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探索英国严重经期疼痛管理的生活体验。

Exploring the lived experiences of debilitating period pain management in the UK.

作者信息

Vafapour Parmis, Murray Esther

机构信息

Queen Mary University of London Barts and The London School of Medicine and Dentistry, London, UK.

出版信息

Br J Pain. 2023 Aug;17(4):408-419. doi: 10.1177/20494637231172674. Epub 2023 Apr 26.

Abstract

BACKGROUND

Five to ten percent of women experience period pains that disrupt their lives yet 4 in 5 women believe that their claims for their dysmenorrhea are not taken seriously. Within the process of seeking support and understanding about their pain, they face various barriers that prevent them from finding the answers they deserve.

METHODS

Semi-structured interviews were conducted with 8 women aged 20-28 to discuss their experiences with dysmenorrhea throughout their time since menarche.

RESULTS

Using Scheper-Hughes and Lock understanding of the mindful body, this research explores women's experiences of dysmenorrhea through their physical body (relationship with the body and needing control), the social body (cultural concepts and comparisons to others) and the body politic (medicalisation, the medical team and the transvaginal ultrasound).

CONCLUSIONS

The impact of these aspects of their mindful bodies developed arguments showing how different actors had an impact on preventing them obtaining the patient-centred care they required without resistance. More must be done to honour the experience of pain women have regarding their periods, especially by healthcare professionals. There must be consistency in the way women are approached for their dysmenorrhea to prevent discrepancies of support. This must be done with clearer guidance on what is offered to women with dysmenorrhea, especially in the primary care setting.

摘要

背景

5%至10%的女性经历过扰乱生活的经期疼痛,但五分之四的女性认为她们关于痛经的诉求未得到认真对待。在寻求对其疼痛的支持和理解的过程中,她们面临各种障碍,这些障碍使她们无法找到应得的答案。

方法

对8名年龄在20至28岁之间的女性进行了半结构化访谈,以讨论她们自初潮以来在痛经方面的经历。

结果

本研究运用舍佩尔-休斯和洛克对有意识身体的理解,通过她们的身体(与身体的关系以及对控制的需求)、社会身体(文化观念以及与他人的比较)和身体政治(医学化、医疗团队和经阴道超声)来探究女性痛经的经历。

结论

她们有意识身体的这些方面所产生的影响形成了一些观点,表明不同行为者如何在没有阻力的情况下对阻碍她们获得所需的以患者为中心的护理产生影响。必须做出更多努力来尊重女性在经期疼痛方面的经历,尤其是医疗保健专业人员。在处理女性痛经问题时,必须保持一致的方式,以防止支持出现差异。这必须在为痛经女性提供何种服务方面给出更明确的指导,尤其是在初级保健环境中。

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