Pelvic Floor and Urinary Distress in Women with Fibromyalgia.

Autor: Jones KD; School of Nursing, Oregon Health & Science University, Portland, Oregon. Electronic address: joneskim@ohsu.edu., Maxwell C; School of Nursing, Oregon Health & Science University, Portland, Oregon., Mist SD; School of Nursing, Oregon Health & Science University, Portland, Oregon., King V; Aethena Gynecology Associates, Vancouver, Washington., Denman MA; Department of Urogynecology, Oregon Health & Science University, Portland, Oregon., Gregory WT; Department of Urogynecology, Oregon Health & Science University, Portland, Oregon.
Jazyk: angličtina
Zdroj: Pain management nursing : official journal of the American Society of Pain Management Nurses [Pain Manag Nurs] 2015 Dec; Vol. 16 (6), pp. 834-40. Date of Electronic Publication: 2015 Aug 08.
DOI: 10.1016/j.pmn.2015.06.001
Abstrakt: Fibromyalgia (FM) patients were recently found to have more symptom burden from bothersome pelvic pain syndromes that women seeking care for pelvic floor disease at a urogynecology clinic. We sought to further characterize pelvic floor symptoms in a larger sample of FM patients using of validated questionnaires. Female listserv members of the Fibromyalgia Information Foundation completed an online survey of three validated questionnaires: the Pelvic Floor Distress Inventory 20 (PFDI-20), the Pelvic Pain, Urgency and Frequency Questionnaire (PUF), and the Revised Fibromyalgia Impact Questionnaire (FIQR). Scores were characterized using descriptive statistics. Patients (n = 204 with complete data on 177) were on average 52.3 ± 11.4 years with a mean parity of 2.5 ± 1.9. FM severity based on FIQR score (57.2 ± 14.9) positively correlated with PFDI-20 total 159.08 ± 55.2 (r = .34, p < .001) and PUF total 16.54 ± 7 (r = .36, p < .001). Women with FM report significantly bothersome pelvic floor and urinary symptoms. Fibromyalgia management should include evaluation and treatment of pelvic floor disorders recognizing that pelvic distress and urinary symptoms are associated with more severe FM symptoms. Validated questionnaires, like the ones used in this study, are easily incorporated into clinical practice.
(Copyright © 2015 American Society for Pain Management Nursing. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
Externí odkaz: