Y Hoc TP. H o Chi Minh * T | p 20 * So 1 * 2016 Nghien ciiu Y hpc
KHAO SAT CHAT LlfQNG CUQC SONG CUA BENH NHAN SA TANG CHAU DEN KHAM T^I BENH VIEN TU* DU
Phan Diem Doan Nggc*, Le Hdng Cam**, Nguyen Thf Vinh Thdnh*
TOMTAT
Muc tieit: Xdc dinh dian trung binh dhdi Itegng cudc sdng (CLCS) cua benh nhdn sa tang cMu (STC) td binh din Tin Du.
Phuong phdp n^ien cuni: Tie thdng 11/2014 dm hB thdng 3/2015, chiing tdi tim hdnh nghiin cuu cdt ngang phong vdn 380 ddi tugng din Ididm tgi Dan vi Sdn chdu BV Tie Du, codgsa tgng chau tie do 1 tiv len theo bg cdu hoi PFDI-20 vd PFIQ-7. Sau do tinh ra dugc di&n trung binh CLCS. Phep UBn Kruskdl - Wallis dugc diing deddnh gid mdi Hot quan giiea dian CLCS v&i cdc dgc dian ddn sd'xd hoi thoi quen sinh hogt, tieh can sdn phu khoa vd mdc do sa tgng chau theo POP-Q.
Kei qud: DiBn tiding binh CLCS theo PFDI-20 Id 70,6 ± 22,1 vd theo PFIQ-7 la: 62,5 ± 21,0. Cd moi tuang quan thuan miec do yeii gida diBn PFDI-20 -o&i dd sa dinh vd dd sa l&n nhdi, gida dian PFIQ-7 v&i do sa thdnh trudc vd (^ sa dinh.
Ktt ludn: Cd thidiing bd cdu hoi PFDI-20 vd PFIQ~7 dekhdo sdt miec do cdi thim CLCS ciia cdc phuang phdp dial tri & binh nhdn sa tgng chau.
Tit khda: sa tgng chau, chSd lugng mdc sdng, PFDI-20, PFIQ-7.
ABSTRACT
QUALITY OF LIFE INVESTIGATION OF PATIENTS WTTH PELVIC ORGAN PROLAPSE AT TUDU HOSPITAL
Phan Diem Doan Ngoc, Le Hong Cam, Nguyen Thi Vinh Thanh
* Y Hoc TP. Ho Chi Minh * Vol. 20 - No 1 - 2016:227 - 234 Objective: Determine the average score of quality of life (QoL) of patients -with pelmc organ prolapse (POP).
Methods: From 11/2014 to 3/2015, we carried out a cross-sectional study interviewing 380 women examined at Pelmc Floor Unit - Tu Du Hospital with the questionnaire PFDI-20 and PFIQ-7. All of them had peldc organ prolapse at stage I or above according to POP-Q. Then we calculated the avaage scxyres of QoL.
Kruskdl - Wallis test was used to assess the associations betwem these scores vnth the sodal demographic charaderistics, Udng habits, history of obstetric and gynecology and pelmc organ prolapse stages.
Results: The average PFDI-20 score was 70.6 ± 22.1 and PFlQ-7 scxxre was: 62.5 ± 21.0. There was a wedc positive correlation between the PFDI-20 score and the apical compartment prolapse stage and the tdal stage.
Thae was also a weak positive correlation between the PFIQ-7 score and the anterior/apicd compartmmt prolapse stage.
Conclusion: PFDI-20 and PFIQ-7 are the questionnaires that have potmtial application in clinical practice and research to evaluate the QoL improvemmt of treatments.
Keyword: pelvic organ prolapse, quality of life, PFDI-20 (Pelmc Floor Distr^s Intervmtion), PFIQ-7
"Benh vi|n Tit Du
Tdc gid liSn lac: BS. Phan Dilm Doan Nggc, BT: 01645391662, Email: [email protected]
San Phu Khoa 227
N g h i e n cihi Y hpc Y Hpc TP. H 6 Chi M i n h * T^p 20 * So 1 * 2016
(Pelmc Floor Impact Questionnaire).
D A T V A N D E
Sa tang chau (STC) la mot benh ly kha pho biai a phu nii Ion tudi dac trung boi tinh trang thoat vi cac co quan vimg chau xuong am dao (AD) hoac vuot ra ngoai AD. He qua 1^ gay n h i ^ trieu chiing nhu tieu khong kiem soat khi gSng siic (TKKSKGS), khoi sa ra ngoai am ho gay kho chiu, 16 loet, tao bon, tieu kh6ng tu chii, giam khoai cam khi giao hgp... Nhung trieu chiing nay tuy khong anh hu6ng dan tinh mang Ciia benh nhan (BN) nhung lai gSy ra nhieu phien toai Iam can tra sinh hoat va lam gieim chat luong cuoc song (CLCS).
