Knowledge of urinary incontinence among women 6 weeks to 1 year after delivery

医学 尿失禁 盆底肌 贝叶斯多元线性回归 心理干预 人口 横断面研究 产后 物理疗法 多元分析 产科 妇科 怀孕 回归分析 内科学 泌尿科 护理部 环境卫生 病理 机器学习 生物 计算机科学 遗传学
作者
Jie Li,Xiaoling Zhao,Juanhua Li,Yuanwen Liu,Tiantian Li
出处
期刊:Neurourology and Urodynamics [Wiley]
标识
DOI:10.1002/nau.25472
摘要

Urinary incontinence (UI) is common among postpartum women, but many do not seek medical help due to limited knowledge. Understanding the level of knowledge about UI in this population is essential for improving care-seeking behaviors and implementing targeted interventions.The objective was to examine knowledge regarding UI among postpartum women with UI within 6 weeks to 1 year after delivery.A cross-sectional study was conducted at obstetric clinic in two level-three grade A hospitals in Shenzhen, China, from January 2023 to June 2023. Women in their 6 weeks to 1 year after delivery with UI were asked to complete a questionnaire comprising three sections: (1) demographic variable; (2) International Consultation on Incontinence Questionnaire Short Form (ICIQ-UI SF); and (3) The Urinary Incontinence Quiz (UIQ).A total of 1228 women completed the questionnaire. Their mean UIQ score was 6.63 ± 3.51 (minimum = 2, maximum = 15), indicating the deficiency of UI knowledge among Chinese postpartum women. A total of 86.4% of participants experienced slight or moderate postpartum UI. The results of multivariate linear regression models for UIQ reveal significant independent associations between questionnaire scores and two variables: experience in pelvic floor muscle training (PFMT) (p < 0.001) and UI treatment in the past (p < 0.001). The overall model fit was R2 = 0.559 (p < 0.001). The regression coefficients for the experience in PFMT and UI treatment in the past were 2.301 and 4.916, respectively. However, no other discernible factors were identified to distinguish between those with and without adequate knowledge.Postpartum women with UI within 6 weeks to 1 year after delivery had poor knowledge of UI. Targeted educational interventions focusing on PFMT and early treatment for UI are essential.
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