放心和适当的机械支持建议对乳房痛患者生活质量和疼痛缓解的作用——一个发展中国家三级保健中心的前瞻性随访研究

Harendra Pankaj, Priyanka Rai, Amarjot Singh, Sunil Singh, Rohit Srivastava, Rudramani
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引用次数: 1

摘要

目的:探讨安慰和适当的机械支持对乳痛患者生活质量(QOL)和视觉模拟评分(VAS)疼痛评估的影响。材料与方法:前瞻性随访研究对象为年龄15-45岁,主诉乳房疼痛,临床及影像学未见异常的女性。在同意参与和登记后,所有研究参与者都被告知并保证疾病的非肿瘤性,并佩戴适当的机械支持/胸罩;这在每次随访中都重复进行。VAS用于评估妇女在每次随访中感受到的疼痛强度,干预后。采用SF-36量表评价健康相关生活质量(HRQOL)。结果:80例患者中,31.2%的患者穿着非棉质面料的Bra, 21.2%的患者穿着宽松的机械支撑/胸罩,10%的患者基线时没有任何机械支撑。每次随访的总体平均VAS评分显著降低,表明随着时间的推移,乳房疼痛的感觉降低。基线与3个月后SF-36平均评分差异有统计学意义(p < 0.05)。结论:放心和佩戴合适的机械支撑/胸罩可有效改善生活质量,减轻乳房疼痛/乳房痛。这些简单的过程应用于管理乳房痛。
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Role of Reassurance and Proper Mechanical Support Advice on Quality of Life and Pain Relief in Patients of the Mastalgia-A Prospective Follow-up Study at A Tertiary Care Center in a Developing Country.

Objective: To study the effect of reassurance and proper mechanical support on quality of life (QOL) and visual analogue score (VAS) pain assessment in patients with mastalgia at a range of follow-ups.

Materials and methods: A prospective follow-up study was conducted among women aged 15-45 years, complaining of breast pain without any abnormality detected clinically and radiologically. After consent to participate and enrollment, all the study participants were counseled and reassured about the non-neoplastic nature of the disease and about wearing proper mechanical support/Bra; this was repeated at each follow-up. VAS was used to assess the pain intensity perceived by the woman at each follow-up, post intervention. The Short Form-36 (SF-36) scale was used to evaluate health related QOL (HRQOL).

Results: Among 80 patients, 31.2% were wearing a Bra of fabric other than cotton, 21.2% were wearing a loose fit mechanical support/Brassiere, while 10% were not wearing any mechanical support at baseline. The overall mean VAS score was significantly reduced with each follow-up, indicating decreased perception of breast pain over time. There was a significant difference between the mean SF-36 score between base line and after three months (p<0.0001). Mean scores in all domains of the SF-36 increased. The greatest reduction in mean VAS score was seen in 26-35 years age group and women with a body mass index <18.5 kg/m2.

Conclusion: Reassurance and wearing proper mechanical support/Bra are effective for improving QOL and alleviating breast pain/mastalgia. These simple processes should be used for the management of mastalgia.

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