Matteson Kristen A, Clark Melissa A
Division of Research, Department of Obstetrics and Gynecology, Women and Infants Hospital, Warren Alpert Medical School of Brown University, Providence, RI 02905-2401, USA.
Women Health. 2010 Mar;50(2):195-211. doi: 10.1080/03630241003705037.
Objectives of this article are: (1) to explore the effects on women's lives by heavy or irregular menstrual bleeding; and (2) to examine whether aspects of women's lives most affected by heavy or irregular menstrual bleeding were adequately addressed by questions that are frequently used in clinical encounters and available questionnaires. We conducted four focus group sessions with a total of 25 English-speaking women who had reported abnormal uterine bleeding. Discussions included open-ended questions that pertained to bleeding, aspects of life affected by bleeding, and questions frequently used in clinical settings about bleeding and quality of life. We identified five themes that reflected how women's lives were affected by heavy or irregular menstrual bleeding: irritation/inconvenience, bleeding-associated pain, self-consciousness about odor, social embarrassment, and ritual-like behavior. Although women responded that the frequently used questions about bleeding and quality of life were important, they felt that the questions failed to go into enough depth to adequately characterize their experiences. Based on the themes identified in our focus group sessions, clinicians and researchers may need to change the questions used to capture "patient experience" with abnormal uterine bleeding more accurately.
（1）探讨月经过多或月经不规律对女性生活的影响；（2）检验临床问诊和现有问卷中常用的问题是否充分涉及了女性生活中受月经过多或月经不规律影响最大的方面。我们对25名报告有子宫异常出血的英语女性进行了四次焦点小组会议。讨论包括与出血、受出血影响的生活方面以及临床环境中关于出血和生活质量的常用问题相关的开放式问题。我们确定了五个主题，反映了月经过多或月经不规律如何影响女性生活：恼怒/不便、与出血相关的疼痛、对气味的自我意识、社交尴尬以及仪式般的行为。尽管女性回应称，关于出血和生活质量的常用问题很重要，但她们觉得这些问题没有深入到足以充分描述她们的经历。根据我们焦点小组会议确定的主题，临床医生和研究人员可能需要改变用于更准确地捕捉子宫异常出血“患者体验”的问题。
