Vaginal prolapse – Clinical outcomes and patients’ perspectives A study using quantitative and qualitative methods
نویسنده
چکیده
................................................................................................................................................................................................................................ iii svensk sAmmAnfAttning ................................................................................................................................................................................... v List of AbbreviAtions ............................................................................................................................................................................................ vii List of pubLicAtions ................................................................................................................................................................................................ ix introduction ...................................................................................................................................................................................................................... 1 bAckground ....................................................................................................................................................................................................................... 3 Epidemiology of pelvic organ prolapse ..................................................................................................................................... 3 Etiology and risk factors for pelvic organ prolapse ..................................................................................................... 3 Pelvic organ prolapse quantification system ....................................................................................................................... 4 Symptoms related to pelvic organ prolapse ........................................................................................................................ 5 Local symptoms ....................................................................................................................................................................................... 5 Urinary symptoms .................................................................................................................................................................................. 6 Bowel symptoms ..................................................................................................................................................................................... 6 Sexual symptoms .................................................................................................................................................................................... 6 Treatment .................................................................................................................................................................................................................... 7 Expectancy ..................................................................................................................................................................................................... 7 Pessary ................................................................................................................................................................................................................ 7 Surgery ................................................................................................................................................................................................................ 8 Surgery for POP using local anaesthesia .................................................................................................................................. 9 Outcome measures ........................................................................................................................................................................................... 9 Anatomical outcome versus subjective outcome .............................................................................................. 9 Patients’ knowledge of POP and healthcare-seeking behaviour .................................................................. 9 Physical and psychological well-being related to POP ............................................................................................ 10 Quantitative study design .......................................................................................................................................................................... 10 Qualitative research in urogynaecology .................................................................................................................................... 11 Qualitative research – an overview ..................................................................................................................................... 11 Qualitative and quantitative research .............................................................................................................................. 12 Qualitative content analysis ........................................................................................................................................................ 13 Trustworthiness in qualitative research .......................................................................................................................... 13 The healthcare system in Sweden .................................................................................................................................................... 13 Healthcare quality registers in Sweden ...................................................................................................................................... 14 History .................................................................................................................................................................................................................. 14 Aim of the quality registers ......................................................................................................................................................... 14 The Swedish National Quality Register for Gynaecological Surgery (Gynop-register) ... 14
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