Pettersson Agneta, Berterö Carina M
Swedish Agency for Health Technology Assessment and Assessment of Social Services (SBU), Stockholm, Sweden.
Division of Nursing Science and Reproductive Health, Department of Health, Medicine and Caring Sciences, Faculty of Medicine, Linköping University, Linköping, Sweden.
Womens Health Rep (New Rochelle). 2020 Dec 7;1(1):529-542. doi: 10.1089/whr.2020.0099. eCollection 2020.
The aim of this meta-synthesis was to synthesize and interpret the available qualitative studies to increase our understanding and extend knowledge about how women with endometriosis experience health care encounters. The literature review was carried out using CINAHL, Psychinfo, Academic Search Premier, PubMed, and Scopus, from 2000 to 2018, and was limited to articles in English. Articles were only included if they reported original relevant research on endometriosis and women experiences. The meta-synthesis was based on 14 relevant studies. They included 370 women with diagnosed endometriosis, 16-78 years of age. Three fusions were identified and interpreted in this meta-synthesis. The first was: Insufficiency knowledge, where the physicians could judge the symptoms to be normal menstruation without examining whether there were other underlying causes. The second fusion was Trivializing-just a women's issue, where the physicians thought that the symptoms were part of being a woman, and women's' discomfort was trivialized or completely disregarded. The third fusion was Competency promotes health, where the insufficiency of knowledge became a minor concern if women had a supportive relationship with their physician and the physician showed interest in their problems. Women with endometriosis experience that they are treated with ignorance regarding endometriosis in nonspecialized care. They experience delays in both their diagnosis and treatment and feel that health care professionals do not take their problems seriously. In addition, it appears that increased expertise and improved attitudes among health care professionals could improve the life situation of women with endometriosis.
本元综合分析的目的是综合并解读现有的定性研究，以增进我们对子宫内膜异位症女性的医疗保健经历的理解，并扩展相关知识。文献综述于2000年至2018年期间使用CINAHL、Psychinfo、学术搜索高级版、PubMed和Scopus进行，且仅限于英文文章。仅纳入报告了有关子宫内膜异位症及女性经历的原创相关研究的文章。本元综合分析基于14项相关研究。这些研究纳入了370名年龄在16至78岁之间、被诊断为子宫内膜异位症的女性。在本元综合分析中识别并解读了三种融合情况。第一种是：知识不足，即医生在未检查是否存在其他潜在病因的情况下，就判定症状为正常月经。第二种融合情况是：将其视为小事——只是女性问题，即医生认为这些症状是女性的一部分，女性的不适被轻视或完全被忽视。第三种融合情况是：能力促进健康，即如果女性与医生建立了支持性的关系，且医生对她们的问题表现出兴趣，那么知识不足就会成为次要问题。患有子宫内膜异位症的女性感到，在非专科护理中，她们在治疗时被忽视了子宫内膜异位症的问题。她们在诊断和治疗上都经历了延误，并觉得医疗保健专业人员没有认真对待她们的问题。此外，医疗保健专业人员专业知识的增加和态度的改善似乎可以改善患有子宫内膜异位症女性的生活状况。
