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分析与子宫内膜异位症相关的生物心理社会影响以改善患者护理。

Analysis of the Biopsychosocial Impacts Associated with Endometriosis to Improve Patient Care.

作者信息

Noditi Aniela Roxana, Bostan Ioana-Stefania, Scurtu Francesca, Ionescu Diana, Mehedintu Andra Maria, Petca Aida, Mehedintu Claudia, Bostan Marinela, Rotaru Ana Maria

机构信息

Faculty of Medicine, University of Medicine and Pharmacy Carol Davila, 050471 Bucharest, Romania.

Filantropia Clinical Hospital, 011132 Bucharest, Romania.

出版信息

J Clin Med. 2025 Mar 21;14(7):2158. doi: 10.3390/jcm14072158.

DOI:10.3390/jcm14072158
PMID:40217609
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11989268/
Abstract

Endometriosis is a non-malignant, inflammatory condition that impacts individuals across various hormonal stages, including before their first menstruation, throughout their reproductive years, and after menopause. This condition arises when tissue resembling the uterine lining grows outside the uterus, resulting in inflammation and a range of symptoms, such as dysmenorrhea, pain during intercourse, chronic discomfort, and challenges with fertility. This review provides a comprehensive analysis of the medical strategies implemented to address the pathology of endometriosis, highlighting its significant impact on the quality of life of the individuals affected by this condition. Endometriosis can influence various aspects of life, including physical health, emotional well-being, social interactions, and professional performance. Usually, to assess the quality of life in women with endometriosis, validated instruments, such as different questionnaire types, are used to measure the physical, psychological, social, and reproductive health impacts. To improve the quality of life of the women experiencing endometriosis, several supportive strategies are proposed. The findings underscore the necessity of managing endometriosis through a multidisciplinary approach that encompasses both medical and surgical interventions, lifestyle modifications, and psychological support.

摘要

子宫内膜异位症是一种非恶性的炎症性疾病,影响处于不同激素阶段的个体,包括初潮前、整个育龄期以及绝经后。当类似子宫内膜的组织生长在子宫外时,就会引发这种疾病,导致炎症和一系列症状,如痛经、性交疼痛、慢性不适以及生育问题。本综述全面分析了为应对子宫内膜异位症病理而实施的医学策略,突出了其对受该疾病影响个体生活质量的重大影响。子宫内膜异位症会影响生活的各个方面,包括身体健康、情绪健康、社交互动和职业表现。通常,为评估子宫内膜异位症女性的生活质量,会使用经过验证的工具,如不同类型的问卷,来衡量对身体、心理、社会和生殖健康的影响。为提高患有子宫内膜异位症女性的生活质量,提出了几种支持性策略。研究结果强调了通过多学科方法管理子宫内膜异位症的必要性,该方法包括医学和手术干预、生活方式改变以及心理支持。

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本文引用的文献

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Comprehensive endometriosis care: a modern multimodal approach for the treatment of pelvic pain and endometriosis.子宫内膜异位症综合护理:一种治疗盆腔疼痛和子宫内膜异位症的现代多模式方法。
Ther Adv Reprod Health. 2024 Sep 23;18:26334941241277759. doi: 10.1177/26334941241277759. eCollection 2024 Jan-Dec.
2
Perceived challenges in treatment decision-making for endometriosis: healthcare professional perspectives.子宫内膜异位症治疗决策中察觉到的挑战:医疗保健专业人员的观点。
Health Psychol Behav Med. 2024 Aug 1;12(1):2383469. doi: 10.1080/21642850.2024.2383469. eCollection 2024.
3
A Psychological Point of View on Endometriosis and Quality of Life: A Narrative Review.子宫内膜异位症与生活质量的心理学视角:一项叙述性综述
J Pers Med. 2024 Apr 28;14(5):466. doi: 10.3390/jpm14050466.
4
Endometriosis and the Role of Pro-Inflammatory and Anti-Inflammatory Cytokines in Pathophysiology: A Narrative Review of the Literature.子宫内膜异位症及促炎和抗炎细胞因子在病理生理学中的作用:文献综述
Diagnostics (Basel). 2024 Jan 31;14(3):312. doi: 10.3390/diagnostics14030312.
5
Alexithymia and Loneliness in Women with Endometriosis. Testing the Factorial Structure of the Italian Endometriosis Health Profile (EHP-30) and a Mediation Model.子宫内膜异位症女性的述情障碍与孤独感。对意大利子宫内膜异位症健康状况量表(EHP-30)的因子结构及中介模型进行检验。
Clin Neuropsychiatry. 2023 Oct;20(5):442-452. doi: 10.36131/cnfioritieditore20230506.
6
The impact of endometriosis on depressive and anxiety symptoms and quality of life: a systematic review.内异症对抑郁和焦虑症状及生活质量的影响:系统评价。
Front Public Health. 2023 Sep 6;11:1230303. doi: 10.3389/fpubh.2023.1230303. eCollection 2023.
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New Insights into Genetics of Endometriosis-A Comprehensive Literature Review.子宫内膜异位症遗传学的新见解——一项综合文献综述
Diagnostics (Basel). 2023 Jul 4;13(13):2265. doi: 10.3390/diagnostics13132265.
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Current endometriosis care and opportunities for improvement.当前子宫内膜异位症的治疗及改善机会。
Reprod Fertil. 2023 Jul 1;4(3). doi: 10.1530/RAF-22-0091.
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Complications following surgeries for endometriosis: A systematic review protocol.子宫内膜异位症手术相关并发症:系统评价方案
PLoS One. 2023 May 23;18(5):e0285929. doi: 10.1371/journal.pone.0285929. eCollection 2023.
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Life (Basel). 2023 Feb 27;13(3):654. doi: 10.3390/life13030654.