Remmelts, H.A. (Helga) (2016) Effectiviteit van een multidisciplinaire benadering van patiënten met myofascialechronische bekkenpijn. thesis, Medicine.
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Abstract
Background: Myofascial pelvic pain syndrome is a common condition with a major negative impact on the quality of life. As aetiology is multifactorial, a biopsychosocial model and central sensitivity model can be applied. A multidisciplinary approach is advised by current guidelines. So far, the outcomes of this approach have not been well explored. Objective: The aim of this study is to evaluate the results of the multidisciplinary approach of patients with myofasical pelvic pain syndrome in the pelvic floor centre at the academic medical centre Groningen and to explore the influence of age and follow-up duration on the results. Study design: A paired t-test was used to test the change of health and psychosocial items after a follow-up period with an average of 54 months. The items were quantified with the pelvic floor questionnaire of the Dutch Society of Obstetrics and Gynaecology. The influence of age and follow-up duration on score change was estimated with a linear regression analysis. In addition, patients were asked to give feedback about different aspects of the given care. Results and conclusions: An improvement was assessed in urogenital symptoms and urogenital pain, defaecation symptoms and incontinence impact. Sexual symptoms did not change. There appears to be little or no influence of age and follow-up time on the results. Patients are generally positive about the care and appreciate the clarity of the explanations, time and attention they received. They requested to be more involved in decision making, to receive more information and to have access to an improved follow-up.
| Item Type: | Thesis (Thesis) |
|---|---|
| Supervisor name: | Begeleider and Malmberg, G.G.A. and Locatie Universitair Medisch Centrum Groningen and Obstetrie & Gynaecologie; and Universitair Bekkenbodem Centrum Groningen |
| Faculty: | Medical Sciences |
| Date Deposited: | 25 Jun 2020 10:39 |
| Last Modified: | 25 Jun 2020 10:39 |
| URI: | https://umcg.studenttheses.ub.rug.nl/id/eprint/110 |
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