Mellado Bruna Helena, Pilger Taynara Louisi, Poli Neto Omero Benedicto, Rosa E Silva Julio Cesar, Nogueira Antonio Alberto, do Vale Brandão Catarina, Candido Dos Reis Francisco Jose
Department of Gynecology and Obstetrics of Ribeirão Preto School of Medicine - University of São Paulo, Brazil.
Faculty of Psychology and Educational Sciences, University of Porto, Portugal.
Eur J Obstet Gynecol Reprod Biol. 2020 Nov;254:109-113. doi: 10.1016/j.ejogrb.2020.09.001. Epub 2020 Sep 9.
How a woman copes with the pain might play a significant role in the management of chronic pelvic pain. This study aimed to understand the attitudes adopted by women with chronic pelvic pain (CPP) to deal with daily life problems caused by the illness.
We conducted a qualitative study including 58 women diagnosed with chronic pelvic pain regardless of the cause. To collect the data, we used semi-structured interviews with the key question: "How do you handle the pain in your daily life?". The interviews were audio-recorded and transcribed. We conducted a qualitative thematic analysis of transcribed texts following the sequence: 1) initial reading; 2) preliminary identification of codes; 3) identification of themes; 4) review of themes; 5) nominating the themes in categories; 6) final study synthesis. The analysis was performed with the aid of the RQDA package in the R environment.
Daily life attitudes varied from submission to the pain to positive coping. We identified five major categories: 1) shaping life by pain; 2) isolating from social contact; 3) avoiding sexual relationship; 4) seeking pain relief; 5) seeking positive strategies. Positive strategies were more frequent in older women.
Women with chronic pelvic pain adopted a broad spectrum of attitudes to deal with the pain in daily life. The depth understanding of patient perspectives has the potential to improve the multidisciplinary care of this debilitating condition.
女性应对疼痛的方式可能在慢性盆腔疼痛的管理中发挥重要作用。本研究旨在了解慢性盆腔疼痛（CPP）女性应对疾病所致日常生活问题所采取的态度。
我们开展了一项定性研究，纳入58名诊断为慢性盆腔疼痛且病因不限的女性。为收集数据，我们采用半结构式访谈，关键问题为：“你在日常生活中如何应对疼痛？”。访谈进行了录音并转录。我们按照以下顺序对转录文本进行定性主题分析：1）初读；2）初步确定编码；3）确定主题；4）主题回顾；5）将主题归类；6）最终研究综合。分析借助R环境中的RQDA软件包进行。
日常生活态度从屈服于疼痛到积极应对各不相同。我们确定了五个主要类别：1）受疼痛影响塑造生活；2）与社会接触隔离；3）避免性关系；4）寻求疼痛缓解；5）寻求积极策略。积极策略在老年女性中更为常见。
慢性盆腔疼痛女性在日常生活中应对疼痛采取了广泛的态度。深入了解患者观点有可能改善对这种使人衰弱病症的多学科护理。
