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不仅仅是穿着手术服时的痛经:探索女性医护人员中的痛经问题。

More than Cramps in Scrubs: Exploring Dysmenorrhea among Women Healthcare Workers.

作者信息

Yáñez-Sarmiento Anamaría, Kiel Lauren, Kaufman Rebekah, Abioye Oyepeju, Florez Narjust

机构信息

Department of Oncology, Universidad Icesi, Perímetro Urbano Santiago de Cali, Valle del Cauca, Colombia.

Department of Thoracic Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.

出版信息

Int J Womens Health. 2024 Apr 29;16:749-753. doi: 10.2147/IJWH.S452210. eCollection 2024.

DOI:10.2147/IJWH.S452210
PMID:38706690
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11069112/
Abstract

Though understudied, dysmenorrhea, a painful cramping sensation occurring near and during menses, is the most prevalent gynecological disorder among women of reproductive age, affecting 50-90% of the global population. Contributing factors of this disorder include poor medical assessment, lack of consciousness, gender bias, moderate to high levels of stress, and depression and anxiety. Among school students and healthcare trainees, dysmenorrhea contributes to short-term absenteeism, lower productivity, creativity, and job performance. Among medical trainees, dysmenorrhea has been found to impact daily activities to a disabling degree in nearly one third of instances, resulting in difficulties in relationships and even self-isolation. Dysmenorrhea further produces substantial global economic losses and higher healthcare costs. To begin to alleviate the extensive issue of dysmenorrhea, we must increase awareness to fully understand its prevalence, risk factors, and potential for effective, affordable, and accessible treatments. Concurrently, our clinical environment must adopt a standard description and assessment tool to prevent, measure, and monitor dysmenorrhea, while on a global scale, we must develop and widely disseminate nationwide labor regulations that address the workforce impact due to the effects of dysmenorrhea.

摘要

痛经是指在月经前后或经期出现的疼痛性痉挛感觉,尽管相关研究较少,但它却是育龄女性中最常见的妇科疾病,全球50%至90%的女性受其影响。该疾病的促成因素包括医疗评估不足、意识缺乏、性别偏见、中度至高度压力以及抑郁和焦虑。在学生和医疗培训生中,痛经会导致短期缺勤、生产力、创造力和工作表现下降。在医学实习生中,发现痛经在近三分之一的情况下会对日常活动造成致残程度的影响,导致人际关系困难甚至自我孤立。痛经还会造成巨大的全球经济损失和更高的医疗成本。为了开始缓解痛经这一广泛问题,我们必须提高认识,以充分了解其患病率、风险因素以及有效、可负担且可及的治疗潜力。同时,我们的临床环境必须采用标准的描述和评估工具来预防、测量和监测痛经,而在全球范围内,我们必须制定并广泛传播全国性劳动法规,以解决痛经对劳动力的影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8362/11069112/1cfe4ebdacd4/IJWH-16-749-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8362/11069112/875a7e3fefc5/IJWH-16-749-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8362/11069112/1cfe4ebdacd4/IJWH-16-749-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8362/11069112/875a7e3fefc5/IJWH-16-749-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8362/11069112/1cfe4ebdacd4/IJWH-16-749-g0002.jpg

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本文引用的文献

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2
Dysmenorrhea across the lifespan: a biopsychosocial perspective to understanding the dysmenorrhea trajectory and association with comorbid pain experiences.一生中的痛经:从生物心理社会学角度理解痛经轨迹及其与共病疼痛经历的关联。
Pain. 2022 Nov 1;163(11):2069-2075. doi: 10.1097/j.pain.0000000000002649. Epub 2022 Apr 14.
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A Systematic Review of the Cost of Chronic Pelvic Pain in Women.
Nat Hum Behav. 2024 Nov;8(11):2086-2089. doi: 10.1038/s41562-024-02057-6.
女性慢性盆腔疼痛成本的系统评价
J Obstet Gynaecol Can. 2022 Mar;44(3):286-293.e3. doi: 10.1016/j.jogc.2021.08.011. Epub 2021 Sep 26.
4
Significant Increase in Depression in Women With Primary Dysmenorrhea: A Systematic Review and Cumulative Analysis.原发性痛经女性抑郁症状显著增加:一项系统评价与累积分析
Front Psychiatry. 2021 Aug 5;12:686514. doi: 10.3389/fpsyt.2021.686514. eCollection 2021.
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Depression among healthcare workers in the Eastern Mediterranean Region: a systematic review and meta-analysis.东地中海地区医护人员的抑郁状况:系统评价和荟萃分析。
Hum Resour Health. 2021 Jul 10;19(1):81. doi: 10.1186/s12960-021-00628-6.
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