在一般实践中使用子宫内膜异位症提高认识工具 (RATE) 的可接受性:混合方法试点研究
Jacqueline Frayne1, Talila Milroy1,2, Charlotte Rook3
1Discipline of General Practice, Medical School, The University of Western Australia, Western Australia, Perth, Australia.
The Australian & New Zealand journal of obstetrics & gynaecology
|October 31, 2023
概括
对子宫内膜异位症的提高认识工具 (RATE) 是可以接受的全科医生,帮助讨论子宫内膜异位症的症状和管理. 需要进一步的教育,以帮助全科医生识别患有慢性疼痛风险的女性.
科学领域:
- 妇女健康 妇女健康
- 一般的做法一般的做法
- 疼痛管理 疼痛管理
背景情况:
- 子宫内膜异位症显著影响妇女的生活质量.
- 患者和全科医生之间的有效沟通对于诊断和管理至关重要.
- 提高对子宫内膜异位症的认识工具 (RATE) 是为了改善这些讨论而开发的.
研究的目的:
- 评估一般医生 (GPs) 中RATE工具的可接受性.
- 为了确定与子宫内膜异位症相关的症状在女性中的患病率,向全科医生介绍.
- 评估一般医生对这些症状的立即管理.
主要方法:
- 一个混合方法研究,结合了定量和定性数据.
- 西澳大利亚的12名全科医生使用RATE工具招募了111名女性 (18-50岁).
- 定性访谈探讨了全科医生的使用RATE工具的经验.
主要成果:
- 发现RATE工具是可以接受的,并促进了症状讨论.
- 68.5%的女性报告有骨盆疼痛,22.4%的女性报告生活质量受到干扰.
- 总医生在慢性疼痛问题上表现不确定,但可以单独管理症状.
结论:
- 在一般实践中,RATE工具是可以接受的,它可以识别症状,并就子宫内膜异位症的诊断和管理展开对话.
- 需要加强全科医生教育,以确定患慢性疼痛综合征的风险较高的女性.
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