Fatores associados à perceção de ansiedade e dor na colocação do Sistema Intrauterino com Levonorgestrel

Detalhes bibliográficos
Autor(a) principal: Miranda,Alexandra
Data de Publicação: 2018
Outros Autores: Almendra,Rita, Feliciano,Esmeralda, Ricardo,Cardoso, Nápoles,Saritta, Nogueira-Silva,Cristina
Tipo de documento: Artigo
Idioma: por
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://scielo.pt/scielo.php?script=sci_arttext&pid=S1646-58302018000400004
Resumo: Overview and Aims: Levonorgestrel Intrauterine System (LNG-IUS) is an efficacious and cost-effective long acting reversible contraceptive, with high satisfaction rates among users. Yet, evidence shows that anxiety and fear of pain associated with LNG-IUS insertion prevent women from choosing them as their contraceptive method. We aimed to determine risk factors associated with anxiety and pain perception during LNG-IUS insertion. Methods and Population: We performed a prospective, observational, descriptive and analytical study to a sample of patients of the family planning consultation submitted to insertion of LNG-IUS between may and november 2017. Pre and post insertion questionnaires were given, one directed to the patients and other to the clinicians. Results: From a total of 161 women in analysis, 125 inserted Mirena® and 36 inserted Jaydess®. The patients submitted to the insertion of Jaydess® were significantly younger (median=34) than those who chose Mirena® (median=41) and presented higher frequency of nulliparity and absence of vaginal delivery. Higher levels of anticipated pain correlated with high levels of anxiety (p<0.001). The pain associated to the procedure was mainly referred to as mild or moderated. Higher levels of experienced pain were found in patients with less parity or absence of vaginal delivery and in more technically difficult procedures (p<0.001). After a multivariable regression analysis, only patient's anxiety and anticipated pain have remained associated with the increase of experienced pain (p<0.05). Conclusions: High levels of anxiety and anticipated pain proved to be predictors of high levels of experienced pain during LNG-IUS insertion. Future research should focus on interventions to reduce pre-procedure anxiety and anticipated pain potentially to decrease discomfort experienced with intrauterine device insertion.
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spelling Fatores associados à perceção de ansiedade e dor na colocação do Sistema Intrauterino com LevonorgestrelPainAnxietyContraceptionLNG-IUSMirena®Jaydess®Overview and Aims: Levonorgestrel Intrauterine System (LNG-IUS) is an efficacious and cost-effective long acting reversible contraceptive, with high satisfaction rates among users. Yet, evidence shows that anxiety and fear of pain associated with LNG-IUS insertion prevent women from choosing them as their contraceptive method. We aimed to determine risk factors associated with anxiety and pain perception during LNG-IUS insertion. Methods and Population: We performed a prospective, observational, descriptive and analytical study to a sample of patients of the family planning consultation submitted to insertion of LNG-IUS between may and november 2017. Pre and post insertion questionnaires were given, one directed to the patients and other to the clinicians. Results: From a total of 161 women in analysis, 125 inserted Mirena® and 36 inserted Jaydess®. The patients submitted to the insertion of Jaydess® were significantly younger (median=34) than those who chose Mirena® (median=41) and presented higher frequency of nulliparity and absence of vaginal delivery. Higher levels of anticipated pain correlated with high levels of anxiety (p<0.001). The pain associated to the procedure was mainly referred to as mild or moderated. Higher levels of experienced pain were found in patients with less parity or absence of vaginal delivery and in more technically difficult procedures (p<0.001). After a multivariable regression analysis, only patient's anxiety and anticipated pain have remained associated with the increase of experienced pain (p<0.05). Conclusions: High levels of anxiety and anticipated pain proved to be predictors of high levels of experienced pain during LNG-IUS insertion. Future research should focus on interventions to reduce pre-procedure anxiety and anticipated pain potentially to decrease discomfort experienced with intrauterine device insertion.Euromédice, Edições Médicas