مجله دانشکده پزشکی اصفهان

مجله دانشکده پزشکی اصفهان

عوامل مرتبط با اختلالات کف لگن در زنان ایرانی: یک مرور نظام‌مند

نوع مقاله : Review Article

نویسندگان
فریناز رحیمی 1
معصومه مبارکی 2
عاطفه شولی بر 3
نسترن صفوی اردبیلی 4
فاطمه عبدی 5
فاطمه السادات رهنمائی 6
1 گروه سلامت باروری و مامایی، دانشکده‌ی علوم پزشکی، دانشگاه تربیت مدرس، تهران، ایران.
2 گروه مامایی، دانشکده‌ی پزشکی، دانشگاه علوم پزشکی ایرانشهر، ایرانشهر، ایران.
3 بیمارستان ایران، دانشگاه علوم پزشکی ایرانشهر، ایرانشهر، ایران
4 گروه مامایی، دانشگاه آزاد اسلامی واحد اردبیل، اردبیل، ایران
5 مرکز تحقیقات مراقبت‌های پرستاری و مامایی، پژوهشکده‌ی مدیریت سلامت، دانشگاه علوم پزشکی ایران، تهران، ایران
6 مرکز پژوهش‌های علمی و فناوری دانشجویان، دانشگاه علوم پزشکی تهران، تهران، ایران
10.48305/jims.v43.i833.1247
چکیده
مقاله مروری




مقدمه: اختلالات کف لگن (Pelvic floor disorders) PFD، از مشکلات شایع بهداشتی در زنان هستند که می‌توانند کیفیت زندگی را تحت تأثیر قرار دهند. در ایران، به دلیل عوامل فرهنگی و اجتماعی، این اختلالات اغلب تشخیص داده نمی‌شوند یا تحت درمان قرارنمی‌گیرند. این مرور نظام‌مند با هدف شناسایی عوامل مرتبط با PFD در زنان ایرانی انجام شد.
روش‌ها: در این مرور نظام‌مند، مطالعات در راستای هدف مطالعه در پایگاه‌های اطلاعاتی Web of Science، PubMed،Scopus ، SID، Magiran، Irandoc با موتور جست‌وجوی Google Scholar و محدود به مقاله‌های فارسی و انگلیسی زبان منتشر شده تا 31 می سال 2025 بررسی شد. ارزیابی کیفیت مطالعات با استفاده از چک‌لیست نیوکاسل اتاوا (NOS) انجام شد.
یافته‌ها: 30 مطالعه (26 مقطعی، 2 کوهورت، 1 مورد-شاهدی، 1 طولی) شامل 20,641 زن بررسی شدند. شیوع PFD بین 12/5 تا 89 درصد متغیر بود (شایع‌ترین انواع آن نیز بی‌اختیاری ادراری (12/5-57/7 درصد) و پرولاپس اندام‌های لگنی (13-80/8 درصد) بود). زایمان واژینال، سن بالا، شاخص توده‌ی بدنی بالا و یبوست قوی‌ترین عوامل خطر بودند، در حالی که زایمان سزارین و تحصیلات بالا عوامل محافظ بودند.
نتیجه‌گیری: شیوع بالای PFD در زنان ایرانی، نیازمند مداخلات پیشگیرانه مانند غربالگری منظم، آگاهی رسانی و آموزش زنان در مورد تمرینات کف لگن، و مدیریت تغذیه‌ای یبوست است. بهبود دسترسی به مراقبت‌های بهداشتی و تحقیقات بیشتر در مورد تعیین کننده‌های اجتماعی- اقتصادی توصیه می‌شود.

تازه های تحقیق

فریناز رحیمی: PubMed ,Google Scholar 

معصومه مبارکی: Google Scholar

عاطفه شولی بر: Google Scholar

نسترین صفوی اردبیلی: PubMed ,Google Scholar

فاطمه عبدی: PubMed ,Google Scholar

فاطمه السادات رهنمائی: PubMed ,Google Scholar

کلیدواژه‌ها
اختلالات کف لگن؛ بی‌اختیاری ادراری؛ بی‌اختیاری مدفوع؛ پرولاپس اندام‌های لگن؛ زنان
ایران؛ یائسگی؛ زایمان واژینال؛ شیوع

موضوعات

عنوان مقاله English

Associated Factors with Pelvic Floor Disorders Among Iranian Women: A Systematic Review

نویسندگان English

Farinaz Rahimi 1
Masoumeh Mobaraki 2
Atefeh Sholibor 3
Nastaran Safavi Ardabili 4
Fatemeh Abdi 5
Fatemeh Alsadat Rahnemaei 6
1 Department of Reproductive Health and Midwifery, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran
2 Department of Midwifery, School of Medicine, Iranshahr University of Medical Sciences, Iranshahr, Iran
3 Iran Hospital, Iranshahr University of Medical Sciences, Iranshahr, Iran
4 Department of Midwifery, Ardabil Branch, Islamic Azad University, Ardabil, Iran
5 Nursing and Midwifery Care Research Center, Health Management Research Institute, Iran University of Medical Sciences, Tehran, Iran
6 Student Scientific Research Center (SSRC), Tehran University of Medical Sciences, Tehran, Iran
چکیده English

Background: Pelvic floor disorders (PFDs) are common health problems among women that can significantly impact quality of life. In Iran, due to cultural and social factors, these conditions are often underdiagnosed or undertreated. This systematic review aimed to identify the factors associated with PFDs among Iranian women.
Methods: This systematic review identified relevant studies through a comprehensive search of the Web of Science, PubMed, Scopus, SID, Magiran, Irandoc databases, and the Google Scholar search engine, limited to Persian and English articles published up to May 31, 2025. The methodological quality of the included studies was assessed using the Newcastle-Ottawa Scale (NOS).
Findings: A total of 30 studies (26 cross-sectional, 2 cohort, 1 case-control, and 1 longitudinal) involving 20,641 women were reviewed. The prevalence of PFDs ranged from 12.5% to 89%, with the most common types being urinary incontinence (12.5%–57.7%) and pelvic organ prolapse (13%–80.8%). Vaginal delivery, older age, higher BMI, and constipation were identified as the strongest risk factors, whereas cesarean delivery and higher educational degree were found to be protective factors.
Conclusion: The high prevalence of PFDs among Iranian women highlights the need for preventive interventions such as routine screening, public awareness, education on pelvic floor exercises, and nutritional management of constipation. Enhancing access to healthcare services and conducting further research on socioeconomic determinants are also recommended.

کلیدواژه‌ها English

Pelvic floor disorders
Urinary incontinence
Fecal incontinence
Pelvic organ prolapse
Women
Iran
Menopause
Vaginal delivery
Prevalence
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مجله دانشکده پزشکی اصفهان
دوره 43، شماره 833
هفته 1، آذر
آذر و دی 1404
صفحه 1247-1270

  • تاریخ دریافت 16 خرداد 1404
  • تاریخ پذیرش 10 آبان 1404