Fatores associados à perceção de ansiedade e dor na colocação do Sistema Intrauterino com Levonorgestrel
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Outros Autores: | , , , , |
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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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 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://scielo.pt/scielo.php?script=sci_arttext&pid=S1646-58302018000400004 |
url |
http://scielo.pt/scielo.php?script=sci_arttext&pid=S1646-58302018000400004 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
http://scielo.pt/scielo.php?script=sci_arttext&pid=S1646-58302018000400004 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
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text/html |
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 |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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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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