除了止痛药:努力实现更为以患者为中心的子宫内装置的放置
Angela Dempsey1, Claire Aucoin1, Will Stallings1
1Medical University of South Carolina, Charleston, SC, 96 Jonathan Lucas Street, MSC 619, Charleston, SC 29425, United States of America.
Contraception
|May 10, 2025
概括
患者对宫内器械 (IUD) 放置的满意度随着提供者支持的增强而增加. 清楚的咨询和解决疼痛对于以患者为中心的体验至关重要.
科学领域:
- 生殖健康 生殖健康
- 以患者为中心的护理
- 医疗器械插入器 医疗器械插入器
背景情况:
- 宫内避孕器 (IUD) 是一种常见的可逆避孕方式.
- 患者在IUD插入期间的经历可以显著影响他们的满意度和未来的避孕选择.
- 需要了解患者在IUD安置期间对护理的偏好.
研究的目的:
- 评估患者在IUD插入期间的咨询,疼痛管理和提供者支持方面的经验和偏好.
- 确定影响患者对IUD安置程序满意度的关键因素.
主要方法:
- 一种混合方法的方法,结合了调查和深入采访,对接受IUD安置的患者进行了深入采访.
- 定量数据包括疼痛评分 (视觉模拟尺度) 和基于十种行为的"提供者支持评分".
- 定性数据分析使用了诱导分析来识别新出现的主题.
主要成果:
- 解释程序步骤,讨论疼痛问题和注意舒适度都被患者高度重视.
- 平均疼痛分数为5.7/10,大多数参与者报告满意度 (86.1%).
- 较高的提供者支持得分与患者满意度增加的几率显著相关 (aOR1.69).
结论:
- 提高患者对IUD安置的满意度需要以患者为中心的方法来解决疼痛,并结合量身定制的支持行为.
- 临床医生应优先考虑明确的咨询,同情心和现实的期望设置,以提高IUD插入体验.
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