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不孕症患者行门诊不麻醉宫腔镜检查疼痛影响因素分析

刘金莲 赵佳 杜晓果 刘丹 张萌 宋东红

国际生殖健康/计划生育杂志2018,Vol.37Issue(1):41-44,4.
国际生殖健康/计划生育杂志2018,Vol.37Issue(1):41-44,4.

不孕症患者行门诊不麻醉宫腔镜检查疼痛影响因素分析

Study on Pain-Related Factors in Outpatients Undergoing Hysteroscopy without Anesthesia

刘金莲 1赵佳 1杜晓果 1刘丹 1张萌 1宋东红1

作者信息

  • 1. 100191 北京大学第三医院生殖医学中心
  • 折叠

摘要

Abstract

Objective:To explore the pain-related factors in those outpatients undergoing hysteroscopy without anesthesia,in order to provide theoretical guidance for clinical study of nursing intervention to alleviate pain.Methods:The questionnaire survey was conducted in those patients undergoing hysteroscopy without anesthesia at the Reproductive Center of a tertiary hospital in Beijing from June to September in 2016.The questionnaire included general information,self rating anxiety scale,self rating depression scale,general selfefficacy scale,hysteroscopy related knowledge questionnaire and visual analogue scale (VAS).A total of 125 patients were examined by OLYMPUS's flexible mirror.A small endometrial tissue from each patient was pathologically tested.Twenty-eight of them underwent polypectomy.Results:The median VAS score of 125 patients was 4.42 (3,6),which is normal distribution data after logarithmic conversion.Multivariate analysis showed that some factors could be included in the equation (regression equation F=7.189,P=0.000),including whether removal of polyps,the total family monthly income,depression score,education degree,the score of knowledge on hysteroscopy.Those risk factors of pain were polypectomy,the family monthly total income,educational degree and the depression score.Interestingly,the high score of hysteroscopy-related knowledge was a protective factor.Conclusions:The adequate education before hysteroscopy is necessary for those patients to undergo hysteroscopy without anesthesia,especially for patients with polyps,high family monthly income,high education degree and severe depression.

关键词

宫腔镜检查/疼痛测定/问卷调查/不育,女(雌)性/不麻醉宫腔镜检查

Key words

Hysteroscopy/Pain Measurement/Questionnaires/Infertility, female/Hysteroscopy without anesthesia

引用本文复制引用

刘金莲,赵佳,杜晓果,刘丹,张萌,宋东红..不孕症患者行门诊不麻醉宫腔镜检查疼痛影响因素分析[J].国际生殖健康/计划生育杂志,2018,37(1):41-44,4.

国际生殖健康/计划生育杂志

OACSTPCD

1674-1889

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