管理子宫内膜异位症：澳大利亚女性的横断面调查。
Managing endometriosis: a cross-sectional survey of women in Australia.
机构信息
Public Health and Preventive Medicine, Monash University, Melbourne, Australia.
Robinson Research Institute, University of Adelaide, North Adelaide, Australia.
出版信息
J Psychosom Obstet Gynaecol. 2022 Sep;43(3):265-272. doi: 10.1080/0167482X.2020.1825374. Epub 2020 Oct 13.
PURPOSE
Endometriosis is a chronic, inflammatory condition. The aim was to describe the self-reported disease characteristics and factors associated with the use of different treatment modalities among women with surgically diagnosed endometriosis.
METHOD
A cross-sectional online survey featuring 58 fixed-response items measuring disease characteristics, self-efficacy, health service usage, and treatment approaches was conducted. Logistic regression was used to explore the factors associated with different treatment modalities.
RESULTS
Complete data were available from 620 respondents. Average delay to diagnosis was 6.4 years. Despite medical and surgical intervention, 65.8% reported dysmenorrhea and 61.1% reported dyspareunia, and 82.7% reported chronic pelvic pain in the last 3 months. Respondents had consulted an average of three different health practitioner specialties in the previous 12 months for their endometriosis.
DISCUSSION
A chronic disease management plan (CDMP) may be a useful mechanism to coordinate multidisciplinary care among women who experience ongoing symptoms.
目的
子宫内膜异位症是一种慢性炎症性疾病。本研究旨在描述手术确诊为子宫内膜异位症的女性患者自我报告的疾病特征，以及与不同治疗方式选择相关的因素。
方法
采用横断面在线调查，共 58 个固定反应项目，用于测量疾病特征、自我效能、卫生服务利用情况和治疗方法。采用逻辑回归分析来探讨与不同治疗方式相关的因素。
结果
共纳入 620 名完成全部调查的应答者。平均诊断延迟为 6.4 年。尽管进行了药物和手术治疗，仍有 65.8%的应答者报告痛经，61.1%报告性交困难，82.7%报告过去 3 个月慢性盆腔痛。应答者在过去 12 个月中平均咨询了三种不同的卫生专业人员来治疗其子宫内膜异位症。
讨论
慢性病管理计划（CDMP）可能是协调经历持续性症状的女性多学科护理的有用机制。
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