识别月经投诉及其对青少年影响的工具:系统性审查
Habibe Özcan1, Nicole B Burger1, Eline van Dulmen-den Broeder1
1Department of Obstetrics and Gynaecology, Amsterdam Reproduction and Development Research Institute, Amsterdam UMC, location AMC and VUmc, Amsterdam, The Netherlands.
这次审查确定了两种经过验证的仪器,PIPPA和aMBQ,用于评估青少年的月经症状,如经期不良和严重月经出血 (HMB). 对于这个年龄组中常用的PBAC需要进一步的研究.
科学领域:
- 生殖健康 生殖健康
- 妇科 妇科 妇科 妇科
- 青少年医学 青少年医学
背景情况:
- 月经症状,包括经期不良和严重月经出血 (HMB),显著影响青少年的福祉.
- 准确的评估工具对于理解和管理年轻人的这些情况至关重要.
研究的目的:
- 提供对可用于评估青少年月经投诉的工具的全面概述.
- 确定验证和可行的工具,以评估这个人口群体中的淋病和HMB.
主要方法:
- 对主要数据库 (PubMed,科学网,Embase,PsycINFO) 进行了系统的搜索.
- 包括专注于10-19岁女孩的月经投诉的研究.
- 使用诊断准确性研究质量评估-2 (QUADAS-2) 评估质量和偏差风险.
主要成果:
- 在8994项已识别的研究中,包括了57项,描述了19种仪器.
- 只有8种仪器被验证为青少年,只有2种 (PIPPA和aMBQ) 被验证并可用于日常实践.
- 图形血液损失评估图 (PBAC) 经常被使用,但在青少年中显示出低敏感度和特异性,即使在修改后的版本中也是如此.
结论:
- 周期影响和疼痛评估 (PIPPA) 和青少年月经出血问卷 (aMBQ) 适用于评估青少年月经投诉及其影响.
- 图形血液损失评估图 (PBAC) 需要进一步验证和评估,特别针对青少年使用,包括HMB的切割值.
- 对于成年人来说验证的仪器可能不适合青少年,因为经验和对月经健康的了解不同.
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