An Integrative Approach for Endometriosis-Related Pain.

IF 2 4区 医学 Q2 NURSING Western Journal of Nursing Research Pub Date : 2024-11-01 Epub Date: 2024-09-21 DOI:10.1177/01939459241283018
Ayat Zubedat, Michal Liebergall-Wischnitzer, Amy Solnica, Nurit Zusman, Uri Dior
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Abstract

Background: Pain is a common, severe symptom related to endometriosis. Despite this prominent feature, there is limited literature regarding its description and use of integrative treatment methods.

Objective: We aimed to describe endometriosis-related pain characteristics, severity, and association with an integrative approach encompassing pharmacological and non-pharmacological methods.

Methods: A cross-sectional descriptive correlational study was conducted using convenience sampling of adult women with endometriosis-related pain. Three questionnaires were utilized: a demographic and general health questionnaire, a visual analog pain scale (VAS), and the short-form McGill pain questionnaire (SF-MPQ).

Results: Participants included 93 women with a mean general pain level of 6.2/10 (SD = 2.7) on the VAS. The total mean pain score on the SF-MPQ was 26.25/45 (SD = 10.1). Sixty-four women (68.8%) reported experiencing pain at the time of completion of the questionnaire (mean: 1.6/4, SD = 1.3). All participants utilized analgesia; those who used opioids reported a higher overall mean pain score of 2.3 (SD = 1.3) than patients who did not use opioids reported a mean of 1.4 (SD = 1.2; z = 9.59; P < .001). Present pain intensity was significantly higher for women using opioids than those not using opioids. In all, 77 women (82.8%) used integrative methods to alleviate the pain symptoms. Women who utilized nutritional therapy as part of the non-pharmacological method experienced lower mean (SD) overall pain (4.4 [2.5]) compared with patients who did not utilize nutritional therapy (6.75 [2.5]; P < .01).

Conclusions: More studies are needed to find evidence-based treatment options for women for integrative pain relief for endometriosis-related pain.

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治疗子宫内膜异位症相关疼痛的综合方法。
背景:疼痛是子宫内膜异位症常见的严重症状。尽管这一症状十分突出,但有关其描述和综合治疗方法使用的文献却十分有限:我们旨在描述子宫内膜异位症相关疼痛的特征、严重程度以及与包括药物和非药物方法在内的综合治疗方法的关联:方法:我们对患有子宫内膜异位症相关疼痛的成年女性进行了一项横断面描述性相关研究。研究使用了三种问卷:人口统计学和一般健康问卷、视觉模拟疼痛量表(VAS)和短式麦吉尔疼痛问卷(SF-MPQ):结果:93 名妇女参加了此次研究,她们在视觉模拟疼痛量表(VAS)上的平均总体疼痛程度为 6.2/10(SD = 2.7)。SF-MPQ 的平均疼痛总分为 26.25/45(SD = 10.1)。64名女性(68.8%)在填写问卷时表示有疼痛感(平均值:1.6/4,SD = 1.3)。所有参与者都使用了镇痛剂;使用阿片类药物的患者报告的总体平均疼痛评分为 2.3(SD = 1.3),高于未使用阿片类药物的患者报告的平均 1.4(SD = 1.2;z = 9.59;P P 结论:需要进行更多的研究,为妇女寻找循证治疗方案,以综合缓解子宫内膜异位症相关疼痛。
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来源期刊
CiteScore
4.10
自引率
0.00%
发文量
48
审稿时长
>12 weeks
期刊介绍: Western Journal of Nursing Research (WJNR) is a widely read and respected peer-reviewed journal published twelve times a year providing an innovative forum for nurse researchers, students, and clinical practitioners to participate in ongoing scholarly dialogue. WJNR publishes research reports, systematic reviews, methodology papers, and invited special papers. This journal is a member of the Committee on Publication Ethics (COPE).
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