Evaluation de la qualité de vie des femmes souffrant d’une fistule obstétricale à Kinshasa [Evaluation of the quality of life of women with obstetric fistula in Kinshasa]
Bibliographic record
Abstract
Fench Abstract : Introduction-La fistule obstétricale est un problème majeur de santé maternelle qui affecte considérablement les femmes sous l’angle tant physique que mental. L’objectif de ce travail était d’évaluer la qualité de vie des femmes souffrant de la fistule obstétricale et d’identifier les facteurs sociodémographiques. Matériels et méthodes -Nous avons recouru à la méthode d’enquête appuyée par l’échelle de la qualité de vie de McGill que nous avons administrée à un échantillon de 56 femmes souffrant d’une fistule obstétricale prises en charge à la Fistula Clinic de Kinshasa. Résultats -L’échantillon d’étude est constitué de 20 femmes âgées de moins de 30 ans, 15 âgées de 30-39 ans et 21 âgées de 40-49 ans. On retrouve également 6 femmes analphabètes, 20 diplômées d’Etat, 16 graduées (bac+3) et 14 licenciées (bac+5). Sous l’angle de l’état-civil, on a 30 mariées, 16 divorcées et 10 célibataires. Enfin, il y a 7 femmes qui n’ont pas connu de césarienne, 40 ont eu une césarienne et 9 ont eu deux césariennes. Les variables âge et état-civil ont influencé chacune une dimension de la qualité de vie (p < 0,05). Les résultats de l’étude indiquent que les femmes atteintes de la fistule obstétricale font preuve d’un état de mal-être général prononcé (Moyenne = 1,00 ; Ecart-type= 0,00) et d’un sentiment de mal-être psychologique (Moyenne= 2,40 ; Ecart-type = 1,15). Elles éprouvent un fort sentiment de bien-être physique (Moyenne = 2,68 ; Ecart-type =0,77), existentiel (Moyenne = 2,80 ; Ecart-type =1,06) et social (Moyenne = 3,10 ; Ecart-type =0,92). Conclusion -la fistule obstétricale affecte négativement le bien-être général et psychologique des femmes prises en charge à la Fistula Clinic de Kinshasa. English Abstract: Background-Obstetric fistula is a major maternal health problem that significantly affects women both physically and mentally. The objective of the study was to assess the quality of life of women with obstetric fistula and to identify the socio-demographic factors. Methods - We used a survey method supported by the McGill Quality of Life Scale, which we administered to a sample of 56 women with obstetric fistula managed at the Fistula Clinic in Kinshasa. Results -In terms of socio-demographic variables, the study sample consisted of 20 women under the age of 30, 15 aged 30-39 and 21 aged 40-49. There are also 6 illiterate women, 20 state graduates, 16 graduates (baccalaureate +3) and 14 bachelor graduates (baccalaureate+5). In terms of marital status, there are 30 married women, 16 divorced women and 10 single women. Finally, there are 7 women who have not had a caesarean section, 40 who have had a caesarean section and 9 who have had two caesareans. The variables age and marital status each influenced one dimension of quality of life (p < 0.05). Women with obstetric fistula show a high level of general unhappiness (Mean = 1.00; SD = 0.00) and a feeling of psychological unhappiness (Mean = 2.40; SD = 1.15). They have a strong sense of physical (Mean = 2.68; SD =0.77), existential (Mean = 2.80; SD =1.06) and social well-being (Mean = 3.10; SD =0.92). Conclusion -obstetric fistula negatively affects the general and psychological well-being of women treated at the Fistula Clinic in Kinshasa.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.002 | 0.003 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.001 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.001 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.001 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.003 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".