昌都市女教师盆底功能障碍性疾病的影响因素分析

Analysis of influencing factors of pelvic floor dysfunction among female teachers in Changdu City

目的了解昌都市女教师盆底功能障碍性疾病症状分布及影响因素。方法于2020年2月至6月以问卷调查的形式对昌都市女教师盆底功能障碍性疾病情况进行调查,采用多因素logistic回归分析其高危因素。结果共回收问卷570份,其中盆腔障碍性疾病160例,非盆腔障碍性疾病410例。多因素logistic分析显示,习惯性便秘、每日平均穿高跟鞋时间、经常进行重体力劳动、泌尿系感染、盆腔手术、初产年龄、急产史、难产史、产后盆底肌肉锻炼、产褥期休息时间为盆底功能障碍的独立危险因素(OR>1,P<0.05)。结论盆腔功能障碍性疾病相关高危因素较多,受访女性对盆腔功能障碍性疾病相关知识相对缺乏,应针对性采取有效预防或者干预措施,提高女教师的保健意识,从而达到降低盆底功能障碍性疾病的发生率,保证女教师身心健康。

Objective To investigate the distribution and influencing factors of pelvic floor dysfunction symptoms among female teachers in Changdu City.Methods From February to June 2020,a questionnaire survey was conducted to investigate pelvic floor dysfunction among female teachers in Changdu City,and the risk factors were analyzed by multivariate logistic regression.Results A total of 570 questionnaires were collected,of which 160 were pelvic disorders and 410 were non-pelvic disorders.Multivariate logistic analysis showed that habitual constipation,average daily time wearing high heels,frequent heavy physical labor,urinary system infection,pelvic surgery,age at first delivery,history of emergency labor,history of dystocia,postpartum pelvic floor muscle exercise,and rest time during puerperal period were independent risk factors for pelvic floor dysfunction(OR>1,P<0.05).Conclusion There are many high-risk factors related to pelvic floor dysfunction diseases,and the interviewed women are relatively lack of knowledge about pelvic floor dysfunction diseases.Effective prevention or intervention measures should be taken to improve the health care awareness of female teachers,so as to reduce the incidence of pelvic floor dysfunction diseases and ensure the physical and mental health of female teachers.