在手动真空吸收过程中,患者和提供者对疼痛管理的观点
Stephen Gwer1,2, Karlheinz Samenjo2,3, Robert C Bailey2,4
1Department of Obstetrics and Gynaecology, Maseno University, Kisumu, Kenya.
African journal of reproductive health
|January 6, 2025
概括
手动真空吸收 (MVA) 是痛苦的,但宫阻断 (PCB) 提高了耐受性. 患者和提供者的观点突出显示了PCB.
科学领域:
- 产科和妇科 产科和妇科
- 疼痛管理 疼痛管理
- 患者体验 患者体验
背景情况:
- 手动真空吸收 (MVA) 经常在没有足够的缓解疼痛的情况下进行.
- 世界卫生组织 (WHO) 建议在MVA期间进行宫阻塞 (PCB) 治疗疼痛.
- 有限的研究存在于患者和提供者关于MVA期间疼痛控制的观点.
研究的目的:
- 调查卫生工作者和患者对MVA的看法,当使用宫阻塞 (PCB) 缓解疼痛时.
- 了解患者和提供者在MVA手术期间对疼痛管理的经验.
主要方法:
- 一个定性研究嵌入在一个试点随机对照试验 (RCT) 中,评估Cloe SED对PCB供应的评估.
- 包括11名医疗保健提供者和61名接受MVA的患者.
- 通过采访或调查收集数据,捕捉经验和观点.
主要成果:
- 患者和提供者都承认MVA是一种痛苦的程序,需要止痛.
- 在MVA期间的疼痛被确定为程序困难的主要原因.
- 提供者报告说,PCB显著改善了MVA的耐受性.
- 患者对缓解疼痛的优先考虑包括疗效,保持意识和当天出院.
- 在PCB下接受MVA的患者报告了高达84%的满意度.
结论:
- 宫阻断 (PCB) 是有效和人道的MVA护理的关键要素.
- 纳入患者和提供者的观点对于优化MVA体验至关重要.
- 在MVA期间,PCB提高了程序耐受性和患者满意度.
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