Farmakološka in nefarmakološka terapija za zdravljenje primarne dismenoreje

sistematični pregled literature

Avtorji

  • Aleksandra Kavšak Ortopedska bolnišnica Valdoltra, Jadranska cesta 31, 6280 Ankaran, Slovenija
  • Liridon Avdylaj Splošna bolnišnica Izola, Polje 40, 6310 Izola, Slovenija

DOI:

https://doi.org/10.14528/snr.2018.52.2.191

Ključne besede:

zmanjšanje bolečine, boleča menstruacija, kombinirana terapija

Povzetek

Uvod: V prispevku smo na podlagi sistematičnega pregleda literature identificirali različne oblike farmakološkega in nefarmakološkega zdravljenja, ki lahko ženskam s primarno dismenorejo pomagajo zmanjšati intenziteto bolečine. Namen raziskave je bil namreč ugotoviti oblike farmakološke in nefarmakološke terapije za zmanjšanje bolečine pri primarni dismenoreji.
Metode: Za iskanje literature so bile uporabljene podatkovne baze: CINAHL, Medline, ScienceDirect in Cochrane Library.  Uporabljeni so bili naslednji iskalni pojmi: primarna dismenoreja, menstrualna bolečina, farmakološko zdravljenje, nefarmakološko zdravljenje; v angleškem jeziku: primary dysmenorrhea, menstrual pain, pharmalogical intervention,  non-pharmacological intervention. Iskanje je bilo omejeno na znanstvene revije, recenzirane publikacije, dostopne v  celotnem besedilu, besedila, objavljena v angleškem jeziku v obdobju 2007–2017. Skupaj je bilo  identificiranih 571 zadetkov, v končno analizo je bilo vključenih 13 raziskav, ki so ustrezale namenu raziskave.
Rezultati: Analiziranih je bilo 13 raziskav, od tega pet farmakoloških in osem nefarmakoloških oblik zdravljenja. Rezultati raziskave so pokazali, da nesteroidna protivnetna zdravila ponujajo precejšnje zmanjšanje bolečine pri večini žensk s  primarno dismenorejo. Ugotovitve kažejo, da vse oblike nefarmakološkega zdravljenja niso priporočljive in pri pacientkah s primarno dismenorejo ne pomagajo zmanjšati intenzitete bolečine. 
Diskusija in zaključek: Rezultati sistematičnega pregleda literature kažejo, da farmakološko zdravljenje učinkoviteje zmanjšuje intenziteto bolečine, saj se učinek delovanja zdravila izkaže v eni uri po zaužitju, vendar povzroča nekatere stranske učinke.

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Biografije avtorja

Aleksandra Kavšak, Ortopedska bolnišnica Valdoltra, Jadranska cesta 31, 6280 Ankaran, Slovenija

dipl. m. s.

Liridon Avdylaj, Splošna bolnišnica Izola, Polje 40, 6310 Izola, Slovenija

dipl. zn.

Literatura

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Prenosi

Objavljeno

2018-03-14

Kako citirati

Kavšak, A., & Avdylaj, L. (2018). Farmakološka in nefarmakološka terapija za zdravljenje primarne dismenoreje: sistematični pregled literature. Obzornik Zdravstvene Nege, 52(2), 118–127. https://doi.org/10.14528/snr.2018.52.2.191

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