Ngay nay, n h i ^ phuong phap dieu tri da ra doi nham mang lai cho berih nhan khong chi co su cai Ihien ve mat hinh the hpc ma quan trpng hon ca la su cM thien CLCS hay miic dp hai long ciia benh nhan. Tuy nhien lam the nao de do luong CLCS van la mot cau hoi Ion. Nam 2001, Barber va cong su (cs) da phat triCTV bp cau hoi PFDI gom 46 cau hoi va PFIQ gom 21 cau hoioi.
Bp cau hoi nay nham danh gja cac trieu chiing lien quan d&i tiet nieu, sinh due, tieu hoa va inh hudng cua chiing d m sinh hoat hang ngay. Nam 2004, Barber da thu gon lai thanh bp cau hoi PFDI-20 gom 20 cau hoi va PnQ-7 gom 7 cau hoi®. Ck hai bp cau h6i nay deu da dupe chiing minh tmh tin cay va gia trj tuong dirong bp cau hoi nguyen thiiyfa. Chiing cung dugc sii dimg trong rat nhieii nghien ciiu voi vai tro la cong cu de danh gia h i ^ q u i ciia cac phuong phap d i ^ tri ciing nhu so s^rih hieu qu4 cac phuong p h i p nay voi nhau ®.
Tgi benh vien Tu Du, Don vj San chiu dupe dua vao hogt d6ng hx nam 2008, cho d m nay tai day tap trung kha dong cac benh nhan khong chi khu vpc iiiiCTi Nam ma con la mien Nam Trung Bp. Da phMi la BN sa tang ch|u. Tuy nhien hien van chua co m6t nghien ciiu khao sat xem sa tang chau anh huong nhu the'nao len CLCS ciia b | n h nhan. Chinh vi le do chiing toi ti&i hanh nghien ciiu "Khio sal chat lupng cupc sSng ciia
b^hh nhan sa tang ch$u den kham tai bfnh vi?n Tuf Dii" voi cong cu chii yeu la bp cau hoi PFDI-2D va PFIQ-7 da dupe chuy&i ngii sang tieng Viet.
P H l / O N G PHAP NGHIEN CtTU Trong thoi gian 5 thang tir 11^014 dai het (hang 3/2015 tai Don vi San chau BV Tit DO, chiing toi tiai hanh thuc hien nghien ciiu cat ngang tren 380 dm tupng d&i kham tai Don vi San ch?iu b | n h vien Tir Dii. Chung ^ i lay mlu toan bp voi tieu chuan nhan vao la: dupe ibSn doan STC (dp sa Ion nhat theo POP-Q tii do 1 tni len), b i ^ chu va hieu heng Vi^t, dong y tham gia nghien ciiu. Tieu chuan loai trCf: benh nhan mac benh tam fli&v khong tra loi dii bp cau hoi, da dupe dieu tri STC bang dat vong nang Sm dao hay phau thuat, dang c6 thai hay dang trong thoi ky hau san 6 ftiang, ung thu vimg chau, u 3ccr tfr cung CO kich thuoc Ion hon hoac bang bi cung mang thai 12 tuan.
Cach tien h a n h
Chuyen ngii de thich iing van hoa dio bo cau hoi PFDI-20 va PFIQ-7 hx tiang Anh sang tiSng Viet
B6 cau h6i PFDI-20 va PnQ-7 phien ban timg Anh dupe dich xuoi tix Anh sang Vi§t roi dich ngupc tii Viet sang Anh Sau do dm diieu tuong quan ngii ngtua cac ban dichiiay va dua ra ban dich Viet ngii ftiii nghiem. B ^ thir nghiem dupe phat cho 30 dra tugng de thu nhan cac y kim dong gop. Cuoi cimg la, ban djch Vi?t ngii chinh thiic, gpi la bp cau hoi PFDI-20 va PFIQ-7 timg Viet.
Bp cau hoi Pelvic Floor Distress titervention- 20 (PFDI-20) gom co 20 cau hoi v^ cae trieu chiing lien quan roi loan chiic nang san d^u trong 3 ihang g&i nhat. Bg eau hoi nay dupe chia thanh 3 phan nho: Pelvic organ prolapse dislicss invmtory 6 (POPDI-6) gom 6 cau, Colorectal- Anal Distress Invmtory 8 (CRADI-8) gom 8 can Urinary Distress hivmtory 6 (UDI-6) gom 6 cSu.
