淋病和临床接触:测试新兴成年人中医生与患者相互作用的概念模型
Alexandra R Brilz1, Michelle M Gagnon
1Department of Psychology and Health Studies, University of Saskatchewan, Saskatoon, SK, Canada.
Pain
|February 19, 2025
概括
有效的医生沟通和减少疼痛无效,显著降低了年轻女性的经期障碍症症状严重程度. 这些因素通过月经敏感性影响疼痛经验,突显了医生和患者关系在管理月经疼痛方面的重要性.
科学领域:
- 生殖健康 生殖健康
- 疼痛管理 疼痛管理
- 青少年医学 青少年医学
背景情况:
- 经期不良 (经期疼痛) 影响高达85%的女性青年,影响学术成绩和幸福感.
- 医生与患者的关系对于管理慢性疼痛病症至关重要.
- 有限的研究量化了医生互动对青少年缺经经经历的影响.
研究的目的:
- 探索医生沟通,疼痛无效化,信任,治疗坚持,月经敏感性和新兴成年人 (EA) 的经期障碍严重程度之间的关系.
- 使用部分最小方程结构方程建模 (PLS-SEM) 测试这些相互作用的概念模型.
主要方法:
- 一项在线调查对362名加拿大和美国EA (18至21岁) 进行了在线调查,这些EA患有经历经期不良的经期不良.
- 测试了两个PLS-SEM模型:一个包括治疗计划的参与者 (n=279) 和完整的数据集 (N=362).
主要成果:
- 在这两种模型中,通过月经敏感度改善了医生沟通和减少疼痛失效,与更低的经期障碍症症状严重程度相关.
- 在治疗计划模型中,更好的沟通和更少的失效与更高的治疗坚持有关,由医生信任介导.
- 无论是治疗坚持还是对医生的信任都与失经症症状严重程度没有直接相关.
结论:
- 医生沟通的质量和验证是管理新兴成年人失经症症状严重程度的关键.
- 月经敏感性在沟通/无效和症状严重程度之间的关系中起到调解作用.
- 进一步的研究应该纳入更多的临床接触元素来完善模型.
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