PDF(Pubmed)
Abstract：
UNASSIGNED: Dysmenorrhoea affects many adolescents with significant impacts on education and well-being. In the UK, most of the adolescents who seek care (and many never do), will do so through general practice (primary care). Knowing how best to care for adolescents reporting menstrual pain is an area where UK general practitioners would like better guidance and resources.
UNASSIGNED: This mixed-methods narrative synthesis collates community and specialist evidence from 320 papers about adolescent dysmenorrhoea, with a UK general practice community health perspective.
UNASSIGNED: We report a narrative summary of symptoms, cause, consequences and treatments for adolescent dysmenorrhoea. We highlight areas of tension or conflicted evidence relevant to primary care alongside areas of uncertainty and research gaps identified through this synthesis with input from lived experience advisers.
UNASSIGNED: There is little evidence about primary care management of adolescent dysmenorrhoea or specific resources to support shared-decision making in general practice, although there are evidence-based treatments to offer. Primary care encounters also represent potential opportunities to consider whether the possibility of underlying or associated health conditions contributing to symptoms of dysmenorrhoea, but there is little epidemiological evidence about prevalence from within community health settings to inform this. The areas where there is little or uncertain evidence along the care journey for adolescent dysmenorrhoea, including at the interface between experience and expression of symptoms and potential underlying contributory causes warrant further exploration.
UNASSIGNED: https://www.crd.york.ac.uk/PROSPEROFILES/256458_STRATEGY_20210608.pdf, identifier (CRD42021256458).
UNASSIGNED: This mixed-methods narrative synthesis collates community and specialist evidence from 320 papers about adolescent dysmenorrhoea, with a UK general practice community health perspective.
UNASSIGNED: We report a narrative summary of symptoms, cause, consequences and treatments for adolescent dysmenorrhoea. We highlight areas of tension or conflicted evidence relevant to primary care alongside areas of uncertainty and research gaps identified through this synthesis with input from lived experience advisers.
UNASSIGNED: There is little evidence about primary care management of adolescent dysmenorrhoea or specific resources to support shared-decision making in general practice, although there are evidence-based treatments to offer. Primary care encounters also represent potential opportunities to consider whether the possibility of underlying or associated health conditions contributing to symptoms of dysmenorrhoea, but there is little epidemiological evidence about prevalence from within community health settings to inform this. The areas where there is little or uncertain evidence along the care journey for adolescent dysmenorrhoea, including at the interface between experience and expression of symptoms and potential underlying contributory causes warrant further exploration.
UNASSIGNED: https://www.crd.york.ac.uk/PROSPEROFILES/256458_STRATEGY_20210608.pdf, identifier (CRD42021256458).
摘要：
■痛经影响许多青少年，对教育和福祉有重大影响。在英国,大多数寻求护理的青少年(许多人从来没有)，将通过一般实践(初级保健)这样做。了解如何最好地照顾报告月经疼痛的青少年是英国全科医生想要更好的指导和资源的领域。
■这种混合方法的叙事综合整理了320篇有关青少年痛经的论文中的社区和专家证据，从英国全科社区健康的角度来看。
■我们报告了症状的叙述性总结，cause,青少年痛经的后果和治疗。我们重点介绍了与初级保健相关的紧张或冲突证据领域，以及通过该综合发现的不确定性和研究空白领域，并提供了生活经验顾问的意见。
■关于青少年痛经的初级保健管理或支持一般实践中共同决策的特定资源的证据很少，尽管有循证治疗。初级保健也代表了考虑潜在或相关健康状况是否可能导致痛经症状的潜在机会，但是在社区健康环境中很少有流行病学证据表明这一点。在青少年痛经的护理过程中，几乎没有或不确定的证据的地区，包括经验和症状表达与潜在潜在的潜在促成原因之间的接口需要进一步探索。
■https://www.crd.约克。AC.英国/PROSPEROFILES/256458_STRATEGY_20210608。pdf,标识符(CRD42021256458)。
■这种混合方法的叙事综合整理了320篇有关青少年痛经的论文中的社区和专家证据，从英国全科社区健康的角度来看。
■我们报告了症状的叙述性总结，cause,青少年痛经的后果和治疗。我们重点介绍了与初级保健相关的紧张或冲突证据领域，以及通过该综合发现的不确定性和研究空白领域，并提供了生活经验顾问的意见。
■关于青少年痛经的初级保健管理或支持一般实践中共同决策的特定资源的证据很少，尽管有循证治疗。初级保健也代表了考虑潜在或相关健康状况是否可能导致痛经症状的潜在机会，但是在社区健康环境中很少有流行病学证据表明这一点。在青少年痛经的护理过程中，几乎没有或不确定的证据的地区，包括经验和症状表达与潜在潜在的潜在促成原因之间的接口需要进一步探索。
■https://www.crd.约克。AC.英国/PROSPEROFILES/256458_STRATEGY_20210608。pdf,标识符(CRD42021256458)。
