一个神秘的呼叫者研究疼痛管理的选择,子宫内装置的放置
Mitali Sharma1, Francesca Selmoni2, Lynn L Ngo3
1University of California, San Diego, Division of Complex Family Planning, Department of Obstetrics, Gynecology and Reproductive Sciences, San Diego, CA, USA; Case Western Reserve University School of Medicine, Cleveland, OH, USA.
Contraception
|April 18, 2025
概括
许多诊所不提供关于宫内器械 (IUD) 疼痛管理的电话咨询. 当提供时,IUD安置的基于证据的疼痛控制选择并不始终提供.
科学领域:
- 生殖健康 生殖健康
- 临床实践指南 临床实践指南
- 患者护理 患者护理
背景情况:
- 宫内器件 (IUD) 插入期间的疼痛管理对于患者的舒适性和器件吸收至关重要.
- 有效的疼痛控制策略对于减少焦虑和改善患者体验至关重要.
- 目前的证据支持各种方法来管理IUD放置疼痛.
研究的目的:
- 通过电话评估诊所是否提供关于IUD安置疼痛管理选择的信息.
- 确定所提供的疼痛控制选择是否与当前基于证据的指导方针保持一致.
- 识别临床沟通中关于IUD疼痛管理的障碍.
主要方法:
- 用一种标准化脚本采用神秘购物者方法.
- 这些信息是从100家诊所的多样化样本中收集的,这些诊所的信息可以在www.bedsider.org.org上找到.
- 联系了应答人员,询问关于IUD疼痛管理协议的情况.
主要成果:
- 36%的诊所 (32/90) 不会通过电话提供IUD疼痛控制信息.
- 在提供信息的诊所中 (58/90),6.9%的诊所没有提供疼痛管理选择.
- 通常提供的药物选择包括布洛芬 (84.5%),利多卡因 (27.6%) 和弥索普罗斯托尔 (24.1%).
结论:
- 很大一部分诊所 (超过三分之一) 不提供IUD疼痛管理的电话咨询.
- 临床很少提供基于证据的止痛方法,如利多卡因阻断剂或纳普罗森.
- 改善临床工作人员对IUD疼痛管理指南和可用的选择的教育是必要的,以解决患者障碍.
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