Ba plian nay lan lupt danh gia miic do ^
228 Chuyen O ^ Siic Khde Sinh San - Ba M ? Tre Em
Y Hoc TP. H6 Chi Minh * T^p 20 * So 1 * 2016 Nghien cmi Y hpc
huong cua cac trieu chiing khoi sa, hau mon - true trang va tiet nieu len CLCS ciia BN. Cach tinh diem: Ung voi moi tripu chiing tiii BN tra loi CO hoac khong. Neu co ttu BN dupe hoi ti^
tiiem mgt cau hoi la trieu chiing do anh hucmg nhu the nao d m BN. Co 4 miic anh hudng la khong anh hudng, anh huong it, anh hudng trung trinh va anh hudng nhieu vdi so diem lah lupt la 1,23,4- Neil BN kh6ng cd tlii di^m la 0.
Diem tSng c6ng dao d^ng hx 0-300.
Bg cau hoi Pelvic Floor Impact questionaire-7 (FFlQ-7) gom 7 cau hdi ve 3 nhom trieu chiing la trieu chiing tiet nieu (Urinary Impact Questionaire UIQ-7), hau mon true trang (ODlorectal Anal Impact Questionaire CRAIQ-7), khm sa (Pelvic Organ Prolapse Impact Questionaire POPIQ-7) anh hudng nhu the nao deh cuoc song cua BN trong 3 thang gan nhat Cu the la anh hudng d m the chat (cau 1,2,4), giai tri, hoat dgng xa hpi (cau 3,5), ckm xiic (cau 6,7).
BN phai tra lod dii ca 3 nhdm trieu chiing tren anh hudng nhu the* nao deh cupc song ciia hg voi miic dg anh hudng la khong, it, trung binh, nhieu va so diem tuong iing la 0,1,2,3. Neii BN khong CO trieu chiing ciia muc nao tlu danh so 0 vao muc do. Diem so dao dgng tCr 0-300.
Thu thap s o l i e u
Benh nhan khi d m kham se dupe thu thap cac thong tin hanh chanh, tien sii, benh sii. Sau do BN se dupe len ban kham, bac si se danh gia miic dp sa tang chau cua benh nhSn dua vao he thong phan dg POP-Q. H | thong nay co cac miic dp sa 0,1,23,4 ling vol thanh trudc, thanh sau va dinh AD/ mdm c5t (neu da cat TC). Vi tri nao sa nhi«i nhat thi tinh la dp sa Idn nhat. Doi vdi nhiing BN cd dp sa Idn nhat tii dp 1 trd len thoa tieu diuMi chgn m l u se dupe mod tham gia nghien ciiu. Neu BN dSng y se dupe ky dong thuan va tim hanh phdng van theo bp cau hdi PFDI-20 va PFIQ-7.
Sii dung phan mem STATA 10 de nhap va phan tich so'lieu.
Phep kiem Kruskal Wallis dupe dimg de so sanh d i a n trung binh CLCS gjiia cac dac diem dan so' xa hpi, tim sii, thdi quen sinh hoatt^ miic dp sa taing chau.
Ngoai ra doi vdi mm lien quan giiia diem CLCS vdi dg STC, chiing toi tinh them he so tuong quan ihii bgc Spearman's r de danh gia miie dO tuong quan. | r | cang gah 1 thi miic tuong quan ckig cao. Gia tri p<0,05 dupe xem la cd y nghia th^ng ke.
KET QUA
Trong tiled gian 5 thang tii 11/2014 deh het thang 3/2015 taii Don vi San chau BV Tii Du, chiing toi da tim hanh tiiu thap du 380 doi tupng tham gia nghien ctiu. Cac dae dim\ dan so xa hpi va diem trung binh CLCS dupe trinh bay trong bang 1 va 2.
Bdng 1: Ddc di^ ddn sd'xd hoi D$cdidm
Tu6i Man kinh So lln sanh Mac h^nh n$i khoa
B3cltti>cung MijcdO STC (POP-Q)
0 4 1 E)«2 EI03 BO 4
TSnsd 1 T j l # % 62 ±11(30-88) 313 1 82.4
4.4 ±2,4 (0-13) 211
15 35 146 149 50
55.5 3.9 9.2 38.3 39.4 13.1 Bdngl: Biem trung Wnh CLCS Iheo PFDI-20 va FFIQ-7.
