A qualitative evidence synthesis using meta-ethnography to understand the experience of living with pelvic organ prolapse

Toye, Francine; Pearl, Jeannine; Vincent, Katy; Barker, Karen

doi:10.1007/s00192-020-04494-z

Cited by 12 publications

(18 citation statements)

References 46 publications

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“…To understand experiences and develop a conceptual model that explained what is was like to have a UTI, we chose meta‐ethnography, first described by Noblit and Hare in 1988 18 . Rather than simply describing the findings of previous studies, meta‐ethnography encourages a conceptual approach to develop an understanding of experience by synthesizing primary research finding to “make a whole of something more than parts alone imply.” 18 This has been used to better understand experiences of living with urinary incontinence and pelvic organ prolapse 14,19 . A systematic review was undertaken of the Medline, PsychInfo, Cinahl, and Embase databases using the search terms outlined in Table 1.…”

Section: Methodsmentioning

confidence: 99%

“…18 This has been used to better understand experiences of living with urinary incontinence and pelvic organ prolapse. 14,19 A systematic review was undertaken of the Medline, PsychInfo, Cinahl, and Embase databases using the search terms outlined in Table 1.…”

Section: Selecting Meta-ethnographymentioning

confidence: 99%

“…To date, no such QES has been undertaken of qualitative studies that explore UTI, a condition with great diagnostic and therapeutic uncertainties. In this study, we utilize meta‐ethnography, a form of QES, to provide insight into patient experiences so as to inform researchers and clinicians as they try to address these uncertainties and improve care 11–14 …”

Section: Introductionmentioning

confidence: 99%

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Experiences of urinary tract infection: A systematic review and meta‐ethnography

Izett-Kay

Barker

McNiven

et al. 2022

Neurourology and Urodynamics

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Aim To understand the experience of urinary tract infection (UTI) by synthesizing primary qualitative research findings and developing a conceptual model that illustrates this experience. Method A systematic search of Medline, PsychInfo, Embase, and CINAHL from inception to August 2020 to find qualitative research exploring the experience of UTI. Qualitative evidence synthesis in the form of meta‐ethnography was undertaken. Findings are reported in keeping with eMERGe guidance. Results We included 16 qualitative studies in the synthesis of evidence, providing data from over 1038 participants aged 13–97 years. We developed nine themes: the impact of UTI on my whole body; impact on quality of life, activities, and the associated psychological toll; I know my body and my experience has taught me when I need to seek care; worry and the transition to medicalization; antibiotics are a valuable treatment approach; antibiotics are a last resort; being heard, seen, and cared for with dignity; self‐judgment; and the end of the road, a need for information and cure. These themes supported a conceptual model to illustrate the patient experience of UTI. Conclusions The conceptual model communicates the wide and varied symptoms of patients' UTI experiences and how they process this and make care decision based on past health experiences. For some, there appears to be a sense of hopelessness and frustration. This model may be used to highlight the need for improvements in diagnostic and treatment pathways. Future research to further understand the nuances of acute, recurrent, and persistent UTI is needed.

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Section: Methodsmentioning

confidence: 99%

Section: Selecting Meta-ethnographymentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Experiences of urinary tract infection: A systematic review and meta‐ethnography

Izett-Kay

Barker

McNiven

et al. 2022

Neurourology and Urodynamics

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“…Prior studies have identified the myriad of negative effects stemming from pelvic organ prolapse, such as distress and embarrassment [6,8] and how women often suffer in silence [9], despite experiencing depressive symptoms [10] and low QOL [11,12]. Studies related to pelvic organ prolapse mainly reported relationships between prolapse-related physical symptoms and depressive symptoms and the main effects of these two groups of symptoms on the QOL of women with pelvic organ prolapse.…”

Section: Introductionmentioning

confidence: 99%

Interaction and main effects of physical and depressive symptoms on quality of life in Korean women seeking care for rectal prolapse: a cross-sectional observational study

