■痛经,或经期疼痛,是一种普遍的妇科疾病,可导致月经期间的功能干扰。尽管痛经可以对功能和健康造成重大破坏,医疗求助率很低。关于哪些因素可以预测痛经的寻求帮助知之甚少。
■当前的研究旨在测试卫生服务使用行为模型(BMHSU)对痛经中寻求帮助行为的预测有效性,因此,寻求帮助的行为是在接受与痛经相关的护理的医疗保健专业人员的帮助下进行的。
■使用了横截面观察性设计。
■参与者(N=439)完成了一项在线调查,测量了以下八个预测变量:月经疼痛特征,健康信念,自我效能感,社会支持利用率和满意度,感知的医疗保健可用性,疼痛强度和干扰。参与者还被要求报告他们是否曾因月经疼痛而求助于医疗保健专业人员。
■BMHSU占求助行为差异的8%。疼痛干扰和预约可用性是过去求助行为差异的重要预测因素,这样那些经历了更大痛苦干扰的人,那些认为有更多医疗预约的人不太可能因月经疼痛而去看医疗专业人员。BMHSU在预测求助行为方面的总体分类准确率为69%。
■尽管BMHSU证明了相当好的模型拟合,对于预测痛经的求助行为,它似乎不是一个特别稳健的模型.未来的研究应该探索完善的BMHSU或替代理论模型是否可以为这种行为提供更有用的见解。更好地了解寻求帮助行为的决定因素将有助于制定干预措施,以促进适当的寻求帮助并改善月经疼痛患者的健康结果。
是什么让经期疼痛的人寻求帮助?许多人经历过普通的经期疼痛,这可能是严重和虚弱的。尽管这会让日常生活变得困难,没有多少人寻求医疗帮助来治疗经期疼痛。这项研究的目的是找出为什么患有经期疼痛的人可能会或可能不会去找医生寻求帮助。我们使用了一个称为卫生服务使用行为模型的理论框架来试图理解这一点。这个框架告诉我们,像年龄或健康信念这样的诱发因素,家庭支持和获得医疗保健等有利因素,需要严重症状等因素,可以预测是否有人会去看医生。我们想测试这种思维方式是否可以准确预测患有经期疼痛的人是否去看医生。我们要求有经期疼痛的人填写一份在线调查。我们询问了他们的时期有多痛苦,他们对月经健康的看法,他们有多自信管理自己的痛苦,他们是否得到了别人的支持,如果他们认为医疗保健是可用的,痛苦对他们的生活有多大影响。我们还询问他们是否曾经去看医生以帮助他们的经期疼痛。我们发现,这些因素在预测人们是否为经期疼痛寻求帮助方面并不十分准确。最重要的预测因素是疼痛对他们的生活有多大影响,以及他们是否相信他们可以获得医疗保健预约。如果疼痛非常具有破坏性,如果他们觉得有免费预约,人们去看医生的可能性较小。这项研究是第一个使用这种思维方式来理解为有时间疼痛的人寻求帮助的研究。在未来,研究人员应该测试不同的模型,看看它们是否能更好地理解经期疼痛的求助行为。重要的是要找到方法来理解这种行为,以帮助人们在需要时寻求帮助。
UNASSIGNED: Dysmenorrhoea, or period pain, is a prevalent gynaecological condition that can result in functional interference during menstruation. Despite the significant disruption
dysmenorrhoea can have on functioning and well-being, medical help-seeking rates are low. Little is known about what factors may predict help-seeking for
dysmenorrhoea.
UNASSIGNED: The current study aimed to test the predictive validity of the Behavioural Model of Health Services Use (BMHSU) for help-seeking behaviour in
dysmenorrhoea, whereby help-seeking behaviour was operationalised as having attended to a healthcare professional for dysmenorrhoea-related care.
UNASSIGNED: A cross-sectional observational design was used.
UNASSIGNED: Participants (N = 439) completed an online survey, which measured the following eight predictor variables: menstrual pain characteristics, health beliefs, self-efficacy, social support utilisation and satisfaction, perceived healthcare availability, and pain intensity and interference. Participants were also asked to report whether they had ever attended to a healthcare professional for their menstrual pain.
UNASSIGNED: The BMHSU accounted for 8% of the variance in help-seeking behaviour. Pain interference and appointment availability were significant predictors of the variance in past help-seeking behaviour, such that those who experienced greater pain interference, and those who perceived greater availability of healthcare appointments were less likely to have visited a healthcare professional for their menstrual pain. The BMHSU had an overall 69% classification accuracy in predicting help-seeking behaviour.
UNASSIGNED: Although the BMHSU demonstrated reasonably good model fit, it does not appear to be a particularly robust model for predicting help-seeking behaviour for
dysmenorrhoea. Future research should explore whether a refined BMHSU or an alternative theoretical model can provide more useful insight into this behaviour. Better understanding of the determinants of help-seeking behaviour will enable the development of interventions to promote appropriate help-seeking and improve health outcomes for individuals with menstrual pain.
What makes people with period pain seek help?Many people experience common period pain, which can be severe and debilitating. Even though it can make daily life difficult, not many people seek medical help for period pain.The purpose of this study was to find out why people with period pain might or might not go to a doctor for help. We used a theoretical framework called the Behavioural Model of Health Services Use to try to understand this. This framework tells us that predisposing factors like age or health beliefs, enabling factors like family support and access to healthcare, and need factors like severe symptoms, can predict whether someone will go to the doctor. We wanted to test if this way of thinking could accurately predict if someone with period pain had been to see a doctor.We asked people with period pain to fill in an online survey. We asked about things like how painful their periods were, what they believed about their menstrual health, how confident they felt in managing their pain, whether they got support from others, if they thought healthcare was available, and how much the pain affected their lives. We also asked if they had ever gone to a doctor for help with their period pain.We found that these factors were not very accurate in predicting whether people sought help for period pain. The most important predictors were how much the pain affected their lives and whether they believed that healthcare appointments were available to them. If the pain was very disruptive, and if they felt there were free appointments, people were less likely to have gone to see a doctor.This study was the first to use this way of thinking to understand help-seeking for people with period pain. In the future, researchers should test different models to see if they work better for understanding help-seeking behaviour for period pain. It is important to find ways to understand this behaviour to help people seek help for their pain when they need it.