利用语言识别痛经相关骨盆疼痛妇女的膀胱疼痛成分:一项横断面研究。

IF 1.4 4区 医学 Q3 OBSTETRICS & GYNECOLOGY
Eleanor Schofield, Roland Sussex, Tania Crotti, Susan Evans
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引用次数: 0

摘要

背景:痛经相关盆腔疼痛(DRPP)是一种常见疾病,可能包括也可能不包括膀胱相关症状。初级保健医生(PHCP)在很大程度上依赖语言来诊断与痛经相关的病症。目的:通过对女性盆腔疼痛语言的探索性研究,确定患有 DRPP 且同时伴有和不伴有膀胱疼痛的女性在使用疼痛描述符方面的差异:对澳大利亚和新西兰自认骨盆疼痛的女性(n = 750,18-49 岁)进行横断面在线调查。将自我感觉有膀胱疼痛成分的女性(DRPPB+,n = 468)与无膀胱疼痛的女性(DRPPB-,n = 282)所使用的自由文本和预定疼痛描述符进行了比较。统计分析包括使用 StataCorp Stata 统计软件进行的 Pearson χ2、逻辑回归和方差分析测试,以及 AntConc 一致性软件提供的定性数据:在自由格式文本中,胀痛(P = 0.014)和压力(P = 0.031)更常用于描述 DRPPB+ 妇女的痛经,而 "疼痛难忍"(P = 0.031)更常用于描述 DRPPB+ 妇女的痛经:系统的用词模式应鼓励医生进一步询问可能与痛经同时存在的膀胱症状。了解这些词语可能有助于有针对性地采取诊断和治疗干预措施。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Using language to identify a bladder pain component in women with Dysmenorrhoea-Related Pelvic Pain: A cross-sectional study.

Background: Dysmenorrhoea-Related Pelvic Pain (DRPP) is a common condition, which may or may not include bladder-related symptoms. Primary health care practitioners (PHCP) rely heavily on language for diagnosis of DRPP-related conditions. However, there are no established pain descriptors to assist PHCP to determine whether an individual's DRPP may include a bladder component.

Aims: To identify differences in the use of pain descriptors in women with DRPP with and without a co-existing bladder pain component, through an exploratory study of the language of pelvic pain in women.

Materials and methods: A cross-sectional online survey of Australian and New Zealand women (n = 750, ages 18-49) who have self-identified pelvic pain. Free text and predetermined pain descriptors used by women with a self-perceived bladder pain component (DRPPB+, n = 468) were compared to those without bladder pain (DRPPB-, n = 282). Statistical analysis included Pearson χ2, logistic regression and analysis of variance tests using StataCorp Stata Statistical Software combined with qualitative data from AntConc concordance software.

Results: Within free-form text, bloating (P = 0.014) and pressure (P = 0.031) were used more commonly to describe dysmenorrhoea in women with DRPPB+, while the word excruciating (P < 0.001) was more commonly used by women with DRPPB-. From a pre-determined list of descriptors, pounding (P < 0.001), tingling (P < 0.001), stabbing (P = 0.010), burning (P = 0.002) and cramping (P = 0.021) were more commonly used by women with DRPPB+, than women with DRPPB-.

Conclusions: Systematic patterns of word use should encourage practitioners to further enquire about bladder symptoms that may co-exist with dysmenorrhoea. Knowledge of these words may be useful in targeting diagnostic and therapeutic interventions.

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来源期刊
CiteScore
3.40
自引率
11.80%
发文量
165
审稿时长
4-8 weeks
期刊介绍: The Australian and New Zealand Journal of Obstetrics and Gynaecology (ANZJOG) is an editorially independent publication owned by the Royal Australian and New Zealand College of Obstetricians and Gynaecologists (RANZCOG) and the RANZCOG Research foundation. ANZJOG aims to provide a medium for the publication of original contributions to clinical practice and/or research in all fields of obstetrics and gynaecology and related disciplines. Articles are peer reviewed by clinicians or researchers expert in the field of the submitted work. From time to time the journal will also publish printed abstracts from the RANZCOG Annual Scientific Meeting and meetings of relevant special interest groups, where the accepted abstracts have undergone the journals peer review acceptance process.
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