PFDI-20 POPDI-6 CRADI-8 UDI-6 PFIQ-7 POPIQ-7 CRAIQ-7 UIQ-7
Trung binh 70,6 31.1 13,8 26,6 62,5 26.2 13.6 22.6
06 l#ch chdin
22.1 16.1 7.1 13.4 21.0 13.1 9.1 13.7
GTNN- GTLN 23,9-146,8
4,1-91,6 0-46.6 0-70.8 14.2-152.6
4,7-80,9 0-47,6 0-71,4 Nghien a i u cua chiing toi khong tim tha'y mm hgn quan giiia diem PFDI-20 va PFIQ-7 deh cac d|c diem ve dSn so xa hoi, tieh sii va thoi quen sinh hoat ngoai tru di&n PFDI-20 cd khac
San Phil Khoa 229
Nghien ctm Y hoc Y Hpc TP. Ho Chi Minh * Tap 20 * S 6 1 * 2016
biet cd y nghia thmig ke giiia cac nhdm trinh dp van hda khac nhau.
Trong khi dd, khi khao sat mca lien quan giua diem CLCS vdi miic dp sa chiing toi nhan thay: dimi PFDI-20 ed tuong quan thuan vdi
miic dp sa dinh va do sa Idn nhat Tuong tii, diem PFIQ-7 tuong quan thuan vdi miic dp sa thanh trudc va sa dinh AD. Tuy nhien cac miic tirong quan nay la y m (Bang 3,4).
Bang 3: Mdi liSn cfuan giua
E^ic tinh D$sa thdnh tnroc
BSO B«1 6 0 2 BO 3 6 0 4 DO sa dinh
BOO BOI 6 0 2 6 0 3 6 0 4 0 0 sa thdnh sau
6 0 0 6 0 1 6 0 2 6 0 3 6 0 4 DOsalOnnhIt
6 0 1 6 0 2 6 0 3 6 0 4
di^ trung binh PFDI-20 va PFlQ-7 v&i do ndng cua sa PFDI-20
TB 62,1 63,4 68,6 76,7 69,4 64,5 64,5 71.4 75.6 78.9 69.6 73,4 76,3 73,8 66,2 61,6 66,6 69,3 72,2
DLC 23,2 18,1 22,2 22,5 21,3 19,0 17,1 23,1 23,4 21,4 20,9 25,1 24,4 24,2 23,0 15,6 21,7 23,3 21.4
P*
0.062
0,032
0.702
0,026
tang ch&u.
PFIQ-7 TB
54.4 57.5 62,2 63.6 65.3 56.5 59.1 64.7 66.3 64,3 63,0 58,7 61,9 61,9 56,9 67,6 62,3 64,8 64,4
BIX 23,4 17,2 21,7 23,0 18,0 21.7 19.6 21.6 21.8 19.9 22.2 19.9 22.8 19.5 18.1 17.2 22.4 21.9 19.3
P*
0,037
0,005
O609
0,017
*; Phep kian Kruskd Wdlis, gid trf p<0,05 dugc in dam
Bdng 4: He sdtucmg quan thie bdc Spearman's giUa diSn CLCS -y&i mdc do sa tgng chdu theo POP-Q.
MLTC dp STC BO sa thdnh truo^
6 0 sa dinh 6 0 sa thdnh sau
BOsalOnnhIt
r(P) PFDI-20 0.116(0.135) 0.134(0,023) 0.048(0.325) 0,102(0,029)
PFIQ-7 0,106(0,041) 0,127(0,043) 0,564(0,721) 0,013(0,447)
* r: hisffttmng quan Spearman's, p<0,05 dugc in dam BANLUAN
Da phan BN trong nghien ciiu la phu nii Idn tuoi, da man kinh Mpt so nghien ciiu khae ding chiing minh STC la benh ly hay gap d phu n\x Idn tuoi chii yeu do su ton thucmg va suy yeu
cae call tnic can co va day chang nang do tai san chautis.
Hau het cac ddi tupng deu da sinh con. SS lam sinh trung binh la 4,4 ± 2,4, nhieu nhSt la 13 lan. Da so la sinh 3-5 lah (41,7%), Nhiai nghien ciiu cho thay sinh dk nhieu l&i la yeu ^nguy cx) ciia STC®. Dieu nay co the giai thich la do qua trinh mang thai lam gia tang ap lire de len san chau, lam dan cac can co d san ch^u. M|t khac ap luc gia tang luc rgn sinh cung nhu cae sang d i m len ^ i g sinh mon trong khi chuyen da, ran khi CTC chua trpn, giiip sinh, rach tSig sinh mdn.. .lam ton tiiuong d m can co, mo lien ket va theui kinh vung san ch$u.
