بررسی مطالعات مرتبط با دیسمنوره اولیه در بُعد ابزار سنجش درد قاعدگی

نوع مقاله: مروری

نویسندگان

1 مربی گروه مامایی، دانشگاه آزاد اسلامی واحد قوچان، قوچان، ایران.

2 دانشجوی دکترای بهداشت باروری، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی مشهد، مشهد، ایران.

چکیده

مقدمه: دیسمنوره اولیه از شایع‌ترین شکایات زنان است. بررسی بیمار و درمان موفق وی نیازمند سنجش میزان درد است. با توجه به شیوع بالا و متفاوت دیسمنوره اولیه در مطالعات و شناخت مقبول‌ترین ابزارهای بررسی درد دیسمنوره و به بحث گذاشتن مزایا و معایب این ابزارها، مطالعه حاضر با هدف بررسی مطالعات مرتبط با دیسمنوره در بُعد ابزار سنجش درد قاعدگی انجام شد.
روش کار: این مطالعه مروری با هدف بررسی مطالعات مرتبط با دیسمنوره در بُعد ابزار سنجش درد قاعدگیانجام شد.بدین منظور پایگاه‌های اطلاعاتی Pubmed Medline، Embase، Cochran و Google Scholar جهت یافتن منابع مرتبط در فاصله سال‌های 2003 تا 2013 و با کلید واژه‌هایی نظیر dysmenorrhea،  scale و ... جستجو شدند. محتوای مقالات با دقت و به تکرار مطالعه شد و با تمرکز بر ابزار بررسی درد از بُعد کیفی و کمی مورد تجزیه و تحلیل قرار گرفت.
یافته ها: در جستجوی به عمل آمده در مجموع تعداد 259 مقاله به دست آمد. از این تعداد 248 مقاله از ابزارهای ذهنی و 11 مقاله از ابزارهای عینی دیسمنوره استفاده کردند. پرکاربردترین ابزارهای ذهنی VASو معیار چندبُعدی گفتاری دیسمنوره و پرکاربردترین ابزار عینی دیسمنوره بررسی سطح پروستاگلاندین‌ها بود. به طور کلی از 28 ابزار متفاوت برای بررسی درد دیسمنوره استفاده شده بود. در مقالات فارسی 9 ابزار به کار برده شده بود. به علاوه 199 مقاله (6/78%) از یک ابزار، 48 مقاله (18%) از دو ابزار، 10 مقاله (8/2%) از سه ابزار و 2 مقاله (4/0%) از چهار ابزار هم‌زمان استفاده کرده بودند.
نتیجه گیری: به طور کلی ابزارهای متنوع و زیادی برای ارزیابی درد قاعدگی اولیه در دسترس هستند، ولی هنوز یک استاندارد طلایی وجود ندارد. اما VAS و معیار چندبُعدی گفتاری دیسمنوره نسبت به بقیه ابزارها بیشتر استفاده می‌شوند. لازم است ابزار مناسب با توجه به هدف پژوهشگر از تحقیق، هزینه انجام مطالعه، مشخصات جامعه مورد بررسی و ویژگی‌های ابزار انتخاب شود.

کلیدواژه‌ها


عنوان مقاله [English]

Assessment of the Articles Related to Primary Dysmenorrhea in Dimension of Menstrual Pain Assessment Tools

نویسندگان [English]

  • Tahereh Zahedifard 1
  • Mahboubeh Firozi 2
1 Faculty Member, Department of Midwifery, Quchan Branch, Islamic Azad University, Quchan, Iran
2 PhD Student of Reproductive Health, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.
چکیده [English]

Introduction: Primary dysmenorrhea is of the most common complaints in women. Patient assessment and successful treatment needs to assess the patient's pain. According to high and different prevalence of primary dysmenorrhea in various studies and to know the most accepted tools of dysmenorrhea pain assessment and to discuss the advantage and disadvantage of these tools, this study was performed with aim to assess the articles related to dysmenorrhea in dimension of menstrual pain assessment tools.
Methods:This review article was performed with aim to assess the articles related to dysmenorrhea in dimension of menstrual pain assessment tools. Therefore, databases of Cochrane, Embase, Pubmed Medline, and Google Scholar were searched to find the related references with keywords of dysmenorrhea, scale, … between 2003 and 2013. The contents of the articles were exactly and repeatedly studied and were analyzed with focus on qualitative and quantitative aspects of pain assessment tools.
Results: Totally, 259 articles were obtained. 248 articles used subjective tools of dysmenorrhea and 11 articles used objective tools. The most used subjective tools were VAS and Multi dimensional Verbal scale and most used objective tools of dysmenorrhea was evaluation of prostaglandins level. Totally, 28 different tools were used to assess dysmenorrhea pain. 9 tools were used in Persian articles. Moreover, 199 articles (78.6%) had simultaneously used one scale, 48 (18%) two scales, 10 (2.8 %) three and 2 (0.4 %) four scales.
Conclusion: Generally, various and different tools are available for menstrual pain assessment, but there is not a gold standard, but VAS and Verbal multidimensional scale are used more than other tools. It is necessary to select an appropriate tool according to the aim of researcher of the study, the study's cost, characteristics of study population and scale properties.

کلیدواژه‌ها [English]

  • Dysmenorrhea
  • Pain assessment
  • Tools
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