在自我管理的早期药物堕胎中突出疼痛:一种定性研究
Carrie Purcell1, Victoria Louise Newton2, Fiona Bloomer3
1Faculty of Wellbeing, Education and Language Studies, The Open University in Scotland, Edinburgh, UK carrie.purcell@open.ac.uk.
BMJ sexual & reproductive health
|March 1, 2024
概括
早期医疗堕胎 (EMA) 期间的疼痛对一些人来说可能会出乎意料地严重. 对疼痛管理的明确指导,避免与月经疼痛进行比较,对于更好的患者体验至关重要.
科学领域:
- 生殖健康 生殖健康
- 疼痛管理 疼痛管理
- 患者体验 患者体验
背景情况:
- 早期医疗堕胎 (EMA) 是一个常见的程序.
- 了解患者的疼痛经历对于改善护理至关重要.
- COVID-19 疫情影响了医疗保健的获取和提供.
研究的目的:
- 探索在英国EMA期间的疼痛经历.
- 为预期疼痛指导提供最佳实践信息.
- 确定改善患者准备和支持的领域.
主要方法:
- 进行了深入的,半结构化的电话采访,与在英国接受EMA的个人进行了深入的,半结构化的电话采访.
- 使用讲故事方法收集丰富的定性数据.
- 使用NVivo 12软件进行专题分析,用于数据解释.
主要成果:
- 在EMA期间的疼痛经历在参与者之间有很大的差异.
- 意想不到的疼痛是痛苦和恐惧的重要来源.
- 将EMA疼痛描述为"类似经期"通常是误导性的,并增加了不确定性.
- 对一些人来说,疼痛比预期的要严重得多,导致了消极的经历.
结论:
- 关于EMA疼痛的预期指导需要改进,特别是在家庭自主管理方面.
- 建议避免"类似月经疼痛"的类比,以设定现实的期望.
- 加强疼痛准备和改善止痛是必要的,以减轻严重的疼痛经历和负面结果.
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