比较基于症状的表型之间的痛经观念和自我管理技巧。
Comparing dysmenorrhea beliefs and self-management techniques across symptom-based phenotypes.
作者信息
Rogers Sarah Katherine, Rand Kevin L, Chen Chen Xiao
机构信息
Indiana University Purdue University Indianapolis, Indianapolis, IN, USA.
Indiana University School of Nursing, Indianapolis, IN, USA.
出版信息
J Clin Nurs. 2021 Jul;30(13-14):2015-2022. doi: 10.1111/jocn.15754. Epub 2021 Mar 24.
OBJECTIVES
To compare beliefs about dysmenorrhea and self-management techniques across three dysmenorrhea symptom-based phenotypes.
BACKGROUND
Many reproductive-age women experience dysmenorrhea, with varying symptoms and intensity. Dysmenorrhea symptom-based phenotypes have been identified in previous research, defining distinctive phenotypes of mild localised pain, severe localised pain, and multiple severe symptoms. It is unknown if women from different phenotypes hold different beliefs about dysmenorrhea or if they engage in different self-management techniques.
DESIGN
Quantitative secondary analysis of cross-sectional survey data.
METHODS
This online study surveyed 762 women with dysmenorrhea in the United States. Participants reported their dysmenorrhea symptom intensity, beliefs about dysmenorrhea (i.e. beliefs about consequences, timeline, controllability, symptom severity, normalcy, emotional response to symptoms and treatments) and self-management techniques to prevent or treat symptoms. Beliefs regarding dysmenorrhea and types of self-management techniques used were compared across three phenotypes utilising ANOVA tests and Tukey's HSD for pairwise comparisons. Reporting followed the STROBE guidelines.
RESULTS
Women with multiple severe symptoms had significantly more negative beliefs regarding dysmenorrhea and utilised significantly more self-management techniques than women with severe localised pain and women with mild localised pain. Women with severe localised pain had significantly more negative beliefs regarding dysmenorrhea and utilised significantly more self-management techniques than women with mild localised pain. Negative beliefs regarding dysmenorrhea included: consequences of dysmenorrhea, timeline of symptoms, personal and treatment control, symptom severity, normalcy of symptoms, emotional response to symptoms and willingness to utilise complementary medicine.
CONCLUSION
Results further support the distinction between dysmenorrhea symptom-based phenotypes. Not only do women in different phenotypes experience different severity and number of dysmenorrhea symptoms, they also perceive and manage their dysmenorrhea differently.
RELEVANCE TO CLINICAL PRACTICE
These findings have implications for tailoring interventions to different dysmenorrhea symptom-based phenotypes.
目的
比较基于痛经症状的三种表型对痛经的认知及自我管理技巧。
背景
许多育龄女性经历痛经，症状和强度各不相同。先前研究已确定基于痛经症状的表型，定义了轻度局部疼痛、重度局部疼痛和多种严重症状的独特表型。不同表型的女性对痛经是否持有不同认知，或者她们是否采用不同的自我管理技巧尚不清楚。
设计
横断面调查数据的定量二次分析。
方法
这项在线研究对美国762名痛经女性进行了调查。参与者报告了她们的痛经症状强度、对痛经的认知（即对后果、病程、可控性、症状严重程度、正常性、对症状和治疗的情绪反应）以及预防或治疗症状的自我管理技巧。使用方差分析测试和Tukey's HSD进行两两比较，比较了三种表型对痛经的认知和所使用的自我管理技巧类型。报告遵循STROBE指南。
结果
与重度局部疼痛女性和轻度局部疼痛女性相比，有多种严重症状的女性对痛经的负面认知明显更多，并且采用的自我管理技巧显著更多。与轻度局部疼痛女性相比，重度局部疼痛女性对痛经的负面认知明显更多，并且采用的自我管理技巧显著更多。对痛经的负面认知包括：痛经的后果、症状病程、个人和治疗控制、症状严重程度、症状正常性、对症状的情绪反应以及使用补充医学的意愿。
结论
结果进一步支持了基于痛经症状的表型之间的差异。不同表型的女性不仅经历不同严重程度和数量的痛经症状，她们对痛经的认知和管理方式也不同。
与临床实践的相关性
这些发现对于针对不同的基于痛经症状的表型调整干预措施具有启示意义。
Zotero 插件