Hau het nhiing BN d & kham co dp sa 1cm nhat la dp 2 va dp 3. Sa dp 1 chi CO 35 tmdng hop
230 Chuyen De SBCC Khoe Sinh San - Ba M? T i i Effl
Y Hpc TP. H o Chi M i n h * Tap 20 * So 1 * 2016 N g h i e n ciru Y hpc
(9,2%). Nhin chung cac nghien cuu ciing chi ra rang tiiudng cae trieu chiing xuat hien khi BN sa t^ dp 2 trd ImiS'ffl. BN sa dp 1 thuong di kham do
Bdng 5: So sdnh dian trung Unh PFDI-20 vd PFIQ-7 qua cdc nghiin dm:
phat hien tinh cd qua tham kham phu khoa hay ed trieu chiing v^' dudng tieu dudi.
Tdc gid WettaW KartiiU Tetemantf
Kaplan*
P.D. B.Ngoc
Dja diSm, Nam M ; . 2 0 0 9 Nepal. 2013 Chdu Au, 2014 TUS Nhi Ky, 2012
ViOt Nam, 2016
DOItifOng 50 BN tnn^c ph3uthudtdi&utri STC nga A6
357 BN tnjiic phSuthudtdi^utii STC 164 BN tnfO^ ph3uthudtdl4utl1 STC nga am dao 248 BN STC d4n khdm tai phOng kham ngoai tru 380 BN STC dOn khdm tai phdng khdm niOu phg
khoa
Biim CLCS PFDkM 1326 146,7 100 139,0 70,5
PFIQ-7 89,1 136,4 54,0 139,0 61,8 Khi so sanh vdi cac nghien a i u khac, ta tiiay
dian CLCS ciia BN STC dua vao bd cau hdi PFDI-20, PFIQ-7 deu tiiap hon cac nghien ciiu d nude ngoaio^ii-i®. Dimi cang thap cho thay muc dp eae t r i ^ chiing anh hudng len CLCS ciia BN cang thSp. Di&i nay cd tiie giai £hich bdi 2 ly do.
Thii nhat la doi tupng ciia cac nghien ciiu tr&i d&a la rtiiiing BN dupe phau thuat di^u trj STC, tlie la tr^n nhung doi tugng cd CLCS bi anh hudng nhieu. Thii hai ed le so vdi cac nude Au My, trinh dp dan tri ciia nude ta con thap, ddi s&ig kinh te ciing khd khan hon, ngudi phu nii it quan tam d m can benh ciia minh dan d m dimi CICS ve STC ihap hon so vdi nhung nghien cniu tren (Bang 5).
Nghien cihi ciia chiing tdi cho thay dp sa Idn nhat theo lOP-Q co tucmg quan cd y nghia tiiOTig ke vdi diSn PFDI-20 va PFIQ-7. Dieu nay dmg nghia vdi STC rniic dp cang nhieu tiii cang gay nen nhim phim toai trong cuoc song ciia ngudi phu nii. Chinh vi vay phat hien va dieu tri sdm benh la rat can thiet n h i m eai thien CLCS ciia BN. Quan trpng hon niia la can day manh c6ng tac tuyen truym cac thdng tin ve benh d m ngudi dan. Van con nhieu ngudi do tam ly e ngai, xaii ho ma am tham chiu dung khoi sa cho dm khi khca sa tiet dich. Id loet mdi di kham.
Tuy nhien mdi t u o i ^ cjuan giiia miie dp STC va dimn CLCS trong nghien ciiu ciia chiing toi deu d miic dp yeu. Dien nay phan anh mpt thirc te la he thong phan dp FOP-Q cho dii kha chi tiet va chmh xac nhung khdng dai dien tot cho co
quan bi sa^^i^ va nd chi la mot phan trcmg tham kham ban dau dcfi vdi mpt BN bj STC. Vi d\i nhu hai BN ed cung miie dp sa thanh trudc nhung miic dd sa bang quang lai khae nhau khi ki^m chiing tren sieu amO^. Bm canh dd cac trieu chiing tiet nieu hay hau mdn true t r ^ g ngoai nguyen nhan STC thi cdn cd the do nhi^u nguyen nhan khae. Vi du nhu tieu khdng kimi soat cd the do uong nhieu nude, nhiem trimg tieu, sdi nieu, bang quang tang hoat, v.v... Tao bdn cd tiie do l?m dung thudc nhuan trang, che*
dp an ngheo chat xo...
