超越病理学:患者经历了腹腔镜治疗持续的骨盆疼痛,没有发现可识别的原因
Tristan McCaughey1, Melissa M Younes1,2, Mooska Raoofi3
1Gynaecology 2 Unit (Endometriosis and Pelvic Pain), Royal Women's Hospital, Melbourne, Victoria, Australia.
The Australian & New Zealand journal of obstetrics & gynaecology
|December 9, 2024
概括
由于盆腔疼痛而接受腹腔镜检查的患者通常没有得到诊断,这会影响他们的心理健康. 改善沟通和手术前咨询对于管理期望和患者福祉至关重要.
科学领域:
- 妇科外科手术 妇科外科
- 疼痛管理 疼痛管理
- 定性研究是一种定性研究.
背景情况:
- 诊断性腹腔镜经常用于骨盆疼痛评估.
- 显著数量的腹腔镜检查显示没有可识别的病理.
研究的目的:
- 为了探索患者在腹腔镜检查骨盆疼痛后的经历,当没有诊断时.
- 了解对患者的心理和系统影响.
主要方法:
- 描述性的定性研究设计.描述性的定性研究设计.
- 与15名患者进行深入的半结构面试.
- 对面试数据进行主题分析.
主要成果:
- 六个关键主题出现了:对诊断的渴望,希望,沟通问题,管理计划,心理健康影响和系统因素.
- 患者希望有一个诊断来理解和验证.
- 报告说,术后心理健康状况较差,特别是当手术前对诊断的希望很高时.
结论:
- 没有发现的盆腔疼痛的腹腔镜显著影响患者的体验和心理健康.
- 强调需要对潜在的结果进行全面的手术前和手术后咨询.
- 强调沟通,管理期望和在持续的骨盆疼痛管理中考虑心理健康的重要性.
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