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以体感刺激作为子宫内膜异位症相关性疼痛女性辅助治疗手段的心理治疗——一项定性研究

Psychotherapy with somatosensory stimulation as a complementary treatment for women with endometriosis-associated pain - a qualitative study.

作者信息

Limmer Anna, Weber Annemarie, Olliges Elisabeth, Kraft Jana, Beissner Florian, Preibisch Christine, Meissner Karin

机构信息

Institute of Medical Psychology, Faculty of Medicine, LMU Munich, Munich, Germany.

Division of Health Promotion, Coburg University of Applied Sciences and Arts, Friedrich-Streib-Straße 2, 96450, Coburg, Germany.

出版信息

BMC Complement Med Ther. 2024 Dec 26;24(1):426. doi: 10.1186/s12906-024-04731-8.

Abstract

OBJECTIVE

This qualitative study aimed to explore patients' experiences with a novel treatment approach for endometriosis-associated pain, termed 'sinosomatics'. Specifically, it sought to understand women's experiences of the treatment and its components, the effects of the treatment on biological, psychological, and social levels, and how the women interpreted the changes they experienced.

METHODS

We conducted ten semi-structured interviews with patients, who had undergone the complementary treatment for endometriosis-associated pain. These interview sessions were audio-recorded, transcribed, and analyzed using Mayring's content analysis method with the aid of MAXQDA software.

RESULTS

Three key categories emerged: 'treatment experience,' 'treatment effects,' and 'explanation for effects'. The treatment was described as a "turning point" in patients' lives, offering new insights into the involvement of psychosocial factors in endometriosis-associated pain and paving the way for overcoming adverse life events. The therapy strengthened women's empowerment, inspired hope, fostered coping strategies, and promoted personal growth. Both the holistic view of body and mind and the psychological approach to treatment led to a change in the way how women perceived the disease.

CONCLUSIONS

Patients recognized the innovative combination of psychotherapy and acupuncture point stimulation as a significant advancement in managing their disease. The treatment has helped them to acquire a more holistic understanding of their bodily complaints and to cope more effectively with their symptoms. The findings highlight the importance of a patient-centered and empathetic treatment approach that empowers women to take an active role in managing their condition.

摘要

目的

本定性研究旨在探索患者对一种治疗子宫内膜异位症相关疼痛的新方法——“体针疗法”的体验。具体而言,该研究试图了解女性对该治疗方法及其组成部分的体验、治疗在生物学、心理和社会层面的效果,以及女性如何解读她们所经历的变化。

方法

我们对接受过子宫内膜异位症相关疼痛辅助治疗的患者进行了10次半结构化访谈。这些访谈进行了录音、转录,并借助MAXQDA软件,采用梅林的内容分析法进行分析。

结果

出现了三个关键类别:“治疗体验”、“治疗效果”和 “效果解释”。该治疗被描述为患者生活中的一个 “转折点”,为心理社会因素在子宫内膜异位症相关疼痛中的作用提供了新的见解,并为克服不良生活事件铺平了道路。该疗法增强了女性的权能感,激发了希望,培养了应对策略,并促进了个人成长。身心整体观和心理治疗方法都导致了女性对疾病认知方式的改变。

结论

患者认可心理治疗与穴位刺激的创新结合是治疗其疾病的一项重大进展。该治疗帮助她们对身体不适有了更全面的理解,并更有效地应对症状。研究结果强调了以患者为中心且富有同理心的治疗方法的重要性,这种方法能使女性在管理自身病情中发挥积极作用。

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Endometriosis and Pelvic Pain for the Gastroenterologist.内异症和盆腔痛:消化科医生面临的挑战
Gastroenterol Clin North Am. 2022 Mar;51(1):195-211. doi: 10.1016/j.gtc.2021.10.012. Epub 2022 Jan 8.

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