我感受到疼痛,而不是压力:在剖腹产过程中对疼痛的个人和方法论反思
1Department of Digital Media & Journalism, State University of New York at New Paltz, New Paltz, NY.
American journal of obstetrics and gynecology
|August 17, 2025
概括
在剖腹产期间的手术内疼痛是常见的,而且报告不足,可能导致创伤后应激障碍. 转向患者报告经验的模式转变对于改善孕产妇护理和解决剖腹产产生的被忽视的方面至关重要.
科学领域:
- 产科和妇科 产科和妇科
- 孕产妇健康 孕产妇健康
- 疼痛管理 疼痛管理
背景情况:
- 剖腹产是全球常见的手术手术,在美国,这一比例正在上升.
- 在剖腹产期间的手术内疼痛影响了很大一部分患者,根据机构和测量方法而有所不同.
- 在剖腹产期间报告不足的疼痛可能导致严重的母亲健康问题,包括与分娩有关的创伤后应激障碍 (PTSD) 和受损的结合.
研究的目的:
- 分享在剖腹产期间的手术内疼痛的个人经历,随后的PTSD发展,以及眼动脱敏和再处理 (EMDR) 治疗.
- 审查关于剖腹产疼痛的文献的演变,从代孕标志物到患者报告的结果.
- 建议在孕产妇护理中进行范式转变,强调以患者为中心的调查,并解决剖腹产产生的被忽视的方面.
主要方法:
- 对个人患者关于手术内疼痛和PTSD的叙述进行定性分析.
- 关于剖腹产期间疼痛评估的文献综述,突出了向患者报告结果的转变.
- 引入"透视"概念,以识别隐藏的问题及其在捕捉疼痛等主观体验方面的局限性.
主要成果:
- 剖腹产期间的手术内疼痛是普遍存在但经常被低估的问题,具有显著的心理和生理后果.
- 患者报告的疼痛代表了方法上的转变,扩大了手术内疼痛的识别和治疗.
- 专注于患者体验标志着母亲护理的更广泛的范式转变,鼓励人们关注剖腹产的其他未被认可的方面.
结论:
- 迫切需要解决剖腹产的例行性质和患者对疼痛的主观体验之间的差距.
- 以患者为中心的方法,包括产前和产后教育,对于管理剖腹产产生的短期和长期后果至关重要.
- 需要进一步的研究和临床关注剖腹产恢复和计划生育影响的未被报告的方面.
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