Garside Ruth, Britten Nicky, Stein Ken
PenTAG, Peninsula Medical School, Exeter, UK.
J Adv Nurs. 2008 Sep;63(6):550-62. doi: 10.1111/j.1365-2648.2008.04750.x.
This paper is a report of a systematic review and meta-ethnography of the experience of heavy menstrual bleeding.
Heavy menstrual bleeding is common. Not all women seeking help have heavy menstrual bleeding as measured objectively and, conversely, some who do have this problem do not seek help.
Seven electronic databases were searched in 2004 and updated in 2008, and supplemented with hand-searching.
We identified four papers describing qualitative research among women with heavy menstrual bleeding. Key themes and concepts were extracted and synthesised using meta-ethnography, the key process of which is translation, identifying similar or contradictory findings in primary research. In the updated search three papers were identified.
Three papers were largely descriptive. These provided support for the fourth paper's conceptual framework of a lay model of heavy menstrual bleeding which shows little overlap with the traditional clinical definition. Details of physical, practical and emotional elements of this model were identified. A matrix of uncertainties were identified suggesting reasons why women may or may not seek medical help for heavy menstrual bleeding. Women and healthcare professionals may conspire to privilege blood loss over other symptoms and the disease model of heavy menstrual bleeding is little help to either. Two papers from the updated search were also largely descriptive. The third interpreted key elements of the lay model as relating to the need for concealment demanded by 'menstrual etiquette'.
A lay model of heavy menstrual bleeding is proposed, detailing key physical, social and emotional impacts that women find problematic.
本文是一篇关于月经过多经历的系统评价和元民族志报告。
月经过多很常见。并非所有寻求帮助的女性经客观测量都存在月经过多的情况，反之，一些确实有此问题的女性并未寻求帮助。
2004年检索了七个电子数据库，并于2008年进行更新，同时辅以手工检索。
我们确定了四篇描述月经过多女性定性研究的论文。使用元民族志提取并综合关键主题和概念，其关键过程是翻译，即在原始研究中识别相似或矛盾的发现。在更新检索中确定了三篇论文。
三篇论文主要是描述性的。这些论文为第四篇论文中月经过多的外行模型概念框架提供了支持，该框架与传统临床定义几乎没有重叠。确定了该模型的身体、实际和情感要素细节。确定了一个不确定性矩阵，表明女性可能寻求或不寻求月经过多医疗帮助的原因。女性和医疗保健专业人员可能共同倾向于将失血置于其他症状之上，而月经过多的疾病模型对两者都帮助不大。更新检索中的两篇论文也主要是描述性的。第三篇论文将外行模型的关键要素解释为与“月经礼仪”所要求的隐瞒需求有关。
提出了月经过多的外行模型，详细说明了女性认为有问题的关键身体、社会和情感影响。