Chinh vi vay chiing ta cang phai neu cao vai trd trong viec danh gia toan d i m cae roi loan chiie nang san chau de biet dupe miic dp nang ciia cac trieu chiir^ ciing nhu anh hudng c6a STC len timg BN cu the hon la chi dua vao dp nang ve giai phSu. Viec d i m tri nen dupe ca the hda, tu v m can ke de cd the chpn lua dupe mpt phuong phap dieu tri phii hpp mdi miic dp benh ciing nhu tam tu, nguyen vpng cua tCmg BN.
K E T L U A N
PFDI-20 va PFIQ-7 la nhiing bd cau hdi da dupe ap dung tai nhieu noi tren the gidi nham khao sat CLCS ciing nhu danh gia hieu qua ciia cae phuong ptiap dieu tri STC. Nghien ciiu da tim ra dupe diem trung binh CLCS eua BN STC vdi mong muon cung cap nhiing thdng tin n m cho nhiing nghien ciiu tiq) theo sii dpng hai bp cau hdi nay trong thuc hanh lam sang ciii^ nhu nghien ciiu.
S i n Phu Khoa
Nghien cihi Y hpc Y Hoc TF. Ho Chi Minh * T?p 20 • So 1 • 2016
PhuluaBgciu hoi PFDI-20 va PFlQ-7 tilng Viet
B$ cdu hdi PFDI-20 ti4l1gVi$t
Sau day Id nhOng cSu hoi ve c3c tri&u diung lien quan xt\ b^n chtrc nang san ch|u trong 3 thang vira qua.
H§y tra tdi tilt c i cic c&u h6i. O'ng vdi m5i cflu hoi cfl/bi hiiy tri Id'i c6 hogc l(hong Neu co thi tra I6i tiep xem tri^u chimg do inh hirdng nhtr thS nao dSn cudc sdng cua db/b^ (chia lam 4 mire do).
CM)ic6 ? Khang = 0
C6:
0 Khong anh hirong =1 0 ^ h hirdng it =2 0 Anh hudng tung binh =3 0 Anh hudng nhi^u =4 MS
cau hdi
Cau hdi Khdng =0
Niu ed thi di^u dd inh hirdng din cd/bi nhu thi nio?
1 1 2 1 3 1 4 . , ; ' . . ' '"•'•." '•----?:a;f^|=^«icolganprolapsedistressinventory6(P0f'Df-6) , . •':•.;. ^:;:^^?SiiH
1 2 3 4 6 6
C6/bi c6 thu&ng cam thliy ch6n 6p 6" viing byng dirdi?
Cd/lid c6 thu-ong cim ttilly trin, nang a viing bgng dif 6'i'?
C6/bi c6 thu'd'ng cim thliy hay sa ^ y mOt kh6i gi dd S3 ra ngoai 3m dgo (cira minh)?
Co/bi cd tiing phii dly vio viing Am dgo (cua minh) hay quanh lo h§u mdn d l (K ti§u?
Cd/bi cd thudng cam giac tiiu Ididng hit?
co/bi d i timg F^ii diing ngdn tay dly vio vCing i m dao d l bat diu hay l<lt thiic di tieu"?
Biim POPDI-6 =t6ng diem cua cac cau tren chia 6 nhan 25
(dao dong tie 0 d^n 100) f''U' ')f"I '--^ ""-/"I- i".'i^''-^'i^. Colorectal-Anal Distress Inventory 8 (CRADI-8)
7 8 9 10 11 12 13 14
Cd/bi cd cam t h ^ l i cd/t)i phai ran nhieu kh\ di tieu (dai tien)?
Sau khi d^i ti^n, cd/bi v3n cd cam giic vin chua tieu hef?
Cd/ba cd thu'dng bi sdn phin ngay c i khi phin dac*^
Cfi/bi c6 thudng bj sdn ph§n m phin Idng?
Cd/bi cd thu'dng khdng kilm soit du'o'c tmng ti^n (xi hoi, dinh ram)?
Cd/bi cd thud'ng thly dau khi di tiSu?
Cd khi nio cd/tii khdng nhin di tiiu duvc v i phii chay ngay vio nhi v§ sinh?
Cd khi nio mdt phin mdt cua cd/t)i bi idi ra ngoij hiu mdn trong hay sau khi di tiSu?