Lda.2018-12-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articletext/htmlhttp://scielo.pt/scielo.php?script=sci_arttext&pid=S1646-58302018000400004Acta Obstétrica e Ginecológica Portuguesa v.12 n.4 2018reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttp://scielo.pt/scielo.php?script=sci_arttext&pid=S1646-58302018000400004Miranda,AlexandraAlmendra,RitaFeliciano,EsmeraldaRicardo,CardosoNápoles,SarittaNogueira-Silva,Cristinainfo:eu-repo/semantics/openAccess2024-02-06T17:21:43Zoai:scielo:S1646-58302018000400004Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T02:28:39.844170Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Fatores associados à perceção de ansiedade e dor na colocação do Sistema Intrauterino com Levonorgestrel
title Fatores associados à perceção de ansiedade e dor na colocação do Sistema Intrauterino com Levonorgestrel
spellingShingle Fatores associados à perceção de ansiedade e dor na colocação do Sistema Intrauterino com Levonorgestrel
Miranda,Alexandra
Pain
Anxiety
Contraception
LNG-IUS
Mirena®
Jaydess®
title_short Fatores associados à perceção de ansiedade e dor na colocação do Sistema Intrauterino com Levonorgestrel
title_full Fatores associados à perceção de ansiedade e dor na colocação do Sistema Intrauterino com Levonorgestrel
title_fullStr Fatores associados à perceção de ansiedade e dor na colocação do Sistema Intrauterino com Levonorgestrel
title_full_unstemmed Fatores associados à perceção de ansiedade e dor na colocação do Sistema Intrauterino com Levonorgestrel
title_sort Fatores associados à perceção de ansiedade e dor na colocação do Sistema Intrauterino com Levonorgestrel
author Miranda,Alexandra
author_facet Miranda,Alexandra
Almendra,Rita
Feliciano,Esmeralda
Ricardo,Cardoso
Nápoles,Saritta
Nogueira-Silva,Cristina
author_role author
author2 Almendra,Rita
Feliciano,Esmeralda
Ricardo,Cardoso
Nápoles,Saritta
Nogueira-Silva,Cristina
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Miranda,Alexandra
Almendra,Rita
Feliciano,Esmeralda
Ricardo,Cardoso
Nápoles,Saritta
Nogueira-Silva,Cristina
dc.subject.por.fl_str_mv Pain
Anxiety
Contraception
LNG-IUS
Mirena®
Jaydess®
topic Pain
Anxiety
Contraception
LNG-IUS
Mirena®
Jaydess®
description Overview and Aims: Levonorgestrel Intrauterine System (LNG-IUS) is an efficacious and cost-effective long acting reversible contraceptive, with high satisfaction rates among users. Yet, evidence shows that anxiety and fear of pain associated with LNG-IUS insertion prevent women from choosing them as their contraceptive method. We aimed to determine risk factors associated with anxiety and pain perception during LNG-IUS insertion. Methods and Population: We performed a prospective, observational, descriptive and analytical study to a sample of patients of the family planning consultation submitted to insertion of LNG-IUS between may and november 2017. Pre and post insertion questionnaires were given, one directed to the patients and other to the clinicians. Results: From a total of 161 women in analysis, 125 inserted Mirena® and 36 inserted Jaydess®. The patients submitted to the insertion of Jaydess® were significantly younger (median=34) than those who chose Mirena® (median=41) and presented higher frequency of nulliparity and absence of vaginal delivery. Higher levels of anticipated pain correlated with high levels of anxiety (p<0.001). The pain associated to the procedure was mainly referred to as mild or moderated. Higher levels of experienced pain were found in patients with less parity or absence of vaginal delivery and in more technically difficult procedures (p<0.001). After a multivariable regression analysis, only patient's anxiety and anticipated pain have remained associated with the increase of experienced pain (p<0.05). Conclusions: High levels of anxiety and anticipated pain proved to be predictors of high levels of experienced pain during LNG-IUS insertion. Future research should focus on interventions to reduce pre-procedure anxiety and anticipated pain potentially to decrease discomfort experienced with intrauterine device insertion.
publishDate 2018
dc.date.none.fl_str_mv 2018-12-01
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dc.publisher.none.fl_str_mv Euromédice, Edições Médicas Lda.
publisher.none.fl_str_mv Euromédice, Edições Médicas Lda.
dc.source.none.fl_str_mv Acta Obstétrica e Ginecológica Portuguesa v.12 n.4 2018
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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