Analyse von Einflussfaktoren auf die Rehabilitation von Endometriose-Patientinnen

B. Deblitz, Christoph Gutenbrünner, Christiane Niehues, Gudrun Brandes
In: Physikalische Medizin, Rehabilitationsmedizin, Kurortmedizin · 2012 · vol. 22(04) , pp. 207–213 · doi:10.1055/s-0032-1316381 · W2318832239
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⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-07-09 ⓘ

This study identified predictors of successful rehabilitation for endometriosis patients, finding that physical and psychoeducational interventions were beneficial, while severe disease and depression predicted poorer outcomes.

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⚙ AI-generated deep summary by claude@2026-07, 2026-07-09 · read from full text ⓘ

This retrospective pilot study analyzed medical records from 362 women with endometriosis admitted to a rehabilitation hospital in Bad Salzuflen in 2008–2009, correlating physical, mental, and job-related abilities and prior questionnaire data with rehabilitation success, and incorporating patient-stated goals alongside physician rehabilitation objectives. Most participants rated the general benefit as “good,” and physical and psychoeducative interventions were perceived positively, with better rehabilitation outcomes reported for women with an unfulfilled desire for children and for those intending weight reduction. In contrast, women with severe disease extent and those with depressive symptoms evaluated rehabilitation outcomes worse. The authors conclude that rehabilitation for endometriosis should be individually tailored to patients’ goal ideas, but the study is limited by its retrospective, single-center pilot design using chart-based correlations. This paper is centrally about endometriosis — it analyzes predictors of rehabilitation outcome and how rehabilitation should be individualized for endometriosis patients.

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Abstract

Endometriose ist eine häufige chronische Erkrankung. Ob die Rehabilitation helfen kann, soll durch Nachweis von Prädiktoren erstmalig gezeigt werden. Von allen 2008–2009 in die Rehaklinik aufgenommenen Endometriose-Patientinnen (n=362) wurden der ärztliche Entlassungsbericht hinsichtlich Krankheitsverlauf, psychischer Belastung sowie beruflicher Einschränkung ausgewertet. Die ärztlichen Rehabilitationsziele wurden durch Zielvorstellungen der Patientinnen ergänzt. Der Nutzen wurde über 50% mit der höchsten Stufe „gut“ bewertet. Physikalische und psychoedukative Angebote wurden positiv beurteilt. Frauen mit unerfülltem Kinderwunsch sowie Gewichtsreduktion profitierten am besten. Dagegen konnten Patientinnen mit starker Krankheitsausdehnung sowie depressiven Beschwerden schlecht wiederhergestellt werden. Für Endometriose-Patientinnen ist nur eine individuell angepasste, auf den Zielvorstellungen aufbauende Rehabilitation ­sinnvoll.
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Abstract

Purpose: Endometriosis is a chronic disease. The objective of this retrospective pilot study is the analysis of modulating factors influencing the rehabilitation process.

Methods

Data from medical records of 362 patients at the rehabilitation hospital in Bad Salzuflen (Germany) in 2008 and 2009 concerning physical, mental and job-related abilities as well as from their previous questionnaires were statistically correlated with the success of rehabilitation.

Results

The majority of patients appreciated the general benefit of the rehabilitation. The physical and psycho educative measures were perceived significantly. Women with the desire of having children and patients with the intention of weight reduction had a benefit by customized rehabilitation activities. However, patients with a severe disease or with depressive symptoms evaluated worse.

