Reasons women do not seek health care for dysmenorrhea
Reasons women do not seek health care for dysmenorrhea
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DOI：
10.1111/jocn.13946
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发表时间：
2018-01-01
影响因子：
4.2
通讯作者：
Carpenter, Janet S.
中科院分区：
文献类型：
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作者：
Chen, Chen X.;Shieh, Carol;Carpenter, Janet S.
Aims and objectivesTo确定和描述的原因妇女不寻求保健痛经symptoms.BackgroundAlthough痛经是非常普遍的妇女，可能会导致显着的中断，在他们的日常生活中，并可能会增加他们的风险，为未来的慢性疼痛条件，很少有妇女寻求保健痛经。更好地了解为什么妇女不寻求医疗保健是必要的，以制定战略，促进寻求护理和最佳的症状management.DesignA定性描述性设计，用于指导研究和总结文本响应一个开放式的调查question.MethodsParticipants在一个在线调查研究谁没有寻求医疗保健痛经（N=509）被要求写他们的原因不寻求护理。数据收集于2015年1月和2月。参与者的文本反应进行了分析，使用定性内容analysis.ResultsNine类的原因被确定如下：假设症状是正常的，倾向于自我管理症状，资源有限，认为提供者不会提供帮助，不知道治疗方案，认为症状是可以忍受的，对可用的治疗方法持谨慎态度，感到尴尬或害怕寻求护理，一般不寻求医疗保健。结论调查结果可以指导战略的发展，以促进关怀，并告知政策和临床实践，以改善痛经管理。提供痛经的常规筛查，避免忽视痛经症状，发起关于痛经的讨论和教育，根据证据和妇女的喜好提供治疗方案，提高公众对痛经及其影响的认识。
Aims and objectivesTo identify and describe reasons women do not seek health care for dysmenorrhea symptoms.BackgroundAlthough dysmenorrhea is highly prevalent among women, can cause significant disruptions in their daily lives, and may increase their risk for future chronic pain conditions, few women seek health care for dysmenorrhea. A better understanding of why women do not seek health care is necessary to develop strategies that facilitate care seeking and optimal symptom management.DesignA qualitative descriptive design was used to guide the study and summarise text responses to an open-ended survey question.MethodsParticipants in an online survey study who had not sought health care for dysmenorrhea (N=509) were asked to write about their reasons for not seeking care. Data were collected in January and February 2015. Participants' text responses were analysed using qualitative content analysis.ResultsNine categories of reasons were identified as follows: assuming symptoms are normal, preferring to self-manage symptoms, having limited resources, thinking providers would not offer help, being unaware of treatment options, considering symptoms to be tolerable, being wary of available treatments, feeling embarrassed or afraid to seek care and not seeking health care generally.ConclusionsFindings can guide the development of strategies to promote careseeking and inform policy and clinical practice to improve dysmenorrhea management.Relevance to clinical practiceFindings underscore the need to provide routine screening for dysmenorrhea, avoid dismissing dysmenorrhea symptoms, initiate discussions and provide education about dysmenorrhea, provide treatments options based on evidence and women's preferences and raise public awareness of dysmenorrhea and its impact.