Proficiency and Health-Related Behaviors Regarding Pelvic Organ Prolapse and Urinary Incontinence among Female Personnel in a Private Hospital
Keywords:
Pelvic organ prolapse, Urinary incontinence, Proficiency, Health-related behaviorAbstract
Background: Pelvic organ prolapse (POP) and urinary incontinence (UI) are common problems among women. Healthcare provider’s competence, knowledge and practice skills are associated with quality of care.
Objective: To evaluate the proficiency and health-related behaviors regarding pelvic organ prolapse and urinary incontinence among female hospital personnel, and the association between the proficiency and their practice.
Methods: A cross-sectional survey was conducted in a private hospital from January to June 2016. A Prolapse and Incontinence Knowledge Questionnaire (PIKQ) was used to evaluate the proficiency regarding POP and UI, while a newly developed, 3-item questionnaire was used to evaluate health-related behaviors. Proficiency was defined as scores of 50% or greater on the POP scale and 80% or greater on the UI scale. Pearson’s correlation was used to determine the correlation between the proficiency and three health-related behaviors.
Results: Two hundred and eight female personnel participated in this survey. Response rate was 52.2%, 70.2% of participants were proficient in POP knowledge, whereas only 24.5% were proficient in UI knowledge. The only factor associated with POP and UI proficiency was healthcare related experience (P < 0.05). There was an association between POP and UI proficiency and all 3 items of health-related behaviors (P < 0.05) except UI proficiency and pelvic floor muscle exercise.
Conclusions: The rate of POP proficiency was moderately, while the proficiency rate of the UI scale was quite low among medical and non-medical personnel working at a private hospital. POP and UI proficiency impacted on health-related behaviors.
References
Haylen BT, de Ridder D, Freeman RM, et al. An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction. Int Urogynecol J. 2010;21(1):5-26. doi:10.1007/s00192-009-0976-9.
Barber MD, Maher C. Epidemiology and outcome assessment of pelvic organ prolapse Int Urogynecol J. 2013;24(11):1783-90. doi:10.1007/s00192-013-2169-9.
Nygaard I, Barber MD, Burgio KL, et al. Prevalence of symptomatic pelvic floor disorders in US women. JAMA. 2008;300:1311-6. doi:10.1001/jama.300.11.1311.
Wu JM, Vaughan CP, Goode PS, et al. Prevalence and trends of symptomatic pelvic floor disorders in U.S. women. Obstet Gynecol. 2014;123(1):141-8. doi:10.1097/AOG.0000000000000057.
Manonai J, Chittacharoen A, Sarit-apirak S, Udomsubpayakul U, Khanacharoen A, Theppisai U. Lower urinary tract symptoms in Thai women attending the menopause clinic: prevalence and associated factors. J Med Assoc Thai. 2004;87(11):1265-9.
Jang Y, Kwon BE, Kim HS, et al. Knowledge and practice behaviors regarding urinary incontinence among Korean healthcare providers in long-term care hospitals. Int Neurourol J. 2015;19(4):259-64. doi:10.5213/inj.2015.19.4.259.
Taunton RL, Swagerty DL, Lasseter JA, Lee RH. Continent or incontinent? That is the question. J Gerontol Nurs. 2005;31(9):36-44.
Shah AD, Massagli MP, Kohli N, Rajan SS, Braaten KP, Hoyte L. A reliable, valid instrument to assess patient knowledge about urinary incontinence and pelvic organ prolapse. Int Urogynecol J Pelvic Floor Dysfunct. 2008;19(9):1283-9. doi:10.1007/s00192-008-0631-x.
Shah AD, Shott S, Kohli N, Wu JM, Catlin S, Hoyte L. De racial differences in knowledge about urogynecologic issues exist? Int Urogynecol J Pelvic Floor Dysfunct. 2008;19(10):1371-8. doi:10.1007/s00192-008-0639-2.
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Copyright (c) 2017 By the authors. Licensee RMJ, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
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