prolapse,and sexual function,the values were 0.776,0.579,0.732,and 0.645,respectively.The split-half reliability was 0.74.Conclusion:The Chinese version of the questionnaire demonstrated good reliability and validity,indicating its applicability in assessing pelvic floor dysfunction and associated risk factors during pregnancy and postpartum.展开更多
目的回顾性调查基于APP的国产家用盆底康复仪在真实世界中对盆底功能相关症状的改善情况。方法对2019年10月1日至2021年3月31日期间自由注册并按照关联APP居家使用某国产家用盆底康复仪的171000名18岁以上女性用户进行回顾性调查。通过...目的回顾性调查基于APP的国产家用盆底康复仪在真实世界中对盆底功能相关症状的改善情况。方法对2019年10月1日至2021年3月31日期间自由注册并按照关联APP居家使用某国产家用盆底康复仪的171000名18岁以上女性用户进行回顾性调查。通过公共网络平台发布分别针对盆底总体状况、性生活满意度、与松弛型盆底相关之压力性尿失禁(stress urinary incontinence,SUI)、盆腔器官脱垂(pelvic organ prolapse,POP)、阴道松弛(vaginal laxity,VL)共5份患者症状改善印象(Patient Global Impression of Improvement,PGI-I)评分问卷,由用户匿名完成自我疗效评估并上传APP中记录的使用前后阴道肌力值。根据网络后台采集的问卷分值进行疗效评估,并与阴道收缩力作配对分析。结果采用系统抽样法共收集984位用户的有效问卷,分层分析显示:使用时间达到及超过3个月的用户,其盆底总体状况(P=0.0001)、性生活满意度(P=0.009)及SUI(P=0.0001)、POP(P=0.044)、VL(P=0.034)的5项PGI-I评分与不足3个月的用户相比差异均有统计学意义,且SUI、POP的PGI-I分值与阴道肌力间具有配对相关性。而在年龄、教育水平、胎次、分娩方式各亚组中PGI-I评分的差异不具有统计学意义。结论在真实世界中,居家使用3个月及以上基于APP的国产家用盆底康复仪在中国女性人群中可观察到盆底功能相关症状的主观获益及阴道肌力的改善。展开更多
基金supported by the Natural Science Foundation of Hunan Province(2024JJ6626)the Hunan Provincial Key Laboratory of Regional Hereditary Birth Defects Prevention and Control(HPKL202320),China.
文摘Objective:Pelvic floor dysfunction is common among pregnant and postpartum women and significantly impacts quality of life.This study aims to translate the German Pelvic Floor Questionnaire for Pregnant and Postpartum Women into Chinese and to evaluate its reliability and validity in the Chinese population.Methods:The questionnaire was translated using the Brislin model.A cross-sectional study was conducted among pregnant and postpartum women to assess the content validity,construct validity,Cronbach’sαcoefficient,test-retest reliability,and split-half reliability of the Chinese version.Results:A total of 72 women were included,with 6.9% being pregnant and 93.1% postpartum;the age was(32.3±3.6)years.The Chinese version of the questionnaire contains 4 dimensions and 45 items.The content validity index of individual items ranged from 0.833 to 1.000,with a scale-level content validity index of 0.977 and intraclass correlation coefficients(ICCs)exceeding 0.90.The overall Cronbach’s α coefficient was 0.891,with subscale coefficients ranging from 0.732 to 0.884(all ICCs>0.70).The testretest reliability of the total scale was 0.833,and for the 4 dimensions,bladder,bowel,prolapse,and sexual function,the values were 0.776,0.579,0.732,and 0.645,respectively.The split-half reliability was 0.74.Conclusion:The Chinese version of the questionnaire demonstrated good reliability and validity,indicating its applicability in assessing pelvic floor dysfunction and associated risk factors during pregnancy and postpartum.
文摘目的回顾性调查基于APP的国产家用盆底康复仪在真实世界中对盆底功能相关症状的改善情况。方法对2019年10月1日至2021年3月31日期间自由注册并按照关联APP居家使用某国产家用盆底康复仪的171000名18岁以上女性用户进行回顾性调查。通过公共网络平台发布分别针对盆底总体状况、性生活满意度、与松弛型盆底相关之压力性尿失禁(stress urinary incontinence,SUI)、盆腔器官脱垂(pelvic organ prolapse,POP)、阴道松弛(vaginal laxity,VL)共5份患者症状改善印象(Patient Global Impression of Improvement,PGI-I)评分问卷,由用户匿名完成自我疗效评估并上传APP中记录的使用前后阴道肌力值。根据网络后台采集的问卷分值进行疗效评估,并与阴道收缩力作配对分析。结果采用系统抽样法共收集984位用户的有效问卷,分层分析显示:使用时间达到及超过3个月的用户,其盆底总体状况(P=0.0001)、性生活满意度(P=0.009)及SUI(P=0.0001)、POP(P=0.044)、VL(P=0.034)的5项PGI-I评分与不足3个月的用户相比差异均有统计学意义,且SUI、POP的PGI-I分值与阴道肌力间具有配对相关性。而在年龄、教育水平、胎次、分娩方式各亚组中PGI-I评分的差异不具有统计学意义。结论在真实世界中,居家使用3个月及以上基于APP的国产家用盆底康复仪在中国女性人群中可观察到盆底功能相关症状的主观获益及阴道肌力的改善。