在子宫内膜异位症中疼痛沟通的经验:一个元合成
Nastasja Robstad1, Anita Paulsen1,2, Ingvild Vistad2,3
1Department of Health and Nursing Science, University of Agder, Kristiansand, Norway.
Acta obstetricia et gynecologica Scandinavica
|October 23, 2024
概括
在子宫内膜异位症中疼痛沟通是复杂的,通常涉及患者和医疗保健提供者之间的不信任和缺乏理解. 加强这些互动需要进一步研究沟通策略和评估工具,以改善患者护理.
科学领域:
- 生殖医学 生殖医学
- 疼痛管理 疼痛管理
- 定性研究综合 定性研究综合
背景情况:
- 子宫内膜异位症是女性慢性盆腔疼痛的主要原因,严重影响她们的生活质量.
- 在检查子宫内膜异位症患者和医疗保健专业人员之间的疼痛沟通的系统审查中存在差距.
- 了解这些沟通动态对于改善患者护理至关重要.
研究的目的:
- 综合关于子宫内膜异位症患者如何向医疗保健专业人员传达疼痛的发现.
- 探索医疗保健专业人员在这些疼痛沟通相互作用中的经验.
- 识别子宫内膜异位症疼痛沟通中的挑战和主题.
主要方法:
- 在2024年1月更新的CINAHL PLUS和MEDLINE进行了系统的文献搜索.
- 桑德洛夫斯基和巴罗索的元合成方法指导了这次审查.
- 根据托马斯和哈登的观点,使用专题分析分析了37份报告 (2003-2023) 的研究结果,其中涉及4842名参与者.
主要成果:
- 主题分析揭示了三个关键主题:"应对双重负担"",缺乏相互理解"",传达痛苦的复杂性".
- 沟通挑战包括不信任的模式,正常化,以及对疼痛的心理归因.
- 参与者强调了由于沟通技巧和评估工具不足而产生的困难.
结论:
- 在子宫内膜异位症的疼痛沟通是复杂的,标志着患者提供者误解和疼痛的各种归因.
- 双方的技能和评估工具不足,阻碍了有效的沟通.
- 需要进一步的研究来制定改善沟通和加强对子宫内膜异位症患者的护理的策略.
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