中国实用妇科与产科杂志

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患者教育在子宫内膜异位症长期管理中的重要意义

  

  1. 山东大学齐鲁医院妇产科,山东 济南 250012
  • 出版日期:2021-03-02 发布日期:2021-03-15
  • 通讯作者: 王国云
  • 基金资助:
    国家自然科学基金面上项目(81771552,82071621)

Importance of patient education in the long-term management of endometriosis.

  1. Department of Obstetrics and Gynecology,Qilu Hospital of Shandong University,Jinan 250012,China
  • Online:2021-03-02 Published:2021-03-15

摘要: 子宫内膜异位症(简称内异症)是一种常见病、多发病,常伴严重的疼痛、易复发、可恶变。目前内异症已经被视为一种花费高的慢性病,但是目前对内异症的公众认知程度较低。文章旨在通过对患者教育,帮助患者建立内异症的治疗是一个长期过程的理念;帮助患者识别内异症疼痛、不孕等的临床表现;根据患者的需要采取相应的治疗措施;让患者了解药物治疗后可能出现的副反应及术后辅助用药以减少或避免复发的必要性;对于有生育要求的患者给予生育指导;适当告知患者内异症恶变的风险;识别患者的焦虑、抑郁情绪并帮助患者建立社会支持系统。最终实现医患双方共同制定终身管理计划,促进内异症的长期管理。

关键词: 子宫内膜异位症, 慢性病, 患者教育, 长期管理

Abstract: Endometriosis(EM)is a common and frequently-occurring disease,often accompanied by severe pain,recurrence,and malignant transformation. At present,EM has been regarded as a costly chronic disease,but the public awareness of EM is relatively poor. This paper aims to help patients establish the concept that EM treatment is a long-term process through patient education,and help patients recognize the clinical manifestations of EM such as pain and infertility.Corresponding treatment measures should be taken according to the needs of patients.The paper also aims to let patients learn about the possible side effects after drug treatment and that it is necessary to take medication to reduce or avoid recurrence.The patient education is supposed to give fertility guidance to patients with fertility requirements,appropriately inform patients of the risk of malignant transformation of endometriosis,identify anxiety and depression of patients,and help them establish social support systems. Finally,both doctors and patients will jointly develop a life-long management plan to promote the long-term management of EM.

Key words: endometriosis, chronic disease, patient education, long-term management

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