推进宫内器械插入的疼痛管理协议:将基于证据的策略整合到临床实践中
Eden Estevez1, Shivaughn Hem-Lee-Forsyth2, N'Diera Viechweg2
1Obstetrics and Gynecology, St. George's University School of Medicine, St. George, GRD.
Cureus
|July 26, 2024
概括
宫内器件 (IUD) 插入期间的疼痛和焦虑是避孕使用的主要障碍. 这次审查发现药理学和非药理学方法可以最大限度地减少不适,但需要对非药理学选择进行更多研究.
科学领域:
- 生殖健康 生殖健康
- 避孕药是一种避孕药,用于避孕.
- 疼痛管理 疼痛管理
背景情况:
- 宫内器械 (IUD) 是一种高效的避孕药.
- 在IUD插入期间的不适和焦虑妨碍了采用.
- 解决疼痛和焦虑对于改善避孕措施的准入至关重要.
研究的目的:
- 将IUD插入过程中的疼痛和焦虑降到最低的方法进行分类和识别.
- 评估现有的关于IUD植入的疼痛和焦虑管理的研究.
- 为提高IUD过程中患者体验的策略提供信息.
主要方法:
- 在PubMed和谷歌学者数据库的系统文献搜索.
- 包括标准用于确定有关IUD插入疼痛和焦虑的相关研究.
- 对14篇评价疼痛管理策略的文章进行分析.
主要成果:
- 药理和非药理方法都能有效地减少IUD插入期间的不适.
- 12项研究专注于药理性疼痛管理,而只有两项评估了非药理性方法.
- 对插入疼痛的恐惧仍然是IUD使用的重要障碍.
结论:
- 存在有效的策略来管理与IUD插入相关的疼痛和焦虑.
- 需要增加对治疗疼痛的非药理方法的研究.
- 改善患者体验可以克服避孕套采用的障碍.
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