Department of Obstetrics & Gynecology, University of British Columbia, Vancouver, Canada.
J Sex Med. 2012 Apr;9(4):1086-93. doi: 10.1111/j.1743-6109.2011.02641.x. Epub 2012 Feb 21.
Provoked Vestibulodynia (PVD) is the most common cause of pain with intercourse that affects reproductively aged women. The treatment outcome literature suggests that existing treatments, when administered individually, may have only limited benefits for improving pain, and that multidisciplinary approaches may be more effective for reducing pain and pain-associated distress. A program that offers education, group cognitive behavioral therapy, pelvic floor physiotherapy, and medical appointments was developed and implemented at our hospital site.
To explore the experiences of women who participated in the Multidisciplinary Vulvodynia Program (MVP) in order to identify the perceived benefits of this program.
Qualitative retrospective study. A semi-structured interview format was used to interview graduates of the MVP. Nineteen women, mean age 30.8 (20-54 years), participated in a one-on-one in-depth interview with a trained interviewer. The key question asked was "What has been the impact of the mvp on your life?" interviews were audio-recorded, transcribed, and qualitatively analyzed for major themes.
Content analysis of interview transcripts.
Five main themes emerged and included: increased knowledge, gained tools/skills, perceived improved mood/psychological well-being, a sense of validation and support, and an enhanced sense of empowerment.
Overall, a multidisciplinary vulvodynia program was perceived as being beneficial for women with PVD.
诱发性阴道痉挛(PVD)是影响生育年龄女性性交疼痛的最常见原因。治疗效果文献表明,现有的治疗方法,单独使用时,可能对改善疼痛只有有限的益处,而多学科方法可能更有效地减轻疼痛和与疼痛相关的痛苦。我们医院开发并实施了一个提供教育、小组认知行为疗法、盆底物理疗法和医疗预约的多学科外阴疼痛项目。
探讨参与多学科外阴疼痛项目(MVP)的女性的体验,以确定该项目的益处。
定性回顾性研究。采用半结构式访谈形式对 MVP 的毕业生进行访谈。19 名女性(平均年龄 30.8 岁,20-54 岁)接受了一名经过培训的访谈者的一对一深入访谈。主要问题是“MVP 对您的生活有什么影响?”采访进行了录音、转录,并进行了定性分析,以确定主要主题。
访谈记录的内容分析。
出现了五个主要主题,包括:增加知识、获得工具/技能、感知情绪/心理健康改善、认同感和支持感以及增强的赋权感。
总的来说,多学科外阴疼痛项目被认为对患有 PVD 的女性有益。