Conclusion

Patients with endometriosis can profit by the rehabilitation, especially if the mentioned goals were respected. - Literatur - 1 Ulrich U, Ebert AD, Greb R et al. AWMF-Leitlinien Diagnostik und Therapie der Endometriose (Nr.015/045). Leitlinien der Deutschen, Schweizerische und Österreichische Gesellschaft für Gynäkologie und Geburtshilfe 2010 - 2 Abbas S, Ihle P, Köster I et al. Prevalence and incidence of diagnosed endometriosis and risk of endometriosis in patients with endometriosis-related symptoms: findings from a statutory health insurance-based cohort in Germany. Eur J Obstet Gynecol Reprod Biol 2012; 160: 79-83 - 3 Brandes I, Kleine-Budde K, Mittendorf T. Krankheitskosten bei Endometriose. Geburtsh und Frauenheilk 2009; 69: 925-930 - 4 Fink D, Lang U, Kimmig R. Endometriose – ein oft verkanntes Leiden. Gynakol Geburtshilfliche Rundsch 2007; 47: 111-112 - 5 Schröder M, Bommer H, Schweizer-Arau A et al. Welche Symptome und Folgen hat Endometriose? Endometriose. 1st ed. Berlin: Feministisches Frauen Gesundheits Zentrum; 2006: 18-20 - 6 Hurlbutt KE. Report on pain management in women with endometriosis. In: Ballweg ML. Overcoming Endometriosis, New help from the Endometriosis Association. New York: Congdon & Weed Verlag; 1987: 268-271 - 7 Lemaire GS. More than just menstrual cramps: symptoms and uncertainty among women with endometriosis. J Obstet Gynecol Neonatal Nurs 2004; 33: 71-79 - 8 Cox H, Henderson L, Andersen N et al. Focus group study of endometriosis: struggle, loss and the medical merry-go-round. Int J Nurs Pract 2003; 9: 2-9 - 9 Fagervold B, Jenssen M, Hummelshoj L et al. Life after a diagnosis with endometriosis – a 15 years follow-up study. Acta Obstet Gynecol Scand 2009; 88: 914-919 - 10 Huntington A, Gilmour JA. A life shaped by pain: women and endometriosis. J Clin Nur 2005; 14: 1124-1132 - 11 Keckstein J, Hucke J, Ulrich U. Operative Therapie der Endometriose. Gynaekologe 2007; 40: 536-546 - 12 Ehret-Wagener B. Gynäkologische Patientinnen in der Rehabilitation. Gynaekologe 2003; 36: 1092-1098 - 13 Brandes I, Wunderlich B, Niehues C. Rahmenbedingungen für die Umsetzung eines ambulanten Schulungsprogramms – Besonderheiten und Abgrenzung zu einer stationären Schulung. Rehabil 2011; 50: 111-117 - 14 Vogel H, Tuschhoff T, Zillessen E. Die Definition von Rehabilitationszielen als Herausforderung für die Qualitätssicherung. Dtsch Rentenversich 1994; 751-764 - 15 Holliday RC, Cano S, Freeman JA et al. Should patients participate in clinical decision making? An optimised balance block design controlled study of goal setting in a rehabilitation unit. J Neurol Neurosurg Psychiatry 2007; 78: 576-580 - 16 Deck R. Welchen Einfluss haben Reha-Informationen auf Reha-Erwartungen und -Ergebnisse?. In: Petermann F, Ehlebracht-König I. Motivierung, Compliance und Krankheitsbewältigung. Regensburg: S. Roderer Verlag; 2004: 63-75 - 17 Oster J, Müller G, von Wietersheim J. „Wer profitiert?” – Patientenmerkmale als Erfolgsprädiktoren in der psychosomatischen Rehabilitation. Rehabilitation 2009; 48: 95-102 - 18 Farin E, Opitz U, Jäckel WH et al. Pneumologische Rehabilitation: Langzeitdaten zur Lebensqualität und Prädiktoren der Behandlungseffekte. Phys Med Rehab Kuror 2009; 19: 75-84 - 19 Haaf HG. Ergebnisse zur Wirksamkeit der Rehabilitation. Rehabilitation 2005; 44: e1-e20 - 20 Clark MS, Smith DS. Psychological correlates of outcome following rehabilitation from stroke. Clin Rehabil 1999; 13: 129-140 - 21 Bortz J, Lienert GA, Boehnke K. Ordinalskalierte Merkmale. Verteilungsfreie Methoden in der Biostatistik. 3rd ed. Heidelberg: Springer Verlag; 2008: 406-448 - 22 Ziegler M, Bühner M. Spearman-Rangkorrelation und Kendalls-tau. Statistik für Psychologen und Sozialwissenschaftler. 1st ed. Pearson; 2009 - 23 Brandes I, Niehues C. Endometriose-Patientinnen in einer gynäkologischen Rehabilitationsklinik. Phys Med Rehab Kuror 2011; 21: 227-233 - 24 Fischer D, Stewart AL, Bloch DA et al. Capturing the patient’s view of change as a clinical outcome measure. J Am Med Assoc 1999; 282: 1157-1162 - 25 Jones G, Jenkinson C, Kennedy S. The impact of endometriosis upon quality of life: a qualitative analysis. J Psychosom Obstet Gynaecol 2004; 25: 123-133 - 26 Niehues C. Rehabilitation bei Endometriose. In: Keckstein J. 5th ed. Würzburg: Diametric Verlag; 2009: 129-153 - 27 Schubmann RM, Vogel H, Placzek T et al. Kardiologische Rehabilitation – Erwartungen und Einschätzungen von Patienten. Rehabilitation 2005; 44: 134-143 - 28 Ananthakrishnan AN, Weber LR, Knox JF et al. Permanent work disability in Crohn’s disease. Am J Gastroenterol 2008; 103: 154-161 - 29 Kittel J, Karoff M. Lässt sich die Teilhabe am Arbeitsleben durch eine berufsorientierte kardiologische Rehabilitation verbessern? Ergebnisse einer randomisierten Kontrollgruppenstudie. Rehabilitation 2008; 47: 14-22

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