患者对在持续激素治疗内膜异位症相关症状期间不规律出血的两种不同治疗方法的满意度:一项前后研究
Yoko Zecchini1, Daniela Alberico2, Deborah Ambruoso1
1Department of Clinical Sciences and Community Health, Dipartimento di Eccellenza 2023-2027, University of Milan, Italy.
概括
患者在治疗子宫内膜异位症的持续激素治疗期间,通过一种被动方法来管理不规则出血,获得了更高的满意度. 提供有关所有管理策略的全面信息,使患者能够做出明智的决策,并改善治疗的坚持.
科学领域:
- 妇科 妇科医生 妇科
- 生殖内分泌学 生殖内分泌学
背景情况:
- 持续的激素治疗用于与子宫内膜异位症相关的疼痛.
- 不规律的出血是这种治疗的常见副作用.
- 不规律出血的管理策略各不相同,影响患者的体验.
研究的目的:
- 为了比较积极 (量身定制的循环) 和被动方法之间的患者满意度,以管理在持续激素治疗子宫内膜异位症期间不稳定的出血.
- 评估这些策略对出血特征和经期障碍的影响.
主要方法:
- 观察性前后研究设计.
- 两组患者:被动策略 (等待解决) 和主动策略 (停止治疗7天).
- 满意度,出血特征和经期障碍在基线,6个月和12个月被评估.
主要成果:
- 包括201名患者.
- 与量身定制的骑自行车组相比,被动策略组的患者满意度明显高 (29%).
- 两组之间没有观察到出血特征或失经症水平的显著差异.
结论:
- 一种被动的方法可能会导致更大的患者满意度管理不规则的出血在持续的激素治疗子宫内膜异位症.
- 告知患者所有管理选择对于实现共享决策至关重要.
- 有知情的选择可以提高治疗的坚持和整体满意度.
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