A1 Vertaisarvioitu alkuperäisartikkeli tieteellisessä lehdessä
Usability of Pregnancy-Unique Quantification of Emesis questionnaire in women hospitalised for hyperemesis gravidarum: a prospective cohort study
Tekijät: Laitinen Linda, Nurmi Miina, Kulovuori Nina, Koivisto Mari, Ojala Elina, Rautava Päivi, Polo-Kantola Päivi
Kustantaja: BMJ PUBLISHING GROUP
Julkaisuvuosi: 2022
Journal: BMJ Open
Tietokannassa oleva lehden nimi: BMJ OPEN
Lehden akronyymi: BMJ OPEN
Artikkelin numero: e058364
Vuosikerta: 12
Numero: 5
Sivujen määrä: 9
ISSN: 2044-6055
eISSN: 2044-6055
DOI: https://doi.org/10.1136/bmjopen-2021-058364
Verkko-osoite: https://bmjopen.bmj.com/content/12/5/e058364
Rinnakkaistallenteen osoite: https://research.utu.fi/converis/portal/detail/Publication/175467072
Objectives Pregnancy-Unique Quantification of Emesis (PUQE) questionnaire is mainly used in outpatient care to assess the severity of nausea and vomiting of pregnancy (NVP). Our aim was to evaluate the usability of the Finnish-translated PUQE in hospitalised women with hyperemesis gravidarum (HG).
Design Prospective cohort study.
Setting University hospital in Finland.
Participants Ninety-five women admitted due to HG for at least overnight.
Primary and secondary outcome measures Categorised and continuous PUQE scores, physical and mental quality of life (QoL) and urine ketones at admission and at discharge, analysing the first admission and readmissions separately.
Results The most common PUQE categories at admission were ‘moderate’ and ‘severe’, whereas at discharge they were ‘mild’ and ‘moderate’. Likewise, continuous PUQE scores improved between admission and discharge (p<0.0001). At admission, women rating worse physical QoL (first admission adjusted OR (AOR) 1.09; 95% CI 1.03 to 1.16; readmissions AOR 1.13; 95% CI 1.02 to 1.25) and women with ketonuria of +++ (first admission AOR 16.00; 95% CI 1.44 to 177.82) fell into higher PUQE score category. On discharge day, women with better physical QoL had lower PUQE score category (first admission AOR 0.94; 95% CI 0.91 to 0.98; readmissions AOR 0.93; 95% CI 0.90 to 0.97). The results between physical QoL and continuous PUQE scores were similar. Concerning readmissions, better mental QoL was associated with lower PUQE score category at discharge (AOR 0.93; 95% CI 0.89 to 0.97). As for continuous PUQE score, worse mental QoL was associated with higher score at admission (readmissions, p=0.007) and better mental QoL with lower score at discharge (readmissions, p=0.007).
Conclusions PUQE scores reflected alleviation of NVP severity in women hospitalised due to HG. Further, the decrease in PUQE score was associated with improved physical QoL and partly also with improved mental QoL. We therefore suggest PUQE as a complementary instrument for inpatient setting.
Ladattava julkaisu This is an electronic reprint of the original article. |