Moon

Youngrye

Kim

et al. 2021

Korean J Women Health Nurs

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Purpose: Rectal prolapse is still a relatively understudied medical condition, especially in women, whereas physical symptoms, depressive symptoms, and quality of life (QOL) in women with pelvic organ prolapse have been steadily studied. This study aimed to examine the interaction and main effects of physical and depressive symptoms on physical and mental QOL of women seeking care for rectal prolapse in Korea. Methods: Ninety-two women with rectal prolapse were recruited from a colorectal surgery clinic of a tertiary teaching hospital in Gwangju, Korea. Physical symptoms related to rectal prolapse (pelvic organ prolapse distress, POPD; colorectal-anal distress, CRAD; and urinary distress, UD), depression, and QOL were measured. The data were analyzed using descriptive statistics, Pearson correlation coefficient, and two-way analysis of variance. Results: The interaction between POPD symptoms and depressive symptoms (F=4.51, p=.037) affected physical QOL. The interaction between POPD (F=9.66, p=0.003) and CRAD symptoms (F=7.48, p=.008), respectively, and depressive symptoms affected mental QOL. Depressive symptoms had a significant main effect on the physical QOL in the CRAD (F=6.22, p=.014) and UD (F=6.01, p=.016) groups and on mental QOL in the UD group (F=24.54, p<.000).Conclusion: Physical and depressive symptoms should be considered together to improve the QOL in women with rectal prolapse. Nursing interventions to decrease rectal prolapse-related physical and depressive symptoms are required to improve QOL in women with symptomatic rectal prolapse.

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“… 1 Approximately 90% are performed for noncancerous gynecologic conditions, 2 including leiomyomas, endometriosis, and pelvic organ prolapse, which can significantly reduce quality of life. 3 , 4 Annual hysterectomy rates have declined over recent decades. 2 In Canada, age-standardized rates fell from 446/100,000 in 2000 to 288/100,000 in 2019.…”

Section: Introductionmentioning

confidence: 99%

Prevalence of Hysterectomy by Self-Reported Disability Among Canadian Women: Findings from a National Cross-Sectional Survey

Scime

Brown

Metcalfe

et al. 2021

Women's Health Reports

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Introduction: Our objective was to investigate differences in prevalence of hysterectomy by self-reported disability status among Canadian women. Materials and Methods: We analyzed cross-sectional data from the Canadian Community Health Survey 2012 on 30,170 women aged ≥20 years. Disability was defined as reports of sometimes or often (vs. never) experiencing functional limitations or reduction in daily activities at home, school, or work. Frequency of these limitations was used as a proxy for disability severity. The outcome was self-reported hysterectomy status. Modified Poisson regression was used to quantify the prevalence ratio (PR) and 95% confidence interval (CI) for hysterectomy according to any, functional, or activity-limiting disability, after adjustment for household income, employment, education, ethnicity, and marital status. Results were stratified by age at time of data collection, categorized as childbearing (20–44 years), perimenopausal (45–59 years), and postmenopausal (60 years and older). Results: Disability was significantly and consistently associated with higher prevalence of hysterectomy in women. The strength of association was inversely related to age category, and PRs for a given age category were similar across disability types and severity levels. PRs for the association between any disability and hysterectomy were 2.18 (95% CI 1.36–3.50) for childbearing-aged women, 1.48 (95% CI 1.21–1.80) for perimenopausal women, and 1.12 (95% CI 1.02–1.24) for postmenopausal women. Conclusions: Prevalence of hysterectomy is disproportionately higher among women with self-reported disabilities compared with women without disabilities, with these differences most pronounced in women of childbearing age.

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A qualitative evidence synthesis using meta-ethnography to understand the experience of living with pelvic organ prolapse

Cited by 12 publications

References 46 publications

Experiences of urinary tract infection: A systematic review and meta‐ethnography

Experiences of urinary tract infection: A systematic review and meta‐ethnography

Interaction and main effects of physical and depressive symptoms on quality of life in Korean women seeking care for rectal prolapse: a cross-sectional observational study

Prevalence of Hysterectomy by Self-Reported Disability Among Canadian Women: Findings from a National Cross-Sectional Survey

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