Oiem CRADI-8 =t6ng di m cua cac cdu bsn chia 8 nhan 25
fdao c3&nq tO-Odin 100) ... , ., . ' ; „ \ ,-.3: v i •, , - „ . ,- Uftiarv Distress Inventory 6 (UD!-6) "^ ^ ? t : ; S ^ 15
16 17 18 19 20
Cd/bi cd thudng phii tiiu nhilu lln? (tieu lit nhit) Cd/bi cd thu'd'ng bj sdn tiiu khi cd cam giic mic tiiu nhilu, mu6n vio ngay nhi v? sinh?
Cd/bi cd thudng bj sdn tiiu khi ho, hit hoi, cu'di?
Cd/bi cd thudng bi sdn lu'png nhd (vii giot) nude tiiu ? Cd/bi c6 thu'dng bj tiiu khd?
Cdft)i ed thudng cam thIy dau hay khd chiu a byng dudi hay viing smh due?
£)/lmUD;-6
£3jdmRFD/-20
=t6ngdi
^3^^
m cda cdc cSuli&nc^iia 6 nhin 25 (dan d(ina tif Odin 100)
= POFVI-6 + CRADI-8 + UDI-6 (daod&ngtieOSnSOO)
Chuyen Dg Sue KhAe Sinh Sin - Ba Me Tre Em
Y Hoc TP. Ho Chi Minh * T^p 20 * So 1 * 2016 Nghien cihi Y hpc
BQ c i u hdi PFIQ-? t'gng Vi^t
O'ng vdi m§j cau hdi. dinh diu X vio phan b^ Idi nao thich hop nhit de md t i mire dd m i cic trieu dii>ng tilt ni^u, t i ^ hay sinh due anh hudng d ^ cudc sdng cua oblbd trong 3 thing gin i^y. Cdftia d n phii tra Idi du c i 3 cgt cho m§i c i u hdi
titio dii cd/bi cd cic trieu chimg tilt ni$u, tiiu hda, sinh due hay Ididng. Nlu cd/bi khdng cd tri^u chimg cua cdt nao thi dinh diu X vao muc "khdng cd* cua edt do
oHm so; Khdng cd =0, It =1, Tmng binh =2, Nhilu =3 Ma
d u hdi
1
2
3
4
5
6
7
Cic triSu chirng inh hudng nhu the nio din...?
Kha nang lim v i ^ nhi (nlu i n , lau chili, gi|t ui)?
Kha nang hoat dgng t h i chit nhudibg, boi Igi...?
Cic hgat ddng giii tri nhir di xem Iqch, coi phim...?
Kha nang di lai bang xe buyt, xe d-td...fren 30 phiit?
Ktii ning ttiam gia cic hoat dgng x i hdi?
Sire khoe tinh thin?
(lo lang, bubn b i , v.v.)
Cam thIy thit vgng?
BiSm ti^gphin
Biem PFIQ-7
Tneu ehirng sa tang VLing chiu (fran ning byng, khdisangoiiAD...)
POPIQ-7 Khdng cd It Tmng binh
Nhilu Khdng cd
It Tmng binh
Nhilu Khdng cd
ft Tmng binh
Nhilu Khdng cd
It . Tmng binh
Nhilu Khdng cd
ft Toing binh
Nhilu Khdng cd
It Taing binh
Nhilu Khdng cd
It Tmng binh
Nhilu Biim POPIQ-7
= tSng (Sim c:dc cau tren chia 7 nhSn 100/3
(daocl^ngtirOeJen 100)
Tri?u chdng tn/c tring- hgu mdn (tio bdn, sdn phin...)
CRAIQ-7 Khdng cd It Tmng binh
Nhilu Khdng cd
It Tmng binh
Nhilu Ktidng cd
h Tmng binh
Nhilu Khdng cd
It Tmng binh
Nhilu K h i ^ c d
It Tmng binh
Nhilu Khdng cd
It Tmng binh
Nhilu Khdng cd
H Tnjng binh
Nhieu Biim CRAIQ-7
= ting (Sim cdc ciu tren chia7nh&n 100/3 (dao dongHrOdin 100)
Tri#u chirng tilt nieu (tieu khd, sdn tiiu,
tiiu dau...) UlQ-7 Khdng cd
It Tmng binh
Nhieu Khdng cd
It Tmng binh
Nhilu Widnged
It Tmng binh
Nhilu Khdng cd
It Tmng binh
Nhilu Khdng cd
it Tmng binh
Nhilu Khdng cd
it Tmng binh
Nhilu Ktidng cd
It Tmng binh
Nhilu Biim UiQ-7
= ting (Sim cdc cau tren chia 7 nhdn 100/3
(dao d^ngfyOdin 100)
= POPIQ-7 + CRAIQ-7 + Uieih?
