在宫内器件安置过程中对疼痛的预期和体验
Suzanna Larkin1, Cordelia Muir, Lauren Vollrath
1Department of Obstetrics and Gynecology, the School of Medicine, and the Department of Pediatrics, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
Obstetrics and gynecology
|October 30, 2025
概括
患者对宫内器械 (IUD) 放置疼痛的经验各不相同. 关于疼痛预期和管理的更清晰的临床咨询对于关于IUD插入的知情决策至关重要.
科学领域:
- 生殖健康 生殖健康
- 医疗器械插入器 医疗器械插入器
- 患者体验研究研究的研究.
背景情况:
- 宫内避孕器 (IUD) 是一种常见的可逆避孕药.
- 在IUD放置期间的疼痛感知显著影响患者的满意度.
- 了解患者的期望与实际经验对改善护理至关重要.
研究的目的:
- 在IUD放置期间表征疼痛.
- 评估患者对IUD插入疼痛的期望.
- 评估临床医生对疼痛咨询的质量.
主要方法:
- 定性研究涉及20名IUD安置后患者的半结构面试.
- 采访探讨了信息来源,决策,咨询经验和疼痛感知.
- 主题分析确定了患者期望和经验中的关键主题.
主要成果:
- 患者的疼痛预期受到非正式来源 (朋友,家人,在线) 和之前的经验的影响.
- 在IUD插入期间报告的疼痛范围从轻微的到严重的疼痛,不管是否平衡.
- 不充分的咨询导致患者对疼痛和管理选择感到误导.
结论:
- 临床医生必须为IUD安置提供明确的期望和全面的疼痛咨询.
- 共同决策对于管理患者对IUD插入疼痛的期望至关重要.
- 改善沟通可以提高IUD程序期间的患者体验.
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