剖腹产后患有慢性术后疼痛的患者经历:来自前性定性研究的发现
S Ciechanowicz1, P Callihan2, G Michel2
1Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, CA, USA; Division of Anaesthetics, Pain Management and Intensive Care, Imperial College London, London, UK; Department of Anaesthesia and Perioperative Medicine, University College London Hospital, London, UK.
剖腹产后的慢性疼痛显著影响女性的康复,影响日常生活,婴儿护理和情感福祉. 这种疼痛通常是影响睡眠,能量和认知功能的更大症状集群的一部分.
科学领域:
- 产科和妇科 产科和妇科
- 疼痛医学 医学 疼痛医学
- 妇女健康 妇女健康
背景情况:
- 慢性术后疼痛影响10-20%的产后妇女在剖腹产分娩后.
- 这种疼痛对恢复的更广泛影响仍未得到充分研究.
- 这项研究调查了慢性术后疼痛的经历.
研究的目的:
- 检查剖腹产后患有慢性术后疼痛的妇女的经历.
- 确定与这种疼痛相关的关键影响领域.
- 了解产后康复挑战的多维性质.
主要方法:
- 在剖腹产分娩后3-6个月内招募了24名自我报告疼痛的妇女.
- 通过英语或西班牙语的安全视频通话进行半结构化采访.
- 使用感应反射主题分析来解释数据.
主要成果:
- 确定了十个相互关联的主题,包括疼痛,功能限制,疲劳,睡眠障碍和心理困扰.
- 疼痛不可预测地干扰了移动,婴儿护理和日常活动.
- 妇女报告说,她们感到被医疗保健专业人员解雇,并因为担忧而避免服用某些止痛药.
结论:
- 剖腹产后的慢性疼痛很少是孤立的,通常与睡眠,情绪,认知和能量领域的问题同时发生.
- 这些相互作用的症状塑造了妇女产后恢复经历.
- 研究结果表明,产后疼痛和恢复的多领域,潜在的综合征模式.
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