Fractured system, fractured care: The experiences of Canadian women with chronic pelvic pain waiting for interprofessional pain care

IF 0.6 Q4 OBSTETRICS & GYNECOLOGY
Rachael Bosma, Emeralda Burke, Nida Mustafa, T. Di Renna, Rosemary A Wilson
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引用次数: 1

Abstract

Background: Chronic pelvic pain (CPP) is a common disorder in women that includes complex interactions between biological, psychological, and social factors. Accessibility to interprofessional, biopsychosocial CPP care remains a challenge for many patients. There is a lack of knowledge regarding the experiences of women using health services for CPP care and the impact of waiting for interprofessional CPP care. This study explores the perceptions and experiences of Canadian women with CPP interacting with the health system while waiting for interprofessional CPP care. Methods: Our qualitative study included women with CPP waiting for interprofessional care in Ontario, Canada. Data were obtained through semi-structured interviews which were transcribed verbatim and analyzed inductively using established methods for thematic analysis. Results: Ten women (median age of 38.5 years, age range 28–57) participated in in-depth semi-structured interviews. Three main themes were identified: (1) feeling adrift in the health system, (2) feeling “On hold,” uncertain, and in need of guidance, and (3) feeling reliant on a system that does not understand. Within these themes, women with CPP describe tangible strategies and recommendations for improving health system navigation and care. Conclusion: Our study highlights the need for improved access to interprofessional CPP programs, enhanced and targeted training for health professionals in CPP management, and better health system navigation support. Specific recommendations were provided from the perspectives of women with CPP and included providing information on what to expect and prepare for their appointment and engaging patients in education resources while they wait.
骨折系统,骨折护理:加拿大慢性骨盆疼痛妇女等待跨专业疼痛护理的经验
背景:慢性盆腔疼痛(CPP)是一种常见的女性疾病,包括生物、心理和社会因素之间的复杂相互作用。获得跨专业、生物-心理-社会CPP护理对许多患者来说仍然是一个挑战。对妇女使用卫生服务进行CPP护理的经历以及等待跨专业CPP护理的影响缺乏了解。本研究探讨了加拿大CPP妇女在等待跨专业CPP护理时与卫生系统互动的看法和经历。方法:我们的定性研究包括加拿大安大略省等待跨专业护理的CPP患者。数据是通过半结构化访谈获得的,这些访谈逐字逐句转录,并使用既定的主题分析方法进行归纳分析。结果:10名女性(中位年龄38.5岁) 年龄28-57岁)参加了深入的半结构化访谈。确定了三个主要主题:(1)在卫生系统中感到漂泊不定,(2)感到“被搁置”,不确定,需要指导,以及(3)感到依赖于一个不理解的系统。在这些主题中,患有CPP的妇女描述了改善卫生系统导航和护理的具体战略和建议。结论:我们的研究强调,需要改善跨专业CPP项目的使用,加强对卫生专业人员的CPP管理培训,并提供更好的卫生系统导航支持。从患有CPP的女性的角度提供了具体的建议,包括提供关于预约预期和准备的信息,以及让患者在等待期间参与教育资源。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
1.20
自引率
0.00%
发文量
20
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