(dao d^ to'c din 300)
TAI LI5U THAM KHAO
1 AI-Bard A (2013). Quality of life questioimaiies for the assessmmt of pelvic o ^ a n prolapse: use m dinical practice.
LUIS: Ijower Unnaiy Ttact SynqrtomsJ^): 121-8.
1 Barber MD, Kuchibhatla MN, Pieper CF, Bump RC pOOl).
F^diometiic evaluation of 2 comprdien^ve conditaon- speafic quality of life instruments for women wifli pelvic floor
disorders. American journal of obstetrics and gynecology.l85(6): 1388-95.
Baifaer MD, Walters MD, Bump RC (2005). Short forms of two condition-specific quality^of-liie questionnaires for women wifli pelvic floor disorders (PFDI-20 and PFIQ-7). Amraican journal of obstetrics and B'necology.l93(l):103-13.
Bump RC, l^ttiasson A, Bo K, Brubalter IP, DeLanoey ]0, Marskov P, et al (1996). The standardization of terminology of
Sin Phu Khoa
233Nghien ciru Y hpc Y Hpc TP. Ho Chi Minh * T|p 20 * So 1 * 2016
female pelvic organ prolapse a n d pelvic floor dysfonctioa American journal of obstetrics and gynecology.l75(l):10-7.
Bump RC, Norion PA (1998). Efridemiology and natural history of pelvic floor dysfurtction. Obstet Gynecol Chn North Am.25(4):72346.
Ellerkmann RM, Cundiff GW, Melick CF, Nihira MA, LefQer K, Bent AE (2O01). Correlation of symptoms wnth location a n d severity of pelvic organ prolapse, American journal of obstetrics and gynecology. 185(6): 1332-7; discusnon 7-8.
Fitzgerald MP, Janz NK, Wren PA, W d JT, Weber A H Ghetli C, et al. (2007). Prolapse severity, symptoms and impact on quality of life among women ptarmir^ sacroco^xipexy. bit J Gynaecol ObsteL98(l)24.8.
Kafdan FB, Sut N, Sut HK (2012). Validation, culbiral adaptation and responsiveness of two pelvic-floor-spedfic quali^-of-liie questionnaires, FFDI-20 and FFIQ-7, in a Turkish pc^Tidation. Eur J Obstet Gynecol Sepiod BioL162(2)i22M3.
K ^ b m K, Shott S, Brubaker L (1997). Vaginal topography does not correlate well with visceral p o r t i o n in women with pdvic organ prolapse. Int Urogynecol J Pelvic Floor Dysfunct8(6)336-9.
Kluivers KB HJ, Shek C, Dielz H P (2008). Pelvic organ polapse symptoms in rdation to FOFC^ ordmal stages and ultrasound prolapse assessment International Urogynecology Journal and Pelvic Floor D]«function.l9(9):1299-30Z
Teleman P, Launkainen E, BSrme I, Pogosean R, Jakobsson U, Rudnicki M (2)15). Relationship between the Pelvic Oreaji Prolapse Quantification system (POP-Q), the Pelvic Floor brq»ct Questionnaire (PFIQ-7), and the Pelvic Floor Distress Inventory (PFDI-20) before and after antenor vaginal wall prolapse surgery. Int Urogynecol ).26(2):I95-200.
Urtelli A, Malvasi A, Rahimi S^ Negro I^ Veigara D, Martignago R, et al. (2010). J ^ t e l a t e d pelvic floor modifications a n d prolapse a s k factors in postmoiopaustd w o m a i . Menopause ffJew York, NY).17(l)-204-12.
Wetta LA, Gerten KA, Wheeler TL, 2nd, Holley RL, Vamer RE. Ridtler H E (2009). Syndietic graft use i n VE^mal pndmse surgery: objective a n d sub)ective outcomes, hit Urogynecol J Pelvic Floor Dysfunct20{ll):1307-12.
Bahadur Karki GG, Khadga S. Katki (2013). Health related quality of life of women sufteiing Yagya from pelvic organ prolapse before a n d 9 to 11 monltis after surgical interventions.
Ngdy nhin bdi bdo:
Ngdy phdn biin nhSn xet bdi bdo:
Ngdy bd bdo duac dang:
24/W2015 30/W2015 20/OU2016
