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炎症性肠病女性患者的性与生殖健康:一项综合综述。

Sexual and Reproductive Health for Women Who Live With Inflammatory Bowel Disease: An Integrative Review.

作者信息

O'Reilly Kate, McInnes Susan, Holroyd Eleanor, Peters Kath

机构信息

Western Sydney University, Penrith, Australia.

Auckland University of Technology, Auckland, New Zealand.

出版信息

Nurs Open. 2025 Jul;12(7):e70269. doi: 10.1002/nop2.70269.

DOI:10.1002/nop2.70269
PMID:40579754
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12204847/
Abstract

AIMS

To provide an understanding of the sexual and reproductive health issues for women who live with inflammatory bowel disease.

DESIGN

Whittemore and Knaffle's integrative review.

METHODS

Databases searched in this integrative review included: CINAHL Plus, Google Scholar, SCOPUS and Web of Science databases. A defined research aim guided the search strategy and facilitated the accurate extraction of data from primary qualitative and quantitative research conducted between 2012 and 2022.

RESULTS

Nineteen papers were included in this review. All papers were appraised using the Mixed Methods Appraisal Tool and were found to be of good methodological quality. The following three themes were identified: (1) inflammatory bowel disease negatively impacts sexual, reproductive and social health; (2) inflammatory bowel disease and sexual functioning and (3) reproductive knowledge and reservedness to discuss sexual health. This review of the literature highlights that sexual and reproductive health issues for women who live with inflammatory bowel disease are very focused on sexual dysfunction and reproduction. The review illuminates that there is a dearth of information that explores women's sexuality more broadly across the lifespan.

摘要

目的

了解患有炎症性肠病的女性的性与生殖健康问题。

设计

惠特莫尔和克纳夫勒的综合综述。

方法

本次综合综述检索的数据库包括:护理学与健康领域数据库(CINAHL Plus)、谷歌学术、Scopus数据库和科学引文索引数据库(Web of Science)。明确的研究目的指导了检索策略,并有助于从2012年至2022年进行的定性和定量的原始研究中准确提取数据。

结果

本综述纳入了19篇论文。所有论文均使用混合方法评价工具进行评估,结果显示方法学质量良好。确定了以下三个主题:(1)炎症性肠病对性、生殖和社会健康产生负面影响;(2)炎症性肠病与性功能;(3)生殖知识以及对讨论性健康的保留态度。本次文献综述强调,患有炎症性肠病的女性的性与生殖健康问题主要集中在性功能障碍和生殖方面。该综述表明,缺乏在更广泛的生命周期内探索女性性取向的信息。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa06/12204847/9cb136e14392/NOP2-12-e70269-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa06/12204847/9cb136e14392/NOP2-12-e70269-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa06/12204847/9cb136e14392/NOP2-12-e70269-g001.jpg

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本文引用的文献

1
Exploring Reproductive Health Decision Experiences and Preferences of Women With Pediatric-Onset Inflammatory Bowel Diseases.探索患有儿童期起病的炎症性肠病的女性的生殖健康决策经历与偏好。
Crohns Colitis 360. 2021 Dec 29;4(1):otab083. doi: 10.1093/crocol/otab083. eCollection 2022 Jan.
2
"I Just Want to Feel Safe Going to a Doctor": Experiences of Female Patients with Chronic Conditions in Australia.“我只想在看医生时感到安全”:澳大利亚慢性病女性患者的经历
Womens Health Rep (New Rochelle). 2022 Dec 22;3(1):1016-1028. doi: 10.1089/whr.2022.0052. eCollection 2022.
3
Managing Inflammatory Bowel Disease in Pregnancy: Health Care Professionals' Involvement, Knowledge, and Decision Making.
妊娠期炎症性肠病的管理:医疗保健专业人员的参与、知识和决策
Inflamm Bowel Dis. 2023 Apr 3;29(4):522-530. doi: 10.1093/ibd/izac101.
4
Patients Report Infrequent Counseling by Physicians and Inadequate Knowledge about Inflammatory Bowel Disease and Reproductive Health Issues.患者报告称医生很少提供咨询,且他们对炎症性肠病和生殖健康问题的了解不足。
Am J Perinatol. 2023 Nov;40(15):1651-1658. doi: 10.1055/s-0041-1740193. Epub 2021 Dec 13.
5
Monitored but not sufficiently guided - A qualitative descriptive interview study of maternity care experiences and needs in women with chronic medical conditions.监测但指导不足 - 对患有慢性疾病的女性的母婴护理体验和需求的定性描述性访谈研究。
Midwifery. 2022 Jan;104:103167. doi: 10.1016/j.midw.2021.103167. Epub 2021 Oct 29.
6
Comparative study of pregnancy outcomes in women with inflammatory bowel disease treated with thiopurines and/or anti-TNF: a French nationwide study 2010-2018.硫唑嘌呤和/或抗TNF治疗的炎症性肠病女性妊娠结局的比较研究:一项2010 - 2018年法国全国性研究
Aliment Pharmacol Ther. 2021 Aug;54(3):302-311. doi: 10.1111/apt.16448. Epub 2021 Jun 23.
7
Prevalence, predictors and age-related sexual and erectile dysfunction in patients with inflammatory bowel disease: A tertiary centre experience.炎症性肠病患者的患病率、预测因素和与年龄相关的性功能及勃起功能障碍:一家三级中心的经验。
Int J Clin Pract. 2021 Sep;75(9):e14486. doi: 10.1111/ijcp.14486. Epub 2021 Jun 30.
8
The PRISMA 2020 statement: an updated guideline for reporting systematic reviews.PRISMA 2020 声明:系统评价报告的更新指南。
BMJ. 2021 Mar 29;372:n71. doi: 10.1136/bmj.n71.
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The Patterns of Use of Medications for Inflammatory Bowel Disease During Pregnancy in the US and Sweden Are Changing.美国和瑞典在妊娠期使用治疗炎症性肠病药物的模式正在发生变化。
Inflamm Bowel Dis. 2021 Aug 19;27(9):1427-1434. doi: 10.1093/ibd/izaa294.
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'These Discussions Aren't Happening': Experiences of People Living with Inflammatory Bowel Disease and Talking About Sexual Well-being with Health Care Professionals.“这些讨论没有发生”:炎症性肠病患者的经历以及与医疗保健专业人员谈论性健康。
J Crohns Colitis. 2021 Oct 7;15(10):1641-1648. doi: 10.1093/ecco-jcc/jjab043.