在宫内器械插入期间提供疼痛控制的障碍和促进因素:多中心医生调查
Abirami Kirubarajan1, Seoyeon Han2, Anna Gryn3
1Department of Obstetrics & Gynecology, McMaster University, Hamilton, ON, Canada.
概括
医生们在为子宫内置器件 (IUD) 插入提供疼痛缓解方面缺乏共识. 虽然许多人会提供镇痛,如果要求,常规的疼痛控制是不一致的,突出需要共享决策.
科学领域:
- 生殖健康 生殖健康
- 疼痛管理 疼痛管理
- 医学教育 医学教育
背景情况:
- 宫内器件 (IUD) 插入是一种常见的避孕程序.
- 在IUD插入期间的疼痛和不适可能是吸收和延续的障碍.
- 了解医疗保健提供者对止痛药的看法对于改善患者体验至关重要.
研究的目的:
- 评估医生的知识,实践,态度和信仰,关于IUD插入的止痛.
- 识别阻碍物和促进者,在IUD插入期间提供疼痛管理.
- 评估医疗保健提供者当前对IUD插入的常规疼痛控制的共识.
主要方法:
- 一项多中心在线调查于2023年1月至7月在加拿大安大略省进行.
- 来自85个响应的医疗保健提供者的数据使用描述性统计数据,奇方测试,ANOVA和主题分析进行了分析.
主要成果:
- 关于IUD插入的常规止痛疗法存在显著的缺乏共识,只有52.9%的提供者始终提供疼痛控制.
- 大多数提供者 (87.5%) 表示愿意提供疼痛控制,如果患者特别要求.
- 不定期提供止痛的原因包括对疼痛的感知最小,手术时间短,以及后勤障碍,而其他原因则是患者的舒适性和安全性.
结论:
- 患者和提供者之间的共享决策对于在IUD插入期间解决疼痛管理至关重要.
- 可能需要进一步的教育和标准化的协议,以确保一致和充分的疼痛缓解.
- 在IUD插入期间改善患者体验可以积极影响避孕方法的选择和坚持.
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