疼痛频率和医疗保健利用模式在患有状细胞病的妇女经历月经相关的疼痛危机
Catherine Segbefia1,2, Jillian Campbell3, Immacolata Tartaglione4
1Department of Child Health, University of Ghana Medical School, Accra, Ghana.
Journal of women's health (2002)
|November 27, 2023
概括
近40%的状细胞疾病 (SCD) 妇女经历与月经有关的疼痛危机. 这些危机增加了住院治疗,突显了在SCD管理中需要更好的妇科护理.
科学领域:
- 血液学 血液学 血液学
- 妇科 妇科 妇科 妇科
- 公共卫生 公共卫生
背景情况:
- 状细胞疾病 (SCD) 的特点是严重的疼痛危机导致显著的医疗利用.
- 患有SCD的女性经常报告更高的疼痛负担,新出现的证据将疼痛危机与月经相关联.
- 在SCD女性中,与月经相关的疼痛危机的医疗保健利用模式仍未得到报道.
研究的目的:
- 调查与SCD妇女的月经相关疼痛危机相关的频率,严重程度和医疗保健利用情况.
- 量化月经相关疼痛危机对急诊室访问和住院治疗的影响.
主要方法:
- 一项跨国,横截面的队列研究,使用状细胞研究进步联盟 (CASiRe) 队列.
- 通过验证的问卷和医疗病历审查收集了178名患有SCD的妇女的数据.
- 在过去6个月和去年收集的关于疼痛危机,急诊室/日间医院访问和住院治疗的信息.
主要成果:
- 39%的SCD女性报告了终身与月经相关的疼痛危机,与没有SCD女性相比,住院率更高 (1.70对0.67).
- 在过去6个月中经历了这些危机的女性也显示出住院病例增加 (1.71比0.75).
- 大约40%的女性在过去6个月中报告了至少4次与月经相关的疼痛危机.
结论:
- 月经相关的疼痛危机影响近40%的SCD妇女,与高疼痛负担和增加住院治疗相关.
- 这些发现强调了需要有针对性的战略,以解决SCD妇女在妇科护理中的医疗保健差异